SITE INFORMATION AND CORRESPONDENCE

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I G. MANDATORY CONTACTS Public Health Services of San Joaquin County Environmental Health Division: (Contac Name) (Time) (Date) San Joaquin County .1 Board of Supervisors: !&/! pa-- [�� ' 1. / ex / 1 Z - B� (Contac Name) (Time) (Date) H. HEALTH AND SAFETY CODE S 25180.7. (b) Any designated government employee who o tains information in 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 enforceinent personnel have determined that such disclosure would adversely affect an ongoing trim nal 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 subdi ision (b) shall, upon conviction, be punished by imprisonment in the county jail for not more than one year or by imprisonment in state prison for not more than three years. The court may also impose upon the persona 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 1his section shall require forfeiture of government employment within thirty days of conviction. I. SIGNATURE DISCLOSURE I make this report on behalf of all the designated employees of the County of San Joaquin, and ',� C' LA1n ( °n ,-4H S . (Agency N e) Signature: — Typed Name: 1 Title: �e/e 7U Date: Time: 1P cc: L/25— 77S'L;0 r CO- H 22 03 ;(Rev. 7/89) �r . ��``y