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SI S J Q A Q U I N Environmental Health Department <br /> COU NTY— <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE (� <br /> EHD LOG# 1 iu1 1 <br /> MANDATORY CONTACTS <br /> San Joaquin County Health Officer- Date: <br /> Linda Turkatte Time: Q <br /> Care of Environmental Health Department 2 i 10 I D I l U <br /> San Joaquin County Board of Supervisors- <br /> Care of Clerk of the Board Mimi Duzenski Time: 'L: Iq Date: <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 /> section shall require forfeiture of government employment within thirty days of conviction. <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: Leyna Huynh <br /> Title: Lead Senior REHS <br /> Date: t �%/) O/'1 �(> Time: <br /> shim i Cd c RCu Lrcad <br /> lgfn-' Pau L hLi- <br /> ILQob Ve(r)m st <br /> SeIrQ CA q 5(Q--y— �qSl <br /> Proper+y ow n,�, <br /> UQion Po6fic { a-(Lywd Canmb <br /> HW Ouli[as &t MS hogo <br /> o MCLhOL MIP W(:T9 <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 />