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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544299
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
4/2/2019 3:37:19 PM
Creation date
4/2/2019 3:15:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544299
PE
3528
FACILITY_ID
FA0015022
FACILITY_NAME
USA PETROLEUM #3696
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
02
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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koa4y—d� <br /> G. MANDATORY CONTACTS " o <br /> San Joaquin County <br /> Environmental Health Department: Prot"O' d <br /> — (Contac Name) ate) ; <br /> e <br /> San Joaquin County <br /> --- Board of Supervisors_: <br /> J y �` (Contac Name) •(Time) -' Atte <br /> H. HEALTH AND SAFETY CODE S 251.80.7 <br /> (b)Any designated government employee who obtai is information in the course of his official duties <br /> revealing the illegal discharge or threatened illegal d scharge of a hazardous waste within the <br /> geographical area of his jurisdiction and who know t at such discharge or threatened discharge is <br /> likely to casue substantial injury to the public health r safety must,within seventy two hours, <br /> disclose such information to the Board of Super-visors and to the local health officer. No disclosure <br /> of 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 a eady general public knowledge within the <br /> locality affected by the discharge or threatened discharge. ' <br /> (c)Any designated government employee who kno ingly and intentionally fails to disclose <br /> information required to the disclosed under subdivis on(b) shall, upon conviction, be punished by <br /> imprisonment in the county jail for not more tan one year or by imprisonment in state prison for not <br /> more than three years. The court"may also impose upon the person a fine of not less than five <br /> -thousand ($5,000) or more than twenty five thousand dollars ($25,000). The felony conviction-for <br /> violation of this section shall require forfeiture of go eminent employment within thirty days (30),of <br /> conviction. <br /> X. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> rt <br /> rl/ �4er-� D • C�6 <br /> (Agency Na e) <br /> Signature: <br /> Print Name: #Ak",K-.) kAlOt& Title: <br /> Date: ll t Time: q:0LA79 P.M. <br /> SITE CODE #: <br /> CC: bTs C_" <br /> tl2�lt�cr7 — t , <br /> Referred To: <br /> EHD 22-02-003Notification of Haz Discharge <br />
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