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COGS l( <br /> EHD LOG# I io - <br /> MANDATORY CONTACTS <br /> San Joaquin County Health Officer- Linda Turkatte Time: Date: �- <br /> Care of Environmental Health De artment <br /> San Joaquin County Board of Supervisors- Mimi Duzenski Time: Date: 'n^ <br /> Care of Clerk of the Board <br /> HEALTH AND SAFETY CODE 25180.7 <br /> b)Any designated government employee who obtains information in the course of his official duties revealing the <br /> illegal discharge or threatened illegal discharge of a hazardous waste within the geographical area of his <br /> jurisdiction and who knows that such discharge or threatened discharge is likely to cause substantial injury to the <br /> public health or safety must,within seventy-two hours, disclose such information to the local Board of Supervisors <br /> and to the local health officer. No disclosure if information is required under this subdivision when otherwise <br /> prohibited by law, or when law enforcement personnel have determined that such disclosure would adversely <br /> affect an ongoing criminal investigation, or when the information is already general public knowledge within the <br /> locality affected by the discharge or threatened discharge. <br /> c)Any designated government employee who knowingly and intentionally fails to disclose information required to <br /> be disclosed under subdivision (b)shall, upon conviction, be punished by imprisonment in the county jail for not <br /> more than one year or by imprisonment in state prison for not more than three years. The court may also impose <br /> uponthe person a fine of not less than five thousand dollars($5000)or more than twenty-five thousand dollars <br /> ($25,000). The felony conviction for violation of this section shall require forfeiture of government employment <br /> 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 <br /> San Joaquin County Environmental Health Department <br /> /" (Agency Name) <br /> Signature: <br /> /�/ <br /> Printed Name: Elena�oV <br /> Title: Senior Registered Environmental Health Specialist <br /> Thursday, October 20, 2016 Time: 4 pm <br /> Date: <br /> 5� Socf1wo r2�v�,-C,Lub11N h Dam D,� r)e� <br /> 30,00 K4s750e1 P-O(, TV(9, r4 <br /> Revised 6101/2015 <br /> Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />