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EHD LOG# 1 —D I-1 Z <br /> G. MANDATORY CONTACTS <br /> San Joaquin County Public Health Services— Donna Heran Time: ,3 ate: <br /> Contact-Environmental Health Department If) <br /> San Joaquin County Board of Supervisors— Michael Cockrell Time: 10•-3 Date: Q-10,1 <br /> Contact—Office of EmergencyServices <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: t— <br /> Printed Name: Mt4,N ( �PAr�CY rGyl <br /> Title: Fr <br /> Date: D Zo/ Time: -9-'6V 414 <br /> cc: DTSC,11'"-11' 'r,rYIO '�q Site Code: <br /> CVRWQCB, A �'. akli can 4v-'W1 <br /> n <br /> Gi Df /l�ante�a , t1-�: C4 �M�+aq Con MFR Yes No <br /> 6-aMh -r0,AJ, 1,V_, f}j%: 6-110- CU 11r) Referred: N <br /> 3135 Nor4nC"/-Feld f2j, W- O , Lay 411 UT <br /> Pro(&4-y Vol lwfifle �rOpBrl res Aiy n T,vp�!H IEtQe+r{1, L� <br /> oviAe r a 51 W. Or {c st,Man ecus cR <br /> Revised 04/19/12 Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />