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SANJ Q A Q N I N Environmental Health Department <br /> COUNTY— <br /> NOTIFICATION <br /> .OI...lNTYNOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> EHD LOG# IK-- <br /> I <br /> MANDATORY CONTACTS <br /> San Joaquin County Health Officer- <br /> Care of Environmental Health Departme Linda Turkatte Time: �','?��m Date: Y 1 ID! IF <br /> San Joaquin County Board of Supervisors- p <br /> Mimi Duzenski Time: Date: <br /> Care of Clerk of the Board <br /> HEALTH AND SAFETY CODE25180.7 <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 /> section shall require forfeiture of government employment within thirty days of conviction. <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: Lydia Baker <br /> Title: EH Qe� ialis <br /> Date: I- a© Time: a i , <br /> J lwo .rup ENVIRONMENTAL HEALTH DEPARTMENT <br /> -R-Rn '. Debomh C�1pw LarrA LYDIA BAKER <br /> �� Com�YZ.2�C.� Environmental Health Specialist <br /> ✓r P: (209)468.8257 <br /> /tea � Brm1- I F: (209)468.3433 <br /> VV 1F-� CQ 0 ,5 2-3— I5 LJ(Q E: Ibaker@sjcehd.com SAN J 0 A Q U I N <br /> 1868 E.Hazelton Avenue <br /> Stockton,CA 95205 —COUNTY <br /> prp , PaG fiCPa <br /> (( (Mot Q'1r111ny wwwsjgov.org/ehd Greatness grows here. <br /> G1(11 I LIDO DCu9 Icts Sf MS I(P qO <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.sjcehd.com <br />