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G- MANDATORY CONTACTS ' San Joaquin County local Health District: Contact Namc / 7 Time Oate San Joaquin County Board of Supervisors: �� ,Contact Name Time Date H• HEALTH AND SAFETY CODE 4 25180.7. (b) Any designated government co -se of his official duties revealj�e Who obtains information in the threatened illegal discharge or threatenedeillegalldischargee or hazardous waste within the geographical area of knows that such discharge discharge Jurisdiction a substantial fnJury �e or threatened discharge his Jurisdiction and who J y to the public health or safete is likely to cause seventy-two hours, disclose such information to the ulocal ithin Supervisors and to the local health officer. No disci su information 1s re required of by law, q red under this subdivision P. re of or when law enforcement personnel have when otned se disclosure would adversely Prohibited When the info affect an ongoing criminaltinvestigation. — — - - loca When t rmation is already general public knowledwiinhe, or y affected by the discharge or threatened discharge. the. (c) Any designated government em fails to disclose information re utoYee who knowingly and intentionally (b) shall , upon conviction, be q red to be disclosed under,subdivision I Jail for not more than one Punished b not more year or b imprisonment in the county re than three years. t imprisonment ie state fine of not less than The court may also i Prison for twentY-five thousand dollars dollars GOO) upon the person a violation of this section (125,000 . X55,000) or more than shall ) The felony conviction for employment within thirty require forfeiture of Y days o; conviction. government I . SIGNATURE DISCLOSURE I make this report on behalf of all County of San Joaquin��jy d th the designated employees and San Joa uin Count ca yeas of the _�} q Y Local Health District, ame Ce , Signature: 100 H-5 T5C,p C QCJQCfl Typed Name: —�— �05 Title: L Date: Time: l Revised 11-87 f ' b idbi' .�..