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SAN J O A Q U I N Environmental Health Department <br /> C0UNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE !l <br /> EHD LOG# 2O — V2-Q <br /> MANDATORY CONTACTS <br /> San Joaquin County Health Officer- <br /> Care of Environmental Health Department �� Jasjit Kang Timer �am Date: �-2_e �2 Q <br /> San Joaquin County Board of Supervisors- ` Z� '-2-0Care of Clerk of the Board Rachel DeBord Time:�!SUS Date: <br /> HEALTH AND SAFETY CODE 25180.7 <br /> b)Any designated government employee who obtains information in the course of his official duties revealing the illegal <br /> discharge or threatened illegal discharge of a hazardous waste within the geographical area of his jurisdiction and who knows <br /> that such discharge or threatened discharge is likely to cause substantial injury to the public health or safety must,within <br /> seventy-two hours, disclose 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 enforcement personnel have <br /> determined that such disclosure would adversely affect an ongoing criminal investigation, or when the information is already <br /> general public knowledge within the locality affected by the discharge or threatened discharge. <br /> c)Any designated government employee who knowingly and intentionally fails to disclose information required to be disclosed <br /> under subdivision(b)shall, upon conviction, be punished by imprisonment in the county jail for not more than one year or by <br /> imprisonment in state prison for not more than three years. The court may also impose upon the person a fine of not less than <br /> five thousand dollars($5000)or more than twenty-five thousand dollars($25,000). The felony conviction for violation of this <br /> SIGNATURE DISCLOSURE <br /> I make this report on behalf of all designated employees of the County of San Joaquin, and the <br /> San Joaquin County Environmental Health Department <br /> Signature: <br /> Printed name: Elianna Florido <br /> Title: REHS <br /> Date: 9/28/2020 Time: 9:28 pm <br /> Responsible Party: Property Owner: <br /> Costco Wholesale #38 (Gas Station) NJ Investments Stockton LLC <br /> Attn: Costco Licenscing 1156 Tanglewood Way <br /> PO Box 35005 San Mateo, CA 94403 <br /> Seattle, WA 98124 <br /> Page 2 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />