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EH LOG# <br /> G. MANDATORY CONTACTS <br /> San Joaquin County Public Health Services— Donna elan Time: Date: <br /> Contact-Environmental Health Department <br /> San Joaquin County Board of Supervisors— Ron Baldwin Time: I Date: <br /> Contact—Office of Emergeng Services <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 design ted employees of the County of San Joaquin,and <br /> San Joaquin Coun y Environmental Health Department <br /> (Agency Name) <br /> Signature: <br /> Printed Name: Lv(<I l>Wc <br /> Title: Spon i r I_i✓"S <br /> Date: 3 I / Time: 7: 26 Pv>rl <br /> cc: DTSC Site Code: <br /> CVRWQCB /41 <br /> G-I-9 0, s�O t kt� `J Con MFR Yes No <br /> K�� Wra�en Referred: <br /> aaa w We1,;;iAvv-o 4&7. <br /> NOTIFICATION OF HAZ WASTE DISCHARGE Page 2o 2 Revised 10/22/10 <br />