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Mav • 18. 2004 1 : 18PM Neil 0• Anderson & Assoc. No-5090 P. 3 <br /> G. MANDATORY CONTACTS <br /> ` Public Health Services of San Joaquin County AUG 16 2002 <br /> Environmental Health Division: y DD K/,r �ci.ti 1 3. 4-S V M/ <br /> (Contact Name) (Time) (Date) <br /> San Joaquin County n / AUG 16 2002 <br /> Board of Supervisors: / 9r / ¢SPM'/ <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE 25180.7 { <br /> b) Any designated government employee who obtains information in the course of his official duties <br /> revealing the illegal discharge or threatened illegal discharge 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 safety must within seventy-rico hours, <br /> disclose such information to the local Board of Supervisors and to the local Health Officer. No <br /> disclosure of information is required under this subdivision when othervvise prohibited by law, or <br /> when law enforcement personnel have determined that such disclosure 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 tinder 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 the person a fine of not less than five <br /> thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). The felons <br /> conviction for violation of this section shalt require forfeiture of government employment within <br /> thirty days(30)of conviction. <br /> 1. SIGNATURE DISCLOSURE <br /> 1 make this report on�3ehatf of all the designated employeR of the County of San Joaquin. and <br /> Za� �lf0ytrw„t�.1._�io.?_.�- <br /> ( n <br /> (Agency Name) <br /> Signature: f7�(�d}Y <br /> Typed/Pririnted Name, 1 r 1 r C y Q 1 f Q— (✓L�L� <br /> Title: pte�r�lrre �uironMv�^f�� �ea �f11 � �'%a�i's <br /> Date-U-1(1/0 Z- __ _Time: tT0VVL <br /> cc: C g w YC [� C. 1� SWEEPS91SITE CODE#. <br /> Di so, CONMFRY/N <br /> ow itch,— REFERRED TO <br /> EH 22 013(Rev. 08/20!98) <br />