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3, <br /> EHD L G# - <br /> G. MANDATORY CONTACTS <br /> San Joaquin County Environmental Health Donna Heran Time: Date: <br /> Department . <br /> San Joaquin County Board of Supervisors- Michael Cockrell Time: Date: <br /> Contact-Office of Emergency W.Gj Services 1-5 <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 /> I. 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 /> (Agency Name) <br /> Signature: AA &-L,- <br /> Printed Name: Muniappa Naidu <br /> Title: Senior Registered Environmental Health Specialist <br /> Date: Monday, February 4,2013 Time: 3.30 pm <br /> cc: DISC Site Code: <br /> CVRWQCB <br /> bfJ-SF= a.4tn' &4-jo—d n,/..,,1.(�j" Con MFR Yes No <br /> fl��""� ��1/ Referred: <br /> j ?wD 5 Crr�►tie ,Der✓F <br /> �o r ir`.� gins! ( 0W &P-r .a AAD CA C150'e <br /> y s`o o SOLA M 09- O', �t M•fh,-rx <br /> Revis a 081021 2 �ruvn &C41 "e"" Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br /> C4` r o fi sc.l✓f-�n. Aft y,. G l-t � d�ct� <br />