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a , <br /> G. MANDATORY CONTACTS '� r <br /> '� ,2_31 <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division: �1 . 'ou / <br /> (Contact Name) (Time) (Date) <br /> a <br /> 1 San Joaquin County <br /> Board of Supervisors• <br /> (Contact Name) (Time) (Date) <br /> h <br /> H. HEALTH AND SAFETY CODE Sj!25180.7. .11 <br /> (b) Any designated government employee who obtains information ifiAhe course of his official � <br /> duties revealing the illegal discharge or threatened illegal discharge of a.hazardous waste within <br /> the geographical area of his jurisdiction and who knows that such 1"discharge or ;threatened 1 <br /> discharge is likely to cause substantial injury to the public health or safety must, within seventy- <br /> two hours, disclose such information to the local Board of Supervisors and to the local health <br /> officer. No disclosure of information is required under this subdivision v�hen otherwise prohibited <br /> by law, or when law enforcement personnel Dave determined that such disclosure would adversely, j <br /> affect an ongoing criminal investigation, or when the information is already general public <br /> 4 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 /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> gency Name) <br /> Signature: <br /> Typed/Printed me: <br /> Title: <br /> Date: l l - 12 -q Z !I Time: I' <br /> cc: SWEEPS#/SITE CODER: <br /> U W t�'✓ v� On CONMFR Y N <br /> REFERRED TO: Pr <br /> EH 22 013 (Rev.4/91) <br /> i' <br /> it i�l' li <br />