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G. <br />MANDATORY CONTAC'T'S 3 <br />r 0-V <br />Public Health Services <br />of San Joaquin County <br />Environmental Health Division: <br />(Contact Name) (Time) ? (Date) <br />San Joaquin County , <br />Board of Supervisors: ,') / %l.�.f U. 77 ger <br />(Contact Name) -.(Time) (Date) <br />HEALTH AND SAFE -TY CODE S 25150.7., <br />(b) Any designated government employee who obtains information in the course or his official <br />duties,revcaling the illegal discharge or threatened illegal discharge of a hazardous waste <br />within the geographical area of his jurisdiction and who knows that such discharge or <br />threatened discharge is likely to cause substantial injury ,to the public-health or safety must, <br />within seventy-two hours, disclose such information to the local 'Board of Supervisors and to <br />the local health officer. No disclosure of information is - required: under this subdivision when <br />otherwise prohibited by law, -or when law enforcement personnel have determined that such <br />disclosure would adversely affect an ongoing criminal investigation; or when the information is <br />-. already general public knowledge within the locality affected'by.the discharge or threatened <br />discharge. <br />- -(c) -Any designated government employee who knowingly and intentionally fails to disclose <br />in format ion, required to the disclosed under'subdivision (b) shall, upon conviction, bepunished <br />by imprisonment in the county jail forrnot'more than one year or by imprisonment in state <br />-prisawfor hot more than three years. The court may also impose upon�'the person a fine of <br />not less than five thousand dollars ($5,000) or more than twenty-five thousand dollars '. <br />($25,000). -The felony conviction for violation of this section shall require forfeiture of , <br />government employment within thirty days of conviction. a - <br />1. SIGNATURE DISCLOSURE - <br />1 make this'reportYon behalf of all the designated employees of .the County}of San Joaquin, <br />and cicn= <br />(Agency Name) <br />Signature:' <br />Typed Nanc: _ .�1....: <br />Title: __ <br />.,ryry' �^' ,�''�'��I1SFc.�77 .fi .. <br />Date: . f Z " Time: 3� - <br />cc: <br />DdS <br />EH 22 03 (Rev. 7/89) <br />