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SANJ O A Q U I N Environmental Health Department <br /> U �.i I y <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> EHD LOG# 19 0 10 <br /> MANDATORY CONTACTS <br /> San Joaquin County Health Officer- <br /> Care of Environmental Health Department Linda Turkatte Time: ( ;�� `k Date: <br /> San Joaquin County Board of Supervisors- / <br /> Rachel DeBord Time: Date: <br /> Care of Clerk of the Board .S� p� <br /> HEALTH AND SAFETY CODE25180.7 <br /> b) Any designated government employee who obtains information in the course of his official duties revealing the illegal <br /> discharge or threatened illegal discharge of a hazardous waste within the geographical area of his jurisdiction and who knows <br /> that such discharge or threatened discharge is likely to cause substantial injury to the public health or safety must, within <br /> seventy-two hours, disclose such information to the local Board of Supervisors and to the local health officer. No disclosure if <br /> information is required under this subdivision when otherwise prohibited by law, or when law enforcement personnel have <br /> determined that such disclosure would adversely affect an ongoing criminal investigation, or when the information is already <br /> general public knowledge within the locality affected by the discharge or threatened discharge. <br /> c)Any designated government employee who knowingly and intentionally fails to disclose information required to be disclosed <br /> under subdivision (b) shall, upon conviction, be punished by imprisonment in the county jail for not more than one year or by <br /> imprisonment in state prison for not more than three years. The court may also impose upon the person a fine of not less than <br /> five thousand dollars ($5000) or more than twenty-five thousand dollars ($25,000).The felony conviction for violation of this <br /> SIGNATURE DISCLOSURE <br /> I make this report on behalf of all designated employees of the County of San Joaquin, and the <br /> San Joaquin County Environmental Health Department <br /> Signature: <br /> Printed name: Claudia Muro <br /> Title: EHS Trainee <br /> Date: ` Y gi Z O 1./9 Time: l '4'.V7 <br /> M ASL To <br /> M 11<E AL(iOTS : UN (ON PAC1 f I C <br /> 1 (000 VEKN oN S-f <br /> Ro5EvlLLE ) CA 956. TZ <br /> r rio r EKTY o w K -K <br /> LJN10r4 I AC1FIC RA1L-ROAD COMPANY <br /> Iy00 DDUQLA1S ST. <br /> Page 2 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />