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G. MANDATORY CONTACTS _ <br /> Public Health Services <br /> of San Joaquin County ? /_ ' <br /> EnvironmentalHealthDivision:–% ' cr�>ii �c� �1 a (V M q <br /> (Contact Name / (Da e) <br /> San Joaquin County ) (Time) (Date) <br /> Board of Supervisors: 112 g� C> / <br /> (Contact Name —/ <br /> (Time) (Date) <br /> H' IIEALTH 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 orthreatened <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 <br /> prohibited by law, or when law enforcement personnel have determined that such disclosure <br /> would adversely affect an ongoing criminal investigation, or when the information is already <br /> general public 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 <br /> prison for not more than three years. The court may also impose upon the person a fine of not <br /> less that five thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). <br /> The felony conviction for violation of this section shall require forfeiture of government <br /> employment within thirty days of conviction. <br /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, <br /> and S = E N <br /> (Agency Name) <br /> Signature: <br /> .Typed Name. Le �;4 w RpS c-X_ <br /> Title: �E__ 1 S <br /> Date: Time: -------------- <br /> rn , <br /> J C6 .. <br /> EH 22 013 (Rev, 2/90) <br />