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G• MANDATORY CONTACTS <br /> San Joaquin County <br /> Local Health District: <br /> Contact Name / <br /> iimc Oate <br /> San Joaquin County <br /> Board of Supervisors: <br /> Contact Name <br /> Time Date <br /> H• HEALTH ANO SAFETY CODE § 2S1B0.7. <br /> (b) Any designated government employee who obtains information in the <br /> co -se of his official duties revealin <br /> threatened illegal discharge or threatenedeillegalldischargee or <br /> hazardous waste within the geographical area of his Jurisdiction and who <br /> knows that such discharge discharge Jurisdiction <br /> a <br /> substantial ich di to Che or threatened <br /> or is likely <br /> Seventytial hours Y in cause <br /> Supervisors and to the clocalose shenithuch fofficer. Y must, within <br /> Information to the local Board of <br /> fnfomwtion is required under this No diseipsure of <br /> by law• or when law red un subdivision when otherwise <br /> disclosure enforcement Personnel have determined that P such <br /> would adversely affect an ongoing criminal investigation. or <br /> when the information is already general public knowledge within the <br /> locality affected by the discharge or threatened discharge. <br /> (c) Any designated government employee who knowingly and 1n <br /> falls to disclose information required to be disclosed under subdivision <br /> (b) shall g y intentionally <br /> • upon conviction• be punished b mprisonment 1n the county <br /> Jail for not more than one Y 1 <br /> not more than threeYear co rt mayrfzonment in state prison for <br /> fine of not less thanefive thousand dollarsls0 impose upon the person a <br /> twenty-five thousand dollars thousand <br /> d ($5.000) or more than <br /> violation of this section shall ) The felon <br /> employment within thirty require forfeiture Ofo9ovetion for <br /> Y days of conviction. <br /> 9 rruaent <br /> I - SIGNATURE DISCLOSURE <br /> i make this report on behalf of all the designated <br /> , end the San Joaquin County <br /> employees of the <br /> County of San Joaquinufn <br /> Y local Health District, <br /> and <br /> q <br /> Agency Name <br /> Signature: / <br /> Cie�QG�3 Typed Name: 71/'c— A- ) 1CNOt!�i <br /> Iit1c:IC -S <br /> Oatc: 0 <br /> Time-dam U <br /> Revised 11-87 <br />