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COPY <br /> EHD LOG# 1 <br /> G. MANDATORY CONTACTS <br /> San Joaquin County Environmental Health Donna Heran wtj Time: Date: C1_/(L 4 <br /> Department <br /> San Joaquin County Board of Supervisors— Michael Cockrell Time: Date: (t,'1 <br /> Contact-Office of Emergency Services <br /> H. HEALTH AND SAFETY CODE 25180.7 <br /> (b) Any designated government employee who obtains information in the course of his official duties <br /> revealing the illegal discharge cr threatened illegal discharge of a hazardous waste within the <br /> geographical area of his jurisdiction and who knows that such discharge or threatened discharge is <br /> likely to cause substantial injury to the public health or safety must, within seventy-two hours, disclose <br /> 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 <br /> enforcement personnel have determined that such disclosure would adversely affect an ongoing <br /> criminal investigation, or when the information is already general public knowledge within the locality <br /> affected by the discharge or threatened discharge. <br /> (c) Any designated government employee who knowingly and intentionally fails to disclose information <br /> required to be disclosed under subdivision (b) shall, upon conviction, be punished by imprisonment in <br /> the county jail for not more than one year or by imprisonment in state prison for not more than three <br /> years. The court may also impose upon the person a fine of not less than five thousand dollars <br /> ($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 /> I. 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 /> Printed Name: Aris Veloso <br /> Title: Senior Registered Environmental Health Specialist <br /> Date: Tuesday, September 16, 2014 Time: 1:11 pm <br /> cc: DTSC Site Code: <br /> CVRWQCB q+IN C&I KP-Iculei' x}25 1V f► �'` ' Con MFR Yes No <br /> C,—%y �t'ycck ` k�4► Cn 15 Referred: <br /> 1`Ige- Lrne�, LLG AtW: Aha -L. HCN lel �7 f5ioLr b+czfnwid AJ L" 0" `i S`cl1 <br /> �/N�evctcicc Ye)l•t WC. 0;z5 tlrxv)5 W Ket?o AJv `69511 <br /> RP.vigpd 08/02/12 Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />