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G. MANDATORY CONTACTS �✓ OG r�6 <br /> San Joaquin County / <br /> Environmental Health Department: h gL4 Gf <br /> (Contact Name) (Time) (Date) <br /> fSan Joaquin County /� <br /> Board of Supervisors: K.ryl� q-M(a h�� q <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE S 25180.7 <br /> (b)Any designated government employee who obtains information in the-course ofhis 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 know that such discharge or threatened discharge is <br /> likely to cause substantial injury to the public health or safety must, within.seventy two hours, <br /> disclose such information to the Board of Supervisors and to the local heath officer. No disclosure <br /> of information is required under this subdivision when otherwise prohibited by law,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 <br /> 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 by <br /> imprisonment in the county jail for not more tan one year or by imprisonment in.state prison for not <br /> more than three years.'The court may also impose upon She person a fine of not less than five <br /> thousand($5,000)or more than twenty five thousand dollars($25,000). The felony conviction for <br /> violation of this section shall require forfeiture of government employment within thirty days(30)of <br /> conviction. <br /> } <br /> I. SIGNATURE DISCLOSURE <br /> 1 make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> Signature: .Gid— .o QZ` <br /> Print Name: Pu(y Mdl-4) (//DJ 1GLUF_ Title. Rf. (267(4 J f <br /> Date: Timer It i 6 '1 (A2M P.M. <br /> SITE CODE.#: <br /> cc: -YSC <br /> I CUrl- VJ .aL-"!j <br /> Referred To: <br /> END 22-03 - - — Notification of Haz Discharge <br /> 11/262007 <br />