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a4 - ooC <br /> G• MANDATORY CONTACTS <br /> San Joaquin County <br /> Environmental Health Department: �A�; 28 <br /> (Contact Name) (Time) (Date) <br /> San Joaquin County <br /> Board of Supervisors: _';,tj 7 8 <br /> / 1 : 36 e.W; <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 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 know that such discharge or threatened discharge is <br /> likely to casue 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 1pcal health 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 the person a fine of not less than five <br /> thousand ($5,000) or more than twenty five thousand dollars (S25,000). The felony conviction for <br /> violation of this section shall require forfeiture of government employment within thirty days (30) of <br /> conviction. <br /> I• SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> Signature: 11,21-1 <br /> Print Name: 9'ky"44Pl b Vpo'f r✓IG--L- Title: �� fi• �•S . <br /> Date: /7- 771 1 0 --4 Time: <br /> SITE CODE #: <br /> CC: DTI C. <br /> Referred To: <br /> EHD 22-02-003 <br /> 10/2/2003 Notification of Haz Discharge <br />