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0 0 <br />G. MANDATORY CONTACTS <br />i <br />Public Health Services <br />of San Joaquin County <br />Environmental Health Division <br />San Joaquin County <br />Board of Supervisors: <br />q/ -q / <br />(Time) (Date) <br />(Contact Name) (Time) (Date) <br />H. HEALTH AND SAFETY CODE S 25130.7. <br />(b) Any designated government employee who obtains information in the course of his official <br />duties revealing the illegal discharge or threatened illegal discharge of a hazardous waste within <br />the geographical area of his jurisdiction and who knows that such discharge or threatened <br />discharge is likely to cause substantial injury to the public health or safety must, within seventy- <br />two hours, disclose such information to the local Board of Supervisors and to the local health <br />officer. No disclosure of information is required under this subdivision when otherwise <br />prohibited by law, or when law enforcement personnel have determined that such disclosure <br />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 <br />information required to the disclosed under subdivision (b) shall, upon conviction, be punished <br />by imprisonment in the county jail for not more than one year or by imprisonment in state <br />prison for not more than three years. The court may also impose upon the person a fine of not <br />less than five thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). <br />The felony conviction for violation of this section shall require forfeiture of government <br />employment within thirty days of conviction. <br />1. SIGNATURE DISCLOSURE <br />I make this report on behalf of all the designated employees of the County of San Joaquin, <br />and <br />n (Agency Name) <br />Signature: <br />Typed Name: <br />Title: <br />Date: 4 --zq -G Time: <br />cc: ( P S' TSC P <br />_ Gri2_1 iocC <br />C. -0r, � cE —1c-, C <br />EH 22 013 (Rev. 2/90) <br />SWEEPS/SITE CODE #: <br />CONT. MFR: -y / <br />REFERRAL TO: <br />