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SITE INFORMATION AND CORRESPONDENCE FILE 1
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544591
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
6/21/2019 2:38:17 PM
Creation date
6/21/2019 11:32:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0544591
PE
3526
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
02
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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_4 <br /> G. MANDATORY CONTACTS <br /> San Joaquin County • <br /> Local Health District: /�fne --_.L� <br /> on tact Name T n,e a e1 <br /> San Joaquin County <br /> Board of Supervisors: <br /> (ContactName) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE 4 25180.7. <br /> (b) Any designated government employee who obtains information in the <br /> co::rse of his official duties revealing the illegal discharge or <br /> threatened illegal discharge or threatened illegal discharge of a <br /> hazardous waste within the geographical area of his jurisdiction and who <br /> knows that such discharge or threatened discharge is likely to cause <br /> substantial injury to the public health or safety must, within <br /> seventy-two hours, disclose such information to the local Board of <br /> Supervisors and to the local health officer. No disclosure of <br /> information is required under this subdivision when otherwise prohibited <br /> by law, or when law enforcement personnel have determined that such <br /> disclosure would adversely affect an ongoing criminal investigation, or <br /> 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 <br /> fails to disclose information required to be disclosed under subdivision <br /> ' (b) shall , upon conviction, be punished by imprisonment in the county <br /> jail for not more than one year or by imprisonment in state prison for <br /> not more than three years. The court may also impose upon the person a <br /> fine of not less than five thousand dollars ($5,000) or more than <br /> twenty-five thousand dollars ($25,000) . The felony conviction for <br /> violation of this section shall require forfeiture of government <br /> employment within thirty days of conviction. <br /> I . SIGNATURE DISCLOSURE <br /> I make this report on be11 a designated employees of the <br /> County of San Joaqui an Joaquin County Local Health District, <br /> and rn <br /> Age a — <br /> Signature: <br /> Typed me.;, ��• <br /> Ti <br /> Date: $j —/7Z — �' �— Time: , <br /> cc <br /> SF B Revised 3-18-87 <br /> � 5 ` <br />
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