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GMANDATORY CONTACTS <br /> San Joaquin County Environmental Health Donna Heran Time: Date: <br /> Department V :3'. <br /> San Joaquin County Board of Supervisors— Michael Cockrell Time: <br /> Contact—Office of Emergency Services 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 hazardous waste within the <br /> geographical area of his jurisdiction and who knows that such discharge or threatened discharge is <br /> likely tocause substantial injury to the public health or safety muut, within seventy-two houm, disclose <br /> such information to the |uoa| Board of Supervisors and to the local health officer. No diao|oaun* if <br /> information is required under this subdivision when otherwise prohibited by |mw. or when law <br /> enforcement personnel have determined that such disclosure would adversely affect an ongoing <br /> criminal investigation, or when the information is already general public knowledge within the locality <br /> affected by the discharge or threatened discharge. <br /> (c) Any designated government employee who knowingly and intentionally fails to disclose information <br /> required to be disclosed under subdivision (b) shaU, upon conviotion, be punished by imprisonment in <br /> the county jail for not more than one year or by imprisonment in state prison for not more than three <br /> years. The court may also impose upon the person afine of not less than five thousand dollars <br /> ($5000) or more than twenty-five thousand dollars($25.000). The felony conviction for violation of this <br /> section shall require forfeiture of government employment within thirty days of conviction. <br /> /. SIGNATURE DISCLOSURE <br /> | make this report on behalf ofall designated employees of the County of San Joaquin. and <br /> San Joaquin County Environmental Health Department <br /> (Agency Name) <br /> Printed Name. <br /> Title: Senior Registered Environmental Health Specialist <br /> Date: Wednesday, March 5. 2014 Time: 2:51 P <br /> cc: DTSC Site Code: <br /> ^,",, . JJ7 [ ` u�~�`' 5��* ' / �~ <br /> � � ��h�fD4 ConMFR Yes No <br /> ' '-- � Referred: <br /> �. ^,,' �7 <br /> r~, ' / '«" — `' <br />