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May - 12. 2004 1 : 19PM Neil 0• Anderson & Assoc . No-.509 Np . 5 <br /> r ' <br /> G. M.AXDATOPY CONTACTS <br /> -gin`- <br /> "� ' Public Health Services of San Joaquin C,, nty MAR 27 2�301 <br /> Envirorunental Health 1-_k G `F-3 8 P N 1 <br /> (Contact Namc) (Time) (Dare) <br /> San Joaquin Counr: n MAR 27 20011 <br /> Board of Supervisors: Yj! S�[91' ri n�% 14: o P.M/ <br /> (ConactName) (Time) (Date) <br /> H. HE.-ILTH A,-4D SAFETY CODE 35(30.7 <br /> b) Aav designated government employee who obtains information in the course of his official duties <br /> revealing the illegal discharge or threarened 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 seventh-two hours. <br /> disclose such information to the local Board of Supervisors and to the local Heath 0fac:r. No <br /> — disclosure of information is required under chis subdivision when orhencise prohibited by law. or <br /> when law enforcement personnel have detertrand 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 desierated government employe- who knowingly and intennonalev fails to disclose <br /> informnauon required to the disclosed under subdivision(b) shalt, upon conviction, be punished by <br /> imprisonment in the county jail for noc :Wore Than one year or by imprisonment in swte prison for <br /> no, more than three veers. The court may 3jsc impose upon rhe person a lute of not less than five <br /> thousand dollars (sS.000) or more that rweary-five thousand dollars (525.000). The felon}' <br /> conviction for vioiatidmof this section shall require forfeiture of government employmcut within <br /> Nim.dans (30)of conviction. <br /> 1. SIGNATURE DISCLOSURE <br /> ( make this report on behalf of 311 the designated employees of rhe County of San Joaquin and <br /> (Agent-.Name) <br /> S,gnature: <br /> Typed/Printed Namei tj cc /' ) 4 U .S <br /> rr -'p � <br /> Title: U P. (1.• / / , S. <br /> Dare: 3- 6, -a Time: o :ooa!X� <br /> cc: SWEEPS=/SITE CODE R: OI 3 l 74 "T <br /> CONNIFRY/N <br /> REFERRED T0: <br /> EH?2 013 (Rev,03/20193) <br />