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EHD LOG# -1 2S-0 Zf <br />G. MANDATORY CONTACTS <br />San Joaquin County Environmental Health Donna Heran Time: Date: <br />Department Contact <br />San Joaquin County Board of Supervisors — Mike Cockrell Time: Date - <br />Contact —Office ofEmergency Services <br />H. HEALTH AND SAFETY CODE 25180.7 � <br />(b) Any designated government employee who obtains information in the course of his offiicial duties revealing the <br />illegal discharge or threatened illegal discharge of a hazardous waste within the geographical area of his <br />jurisdiction and who knows that such discharge or threatened discharge is likely to cause substantial injury to the <br />public health or safety must, within seventy-two hours, disclose such information to the local Board of <br />Supervisors'and to the local health officer. No disclosure if information is required under this subdivision when <br />otherwise prohibited by law, or when law *enforcemerit personnel have determined that such disclosure would <br />adversely affect ari ongoing criminal investigation, or when the information is already general public knowledge <br />within the locality affected by the discharge or threatened discharge. <br />(c) Any designated government employee who knowingly and intentionally fails to' disclose information required to <br />be disclosed under subdivision (b) shall, upon conviction, be punished by imprisonment in the county jail for not <br />more than one year or by imprisonment in state prison for not more than three years. The court may also impose <br />upon the person a fine of not less than five thousand dollars ($5000) or more than twenty-five thousand dollars <br />($25,000). The.felony conviction for violation of this section shall require forfeiture of government employment <br />within thirty days of conviction. <br />I. SIGNATURE DISCLOSURE n <br />T make this report on behalf of all designated employees of the County of San Joaquin, and <br />(Agency Name) <br />Signature: <br />Printed Name. <br />Title: <br />Date: ' <br />A.) t!rCNOL.L <br />r <br />r.. <br />Time: L <br />cc: DTSC Site Code: <br />CVRwQCB f % A� Pa �-? ri <br />Aq �rop w �. cor>^erD 4 <br />Con MFR Yes No <br />lQ Referred: i <br />s �- wowyra rd� AJA ka9c4 <br />-5 ,tb I, � <br />c,G�o�d t fel <br />a 500 Ma" Or, 5t7Ct4-6r7, r19 <br />