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a� <br /> t. <br /> G. MANDATORY CONTACTS <br /> Public Health Services <br /> of San Joaquin County (, - <br /> Environmental Health Division: �o�► �/� �� oL- / -�t!'d``/ J/-��G 9 <br /> (Contact Name) (Time) (Date) <br /> 1 San Joaquin County. <br /> Board of Supervisors: <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE S 25180.7. <br /> (b) Any designated government employee who obtains information in the 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 discharge or threatened <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 when otherwise prohibited <br /> by law, or when law enforcement personnel have determined that such disclosure would adversely <br /> affect an ongoing criminal investigation, or when the information is already general public <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 /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> S 7 C P -5 <br /> (Agency Name) <br /> Signature: - <br /> Typed/Printed Name: '12 O <br /> Title: SENIOR RE - <br /> Date: <br /> cc: Ca���f,;7S5-P ANK� SW EEPS#/SITE CODE#: �`'•�`�° _ / o`er <br /> w <br /> IS 57 F T3 <br /> ,eco QCg 7k CONMFF(Y ' N <br /> S REFERRED TO: <br /> EH 22 013 (Rev.4/91) <br />