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0 <br /> G. MANDATORY CONTACT <br /> Public Health Services !_,� <br /> of San Joaquin County �� rl Q � ' <br /> Environmental Health Division: A(Time) a <br /> (Contact Name) <br /> 1 San Joaquin County <br /> Board of Supervisors: �t o ( (Date) <br /> (Contact Name) <br /> H. HEALTH AND SAFETY CODE S 25180.7. <br /> (b) Any designated government employee who obtains information charin the course of his offici <br /> ste within <br /> duties rreveagge illegal his��eor thretion atened <br /> who knows that such uchof adihazardous <br /> scharrge or athreatened <br /> the geographical to the public health or safety must, within seventy- <br /> discharge is likely to cause substantial injury health <br /> local Board of _ <br /> two ho No dissclose such informationclosure o information sr eq a ed under this subdivision wh n otherwise prohibited <br /> officer. <br /> bylaw, or when law enforcementPi rsonnel velinvestigation, <br /> talio , or when thinformation already general public <br /> affect an ongoing <br /> knowledge within the 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 <br /> by imprisonment in the county jail for not more than one year or by imprisonment in state prison <br /> for not more than three years. The court may also impose upon the person a fine of not less than <br /> five thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). The felony <br /> conviction for violation of this section shall require forfeiture of government employment within <br /> thirty days (30) of conviction. <br /> I, SIGNATURE DISCLOSURE <br /> signated employees of the County of San Joaquin, and <br /> I make this report on behalf of all the de <br /> (Agency Name) <br /> Signature: n.G�n /A <br /> Typed/Printed Name. v <br /> Title: Time: 3 Ulm vv. <br /> Date: <br /> SWEEPS#/�SIT�E CODE#: <br /> cc: <br /> 9 <br /> J SL CONMF1 Y y N <br /> � <br /> REFERRED TO: <br /> EH 22 013 (Rev.4/91) <br />