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EHD LOG# <br /> G. MANDATORY CONTACTS <br /> San Joaquin County Environmental Health Donna Heron n �7 `/ <br /> Department Time: Aloxl Date: _I A 5 <br /> San Joaquin CountyBoardof Supervisors— Michael Cockrell Time: 1�, <br /> Contact—Office of Emerge <br /> enc Services Date: <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 or 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: '///%��j�' „?c✓�/llJCy� —� <br /> Printed Name: N('Le I H-eA )-t rso h <br /> Title: ,t q in e-ci'the G,fo /c p-t s <br /> Date: 9���t� . Time: <br /> CC: DTSC Site Code: <br /> CVRWQCB <br /> Cit.�,O f T,yU�(,�j t�A f y'. 6J--y�AA7cL*/ y-e- �5� 06;''C� `�� n Con MFR Yes No <br /> go 'riYllA^i CA.A 44V,'WM/ __,Y,*f17 I1G/t/�1ty Referred:(- 01- <br /> ?Itiersdt2� yDn04ha'(/4 1 I <br /> Revised 08/02/12 Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />