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G. MANDATORY CONTACTS <br /> CTS • ��/ � . <br /> l / <br /> Public Health Services J <br /> If San Joaquin County <br /> Environmental Health Division: 1 ' <br /> n �w1r V—�cc7 n Al / / a ys— <br /> (Contact Name) (T' e) <br /> 1 San Joaquin County. (Date) <br /> Board of Supervisors: <br /> (Contact Name) D 3/ J— <br /> H• HEALTH AND SAFETY COD �Tl (Date) <br /> (b) An designated E S 25180.7. <br /> Y grated government employee who obtains information in the course of his <br /> duties revealing the illegal discharge or threatened illegal discharge of a h <br /> the geographical area of his jurisdiction and who knows that such official <br /> discharge is likely area <br /> cause substantial jurisdiction <br /> to the g hazardous waste within <br /> discharge or threatened <br /> two hours, disclose such information to the local Board of Supervisorsor ety mdust, within seventy- <br /> officer. No disclosure of information is required under this subdivision when to the local health <br /> by law, or when law enforcement personnel have determined that such disci otherwise prohibited <br /> affect an ongoing criminal investigation, or when the information is already <br /> would adversely <br /> knowledge within the locality affected by the discharge or threatened disc eady general public <br /> large. <br /> (c) Any designated government employee who knowingly and intentional <br /> information required to the disclosed under subdivision (b) shall, upon con intentionally fails to disclose <br /> by imprisonment in the county jail for not more than one year or by im risonm tion, be punished <br /> for not more than three years. The court may also impose upon the persona ent in state prison <br /> five thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). <br /> 2fine of not less than <br /> conviction for violation of this section shall require forfeiture of government em lo)' The felony <br /> thirty days (30) of conviction. employment within <br /> I• SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, <br /> and <br /> (Agency Name) <br /> Signature: <br /> Typed/ Tinted Name: <br /> Title: <br /> Date: j A_ g r <br /> Time: <br /> cc: <br /> SWEEPS#/SITE CODE#: <br /> CONMFR Y/ <br /> REFERRED TO: <br /> EH 22 013 (Rev.4/91) <br />