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G. MANDATORY CONTACTS <br /> San Joaquin County <br /> Environmental Health Department: Q^^� �a <br /> (Contact Name) (Time) :, (Da e) <br /> San Joaquin County `s Y <br /> Board of Supervisors: <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 local 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 withinthe <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 ($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 /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> EHb <br /> U (Agency Name) <br /> Signature: 4a-� kµ _ <br /> Print Name: ( ASL l J 1<AJ D LL Title: le6145 <br /> Date: Time: 3,00 <br /> A.M. �. <br /> SITE CODE #: <br /> CC: CVRw6?CJ3- � �_tt•+�t� _ <br /> DTSC� <br /> Referred To: <br /> EHD 22-02-003 Notification of Haz Discharge <br /> 10/2/2003 <br />