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G. MANDATORY CONTACTS <br /> Public Health Services of San Joaquin County <br /> Environmental Health Division: AMR- N&NY\ <br /> (Contact Name) � j (Time) (Date) <br /> San Joaquin County �M tel.` 1�t t^ice <br /> Board of Supervisors: � x7.1.- DO�m� qlr � <br /> (Contact Name) (Time) (Date) <br /> H HEALTH AND SAFETY CODE 25180.7 <br /> b) Anv designated government employee who obtains information in the course of his official duties <br /> revealing the illegal discharge or threarened illegal discharge of a hazardous waste within the <br /> geographical area of his jurisdiction and who knows that such discharge or threatened discharge <br /> is likelv to cause substantial injury to the public health or safety must within seventy-two hours. <br /> disclose such information to the local Board of Supervisors and to the local_Health Officer. No <br /> disclosure of information is required under this subdivision when otherwise prohibited by law, or <br /> when law enforcement personnel have determined that such disclosure would adversely affect an <br /> 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 <br /> information required to the disclosed under subdivision (b) shall, upon conviction, be punished by <br /> imprisonment in the county jail for not more than one year or by imprisonment in state prison for <br /> not more than three years. The court may also impose upon the person a fine of not less than five <br /> thousand dollars (55,000) or more than twenty-five thousand dollars (S25,000). The felon. <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 /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> s (Agency Name) <br /> Signature: <br /> Tvped/Printed Name: <br /> Title: �e- ✓( Lb T- <br /> 9Title: <br /> Date: c6s Time: <br /> cc: C SWEEPS9/SITE CODE : <br /> r SC CONMFR Y/N <br /> REFERRED TO: <br /> s% <br /> EH 22 013 (Rev.08/20/98) <br />