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G MANDATORY CONTACTS <br /> Public Health Services . O btl <br /> of San Joaquin County <br /> Environmental Health Divisor: cry) (Date} <br /> (Contact Name) <br /> San Joaquin C aunt' • <br /> y <br /> Board of Sutse*viscrs: (Time) (Date) <br /> (Contact Name} <br /> H <br /> HEALTH AND SAr'"ETy CODE S 25180.7. in the course <br /> designated government eMPloyer who obtains inforazaao of a hazardous°waste within <br /> f his officia.1 <br /> � or threatened �leg� discharge <br /> dunes reve a illegal discharge _ <br /> u=' diction and who Imcws that such disc.�Cargp or threatened <br /> the geographical area of his J to the public health or safety must, within seventy <br /> disc:'�arge is li4ely to cause substantial injury <br /> hours, dlsciose S,1ch infarmanon to the local Board Of Supervisors <br /> °wizen otherwise local <br /> d <br /> two _ <br /> officer. No discicsUre of inforalaCan is requires ender su <br /> b law, or when law enforcement pe'so�e!have determined that such �tion is acedy would <br /> geae� public adversely <br /> y ,anal investigation, or when. the il <br /> affect an ongoing affected by the discharge or threatened discharge- <br /> knowiedge within the locality <br /> wino '..mowingly and intenrimaiiy fads to disclose <br /> (c) Arty, designated gave n m closed <br /> employer s upon canvic:ion, be punished <br /> information re✓{ red to the disclosed under subdivision (b} or �prisontaent in state prison <br /> by I,-rcprisonmeZt in the county jail for noc more chart one year <br /> by <br /> tizree <br /> The court may also impose upon the person a fine of not less thar' <br /> for not more than Years- , <br /> five thousand dollars (53,000) or more than tw�Y-five thousand dollars ($25,000)• The le any <br /> conviction for violation of this section small require forfeiture of gave=, ment emalcyment within <br /> thirty days (30) of conviction. <br /> I. SIGNATURE DLSCLOSURE <br /> I make this report an behalf of all the designated em PloYe"-s of the CotzntY of San Joaquin, and <br /> (agency Naaze} <br /> Signature: <br /> Typed/Printed Name: <br /> Title: S T. <br /> Date: <br /> cc: S4VEF.PS�/SITE CODE-'r: <br /> CON WR Y/ N <br /> REp.gED TO• <br /> U <br /> EH 22 013 (Rev-4/91) <br />