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lu <br /> ar <br /> G. MANDATORY CONTACT <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division: kon VaA�ho�-t <br /> w • (Contact Name) (Time) (Date) <br /> 1 San Joaquin County <br /> Board of Supervisors: _ Rom $G �s� /�/� ' a�d_ �So22- Vr <br /> • (Contact Name) (Time). ' (Date) <br /> H."'"- 'HEALTH'AND SAFETY CODE S 25180.7. '.".'— <br /> (b) <br /> 5180.7. `" +.— ' <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 /> mW by law, or when law enforcement personnel Dave 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 riot 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. 4 - <br /> I. SIGNATURE DISCLOSURE <br /> I make this;'report on behalf of all the designated'employees of the County of San Joaquin, and <br /> (Agency Name) <br /> a Signature• <br /> %�_-Type'd/Printed Name: KAcRJ E Ar -S <br /> Title:' is e .Erwiro menimi tiea�fih ' S aicy <br /> �* Date' 1f\1 .1t _ - """'+ Time: rM <br /> amYw t •, rw. e �',a.M +� _ � .. i. .. — } a _ - a a, w.w* +. ' <br /> •" cc:7 c V w QNB - SWEEPS#/SITE CODE#: <br /> �» <br /> 11 (],T5 G' CONMFR N <br /> 7 - T - <br /> m F Sfinck- <br /> �� REFERRED TO: <br /> EH 22 013 (Rev.4/91) ' <br />