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O (- OZ2 <br /> VC1 * IM�N15ATORY CONTACTS <br /> Public Health Services of San Joa County <br /> Environmental Health Division: n? "eZ1 <br /> San Joaquin County � <br /> 05 ) / <br /> (Contact Name) (Time) Date <br /> /� ,� <br /> Board of Supervisors: /yy( aAZILLt— 2� / 3'30 ?M.1 5 ryQ l <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE 25180.7 <br /> b) Any designated government employee who obtains information in the course of his official duties <br /> revealing the illegal discharge or threatened illegal discharge of a hazardous waste within the <br /> geographical area of his jurisdiction and who knows that such discharge or threatened discharge <br /> is likely to cause substantial injury to the public health or safety must, within seventy-two hours. <br /> disclose such information to the local Board of Supervisors and to the local Health Officer. No <br /> disclosure of information is required under this subdivision when otherwise prohibited by law, or <br /> when lave enforcement personnel have determined that such disclosure would adversely affect an <br /> ongoing criminal investigation, or when the information is already general public knowledge <br /> within the locality affected by the discharge or threatened discharge_ <br /> c) Any designated government employee who knowingly and intentionally fails to disclose <br /> information required to the disclosed under subdivision (b) shall, upon conviction, be punished bw <br /> imprisonment in the county jail for not more than one year or by imprisonment in state prison for <br /> not more than three years. The court may also impost upon the person a fine of not less than five <br /> thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). The felon <br /> conviction for violation of this section shall require forfeiture of government employment within <br /> thirty days (30) of conviction. <br /> 1. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> Signature: ' s1�p /n �`�fy� <br /> Typed/Printed Name:_ <br /> Title:__ScE 1J S v <br /> Date: J� ' f�— Q Time: L . J� <br /> cc: to C ( k) SWEEPS#/SrrE CODE#: 0�3/f <br /> 0, CONMFRY/N <br /> REFERRED T0:_ LD f <br /> EH 22 013 (Rev. 08/20/98) <br />