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G. MANDATORY CONTACTS <br />Public Health Services <br />of San Joaquin County <br />Environmental Health Division: f JT <br />(Contact Name) <br />qg J30 <br />(Time) (Date) <br />I San Joaquin County <br />Board of Supervisors: <br />(Contact Name) Crime) (Date) <br />H HE-4LTH AND SAFETY CODE S 25180.7. coursein <br />Cb) Any designated government employee Who obtains �� of a hazardous owaste thin <br />duties revealing the i11e;a1 discharge or threatened Illegal or threatened <br />the geographical area of his jurisdiction and who knows that such dischargeor <br />seventy- <br />discharge is Wcely to cause substantial iniury to the public health or safety must, <br />th <br />two hours, disclose such information to rhe local d� °subdvisi when otavervisors and herwiseo the prohibcal ited <br />officer. No disclose ard <br />of information is required <br />by law, or when law enforcement personnel have determined that such disclosure ^r.7 etal adversely <br />P criminal investigation, or when the information is already o P <br />affect an ongoino or threatened discharge_ <br />knowledge within the locality affected by the discharge <br />Cc) Any designated government employee who kowingly and mteanonally fails to disclose <br />to the disclosed under subdivision Cb) shall upon conviction, be punished <br />by imprisonment in the county jail for not more than one Year or by impz'sonmenr in state prilson <br />far not more than three years. The court May also impose upon the person a fine of not less than <br />five thousand dollars (55,000) or more than twenty-five thousand dollars CS25,000). The felony <br />conviction for violation of this section shall require forfeiture of government employment within <br />thirty days (30) of conviction- <br />I. SIGNATURE D[SCLO URE <br />of the County of San Joaquin, and <br />I make this report on be, or the designated employees <br />G ✓•.r--,J� .int../ <br />7 /1 (Ag"-ncY Name) <br />Typed/Printed <br />Title: /'�• <br />Date: t <br />Cc:� v <br />Err 22 013 (Rev.4/91) <br />SWEEPS#/BYTE CODE*: a 3/y,�a- <br />CONNUTO / N <br />