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4 <br />SAN JOAQUIN <br />cOUN1Y <br />Environmental Health Department <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # <br /> 0—\G- <br />MANDATORY CONTACTS <br />San Joaquin County Health Officer - irk-5 <br />Care of Environmental Health Department Jasjit Kang Time: \\ Date: ---\ \ <br />San Joaquin County Board of Supervisors - <br />Care of Clerk of the Board Rachel DeBord Time: \\ .-3,(xr) Date: -1 \-.2.—q \ <br />HEALTH AND SAFETY CODE 25180.7 <br />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 />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: ctevv?. <br />Printed name: John Alaniz <br />Title: Senior REHS <br />Date: 7/d- )4) \ Time: 11 304/1'\ <br />7 borcion L Inv; <br />;3Y7 a L-i&k j 114- <br />St-Dc.,(0-u-T\ , a't <br />Page 2 of 2 <br />1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD