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Z / <br /> G. MANDATORY CONTACTS <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division I l fl +JN Ps � '� �`�—� G 14 / 3 A y <br /> (Contact Name) (Time) (Date) <br /> 1 San Joaquin County <br /> Board of Supervisors: .(L�R A1,I�VJI t3 / �. lJ o.i» / l/ 3 <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE S 25180.7. <br /> (b) Any designated gaver=,—^* employee who obtains information in the course of his official <br /> duties revealing the illegal d;<c arge or threatened illegal discharge of a hazardous waste within <br /> the geographical area of his jurisdiction and who knows that zuch discharge or threatened <br /> discharge is likely to cause st±srantial injury to the public health or safety must, within seventy- <br /> two hours, disclose such infcrmadon to the local Board of Supervisors and to the local health <br /> officer. No disclosure of inicr= tion is required under this subdivision when otherwise prohibited <br /> by law, or when law enforce^=r personnel have determined that such disclosure would adversely <br /> affect an ongoing criminal iivesdgadon, or when the information is already general public <br /> knowledge within the locality affected by the discharge or threatened discharge. <br /> (c) Any designated gove =-enr 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 coanty jail for not more than one year or by imprisonment in state prison <br /> for not more than three years. The court may also impose upon the person a fine of not less than <br /> five thousand dollars ($5,000) or more than rwettry-five thousand dollars ($25,000). The felony <br /> conviction for violation of tls section shat require forfeiture of government employment within <br /> thirty days (30) of conviction. <br /> L SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employers of the County of San Joaquin, and <br /> (Agency Name) <br /> Signature: �� — tZ <br /> Typed/Printed Name: W% L L- S <br /> Title: Sizj;ll� <br /> Date: i l 1=q � Time: / s O�i✓f <br /> cc: A -S GD SWEEPS, /SITE CODE#: <br /> C V/LL)' ) CONMF 5Y/ <br /> / REFERRED TO: <br /> EH 22 013 (Rev.4/91) <br />