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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0526874
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/1/2018 1:28:00 PM
Creation date
11/1/2018 8:32:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0526874
PE
2960
FACILITY_ID
FA0018201
FACILITY_NAME
FORMER MOBIL SERVICE STATION 99-CAS
STREET_NUMBER
75
Direction
E
STREET_NAME
ALPINE
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11514007
CURRENT_STATUS
01
SITE_LOCATION
75 E ALPINE AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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C MANDATORY CONTAC_� <br /> Public Health Services / <br /> of San Joaquin County <br /> Environmental Health Division: (Time) (Date) <br /> (Contact Name) <br /> 1 San Joaquin County <br /> Beard of Supervisors: �C t (Time) (Date) <br /> (Contact Name) <br /> H. HEALTH AND SAFETY CODE S 25180.7. <br /> (b) Any designated government employee who obtains information in the course of his officio <br /> duties revealing the illegal discharge or threatened illegal discharge of a hazardous or threaten <br /> erred <br /> LhP geographical area of his jurisdiction and who knows that such discharge <br /> discharge is Nicely to cause substantial injury to the public health or safety must, within seventy- <br /> two hours, disclose such information to the local Board of Supervisors and to the local health <br /> closure would adversely <br /> officer. No disclosure of information is required under this subdivision when otherwise prohibited <br /> such <br /> have h � o � already publicby law, or when law enforcementPersonnelaffect an ongoing ug � � �atin general <br /> o <br /> knowledge within the locality affected by the discharge r threatened discharge. <br /> gove*nment empn loyee who knowingly and intentionally faz.s to disclose <br /> (c) Any designated <br /> information required to the disclosed under subdivisioCb) shall, upon conviction, punished <br /> by imprisonment in the county jail for not more than one year or by imprisonment to ssttate prison <br /> ot less di=n <br /> for not more than three years. The court may also fiP e tho sand dollars ($2or. the person a 5,000)e of. The felony <br /> five thousand dollars ($5,000) or more than weary <br /> conviction for violation of this section shall require forfeiture of government employment w thin <br /> thirty days (30) of conviction. <br /> SIGNATURE DISCLOSURE <br /> ' designated employees of the County of San Joaquin, and <br /> I make t_ <br /> /e o_rt on of all the <br /> S Agency Name) <br /> Signature: <br /> Typed/Printed N <br /> Title: <br /> Time: <br /> Date: �� A <br /> Sw--EPS+ /S�c CODE: X00 <br /> CONiMFRC,7?N <br /> REF -RR— TO: <br /> EH 22 013 (Rev.4/91) <br />
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