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16 � 61 _ 0Q,3 <br /> G. MANDATORY CONTACTS <br /> Public Health Services of San Joaquin�ounty //II <br /> Environmental Health Division: A a lkre?-4 - <br /> San Joaquin County / � o?� / r•/� , 7 <br /> (Contact Name) (Time) (Date) L— <br /> nn_ <br /> Board of Supervisors: PLO n. 8Z(d 0 / /L / ,a� /� <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE 25180.7 <br /> b) Any designated government employee who obtains informati n in the course of his official duties <br /> revealing the illegal discharge or threatened illegal dischari a of a hazardous waste within the <br /> geographical area of his jurisdiction and who knows that such discharge or threatened discharge <br /> is likely to cause substantial injury to the public health or satiety must, within seventy-two hours. <br /> disclose such information to the local Board of Supervisors d to the local Health Officer. No <br /> disclosure of information is required under this subdivision w ien otherwise prohibited by law, or <br /> when law enforcement personnel have determined that such isclosure 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 t}�e person a fine of not less than five <br /> thousand dollars ($5,000) or more than twenty-five thousapd dollars ($25,000). The felony <br /> conviction for violation of this section shall require forfeiturelof 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 11 the County of San Joaquin, and <br /> (Agency Name) <br /> g <br /> Si nature: i <br /> M L <br /> Typed/PrintedName: a�r Y-`I LG- 0 � <br /> Title: 6u.®e ro -s r <br /> Date: 5 Ial ''0I � Time: ) ( d a 1 <br /> cc: C_(J�t�}} C_,B - (A JrSkVEEPSk/SITE CODE#: ass Y <br /> bTS c CONMFRY/N <br /> REFERRED TO: LV tui C�,C.-6 <br /> EH 22 013 (Rev. 08/20/98) <br />