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SITE INFORMATION AND CORRESPONDENCE_CASE 2
Environmental Health - Public
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PR0545534
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SITE INFORMATION AND CORRESPONDENCE_CASE 2
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Last modified
3/13/2020 1:59:21 AM
Creation date
3/12/2020 12:01:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 2
RECORD_ID
PR0545534
PE
3528
FACILITY_ID
FA0001457
FACILITY_NAME
COLLEGEVILLE MARKET & CAFE
STREET_NUMBER
13521
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18306007
CURRENT_STATUS
02
SITE_LOCATION
13521 E MARIPOSA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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G. MANDATORY CONTACTS <br /> Public Health Services of San Joaquin <br /> Environmental Health Division: �llu <br /> San Joaquin County KD 8 v` / :�Q {�./ , <br /> (Contact Name) (Time) (Date) <br /> Board of Supervisors: ,Bye j= �,y f� /a;3 j� p,M.MAY 24 '�) <br /> (Contact Name) (Time) (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 .,,-thin the <br /> geographical area of his jurisdiction and who knows that such discharge or threatened discharge <br /> is likely to cause substantial injury to the public health or safety must, within seventy-two hours. <br /> disclose such information to the local Board of Supervisors and to the local Health Officer. No <br /> disclosure of information is required under this subdivision when otherwise prohibited by lay. or <br /> when law enforcement personnel have determined that such disclosure would adversely affect an <br /> ongoing criminal investigation, or when the information is already general public knovyledge <br /> 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 by <br /> imprisonment in the county 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 fine of not less than five <br /> 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 Nvithi <br /> thirty days (30) of conviction. • <br /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> (Agency N e) <br /> Signature: f <br /> Typed/Printed Name: —� ��4-,e { ✓1 J► L <br /> Title: <br /> � (fon <br /> Date: Time: <br /> cc: SWEEPS#/SITE CODE#: <br /> CONMFR Y/N <br /> O1C�� Fk•slu REFERRED TO: <br /> EH 22 013 (Rev. 08/20/98) <br />
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