SITE INFORMATION AND CORRESPONDENCE

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G. MANDATORY CONTACTS 1 Public Health Services of San Joaquin County r .. Environmental Health Division: 1� 'L �" i1 ' / �- L�-� (Contact Name) (Time) (Date) San Joaquin County r Board`of Supervisors: �� (Contact Name) (Time) (Date). HEALTH-AND,SAFETY CODE S 25180.7. 46 • x (b) Any designated government employeewhoobtains information 4in the course:.of his official duties revealing the illegal discharge or threatened illegal discharge of a hazardous waste within the geographical area of his jurisdiction and who knows that such discharge or threatened discharge"is'likely to cause substantial injury to the public:health or safety must, within seventy-two hours, disclose such information to the local Board of Supervisors and to the local health officer. No disclosure of information is required under this subdivision when otherwise prohibited'by law,"or when law enforcement personnel have determined that such disclosure would adversely affect-an ongoing criminal investigation, -or'when the-information is already general public knowledge within the locality affected by the discharge or threatened discharge. - _ (c) Any designated government employee who knowingly'and'intentionally fails to disclose information required to the disclosed under subdivision (b) shall, upon,conviction, be` punished by imprisonment in the county jail for not more than one year or by imprisonment in state:. M prison for not more than three years. The court may also impose.upon the person a fine of not less than five thousand dollars ($5,000) or-more than twenty-five thousand dollars ($25,000). The felony conviction for violation of this section shall require forfeiture,of,:# government employment within thirty days of conviction. J f. SIGNATURE`DISCLOSURE- r W I make this-report on behalf of all the designated employees o£:the�County,of San Joaquin,. and �u r �, CCe �v �t _Cdo 5 (Agency Name)6. x Signature;a Typed Name: Title: ,1 GQ�Lz _ bate: Time:, r 43 . 4 FA-1 22'03 (Rev. 7/89)