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oa- G. MANDATORY CONTACTS Public Health Services of San Joaquin Cou Environmental Health Division: AUG 16 2002 San Joaquin County (Contact Name) (Time) (Da—te) ��J A . Board of Supervisors: tM "&)-,'yam / I -5 A.M/ AUG 16 2002 (Contact Name) (Time) (Da H. HEALTH AND SAFETY CODE 25180.7 b) Any designated government employee who obtains information in the course of his official duties revealing the illegal discharge or threatened illegal discharge of a hazardous waste within the geographical area of his jurisdiction and who knows that such discharge or threatened discharge is likely to cause substantial injury to the public health or safety must, within seventy-two hours. disclose such information to the local Board of Supervisors and to the local Health Officer. No disclosure of information is required under this subdivision when otherwise prohibited by laic. or when law enforcement personnel have determined that such disclosure would adversely affect an ongoing criminal investigation, or when the information is already general public knowledge within the locality affected by the discharge or threatened discharge. C) Any designated government employee who knowingly and intentionally fails to disclose information required to the disclosed under subdivision (b) shall, upon conviction, be punished b% imprisonment in the county jail for not more than one year or by imprisonment in state prison for not more than three years. The court ma) also impose upon the person a fine of not less than five thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). The felony conviction for violation of this section shall require forfeiture of government employment within thirty days (30)of conviction. I. SIGNATURE DISCLOSURE I make this repor( on behalf of all the designated empl ees of the Count), of San Joaquin, and 2w11 I ran rv. -k e K e O_Lk � d--- // /��Q,, ,�I/(Agencge) Signature:—J � A 'p, Typed/Printed Name: l l -e ��P rpt ' Le Title:�o of 1S (e V Date: Time: cc: SWEEPS#/SITE CODE#: CONMFR Y/N REFERRED TO: EH 22 013 (Rev. 08/20/98)