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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544750
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 10:19:50 AM
Creation date
8/12/2019 2:13:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544750
PE
3528
FACILITY_ID
FA0003706
FACILITY_NAME
CHEVRON USA #90959 (INACT)
STREET_NUMBER
103
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95476
APN
23313023
CURRENT_STATUS
02
SITE_LOCATION
103 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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G. " lVDATORY CONTACTS � R <br /> ** <br /> Public Health Services' <br /> of San Joaquin County <br /> Environmental Health Dzvision: j_' , -,.. <br /> � , (Contact ame) (Time) a (Date) <br /> 1 San Joaquin CountyUJ J) <br /> ;.. . <br /> Board of Supervisors: P C11 s <br /> J. <br /> (Contact Name) (Time) - ' (Date) <br /> H. . HEALTH AND.. SAFETY CODE S 25180.7. <br /> ,.(b) -Any designated government employee who obtains information in the course of�his official <br /> .. ai duties revealing the illegal discharge or threatened illegal discharge of a hazardous waste within <br /> ,.the geographical area of his jurisdiction and who knows that such discharge or threatened <br /> ,.discharge is likely 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 /> officer. No disclosure of information is required under this subdivision when otherwise prohibited <br /> 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 <br /> :knowledge within the locality affected by the discharge or threatened discharge. • ' ' <. <br /> (c) Any designated government employee who knowingly and intentionally fails to disclose <br /> information required to the disclosed under subdivision (b) shall, upon conviction, be punished <br /> ,by.imprisonment in the county jail for not more than one year or by imprisonment in state prison <br /> for.not more than three years. The court may also impose upon the person a fine of not less than <br /> five thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). The felony <br /> _ . <br /> -conviction conviction for violation of this section shall require forfeiture of government employment within <br /> thirty days (30) of conviction. <br /> L SIGNATURE DISCLOSURE <br /> .-. <br /> make this report on behalf of all the,designated employees of the County of San Joaquin, and <br /> (Agency Name) - a <br /> P <br /> Signature: v,�vt✓ .�c _. , <br /> Typed/Printed:Name: �LinJ /i�A1DC_Ci <br /> Title: - <br /> Date: Time: %6 <br /> cc: C��t-� - �,t T.. SWEEPS#/SITE CODE#: 13 E <br /> e L)l2,cL)e� CZ - : CONWR�/,N <br /> t' /✓�-g " REFERRED.TO: <br /> EH 22 013 (Rev.4/91) ' ; <br />
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