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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545289
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 11:39:49 AM
Creation date
2/11/2020 8:33:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545289
PE
3528
FACILITY_ID
FA0003828
FACILITY_NAME
VAN BUSKIRK GOLF COURSE
STREET_NUMBER
1740
STREET_NAME
HOUSTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95206
APN
16307036
CURRENT_STATUS
02
SITE_LOCATION
1740 HOUSTON AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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G. MANDATORY CONTACTS - <br /> r <br /> , t <br /> IlkPublic Health Services <br /> q. <br /> -of San Joaquin-County <br /> V, <br /> Environmental Health Division: l�A'C�( <br /> (Contact Name) (Time) (Date) <br /> 1 San Joaquin County <br /> Board of Supervisors: A) _ .�J1/,%0 <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 /> duti(s 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 /> w (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 instate 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 /> conviction for violation of this section shall require-forfeiture of government employment within <br /> thirty days (30) of conviction. <br /> I. SIGNATURE DISCLOSURE <br /> I make this,repo on behalf of all the designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> Signature: - - <br /> Typed/Printed Name: S <br /> Title: TF- <br /> Date: t Time: <br /> cc: (" 5.�T G SWEEPS#/SITE CODE#: l l <br /> lJ IZ Lt! CONMFI Y N <br /> all REFERRED TO:_ <br /> EH 22 013 (Rev.4/91) <br />
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