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G. MANDATORY CONTACTS VlljEHD LOG# _ r <br /> San Joaquin County Environmental Health Donna Heron <br /> artment Time: -134 <br /> Sroaquin County Board of Supervisors— Michael Cockrell <br /> Contact!%CH u'f Eme en Services Time: <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 a hazardous waste within the <br /> geographical area of his jurisdiction and who knows that such discharge or threatened discharge is <br /> likely to cause substantial injury to the public health or safety must,within seventy-two hours,disclose <br /> such information to the local Board of Supervisors and to the local health officer. No disclosure if <br /> 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 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)shall, upon conviction, 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 a fine 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 /> t. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all designated employees of the County of San Joaquin, and <br /> San Joaquin County Environmental Health Department <br /> (Aqa Name) <br /> Signature: <br /> Printed Name: Aris Cacapit <br /> Title: Senior Registered Environmental Health Specialist <br /> Date: Thursday, December 13,2012 Time: 3:45PM <br /> W. DTSC Site Code: <br /> CVRWQCB A�1L, /�� �// �f�� <br /> (/tj I r A,�'19 T6tn K' Lees A4+ )-CkAi ^ '�""1 Con MFR Yes No <br /> I47-7 1 11l ie L&Ui 5, 5f C ICA J Referred: <br /> ox +Cane,�nhzll c-fes <br /> (aNr'Q+, ut f1 s G, t�et�dsbcw9�cft <br /> Revised 09l02f12 Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />