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May . 13. 2004 1 :21PM Neil 0• Anderson & Assoc . 10 .5090 P. B <br /> G. MANDATORY CONTACTS <br /> Public Health Berate San Joaquin�o <br /> EHealth alth Di n visio ,L)17 n,f,\ <br /> A <br /> (Cana¢Mame) (Tune) (Date) <br /> San Joaquin County p <br /> Board of Supervisors: vz,-\ f'S Id tlt-L - d• 5 / Aq <br /> (Contact Name) (Time) (Dace) <br /> H. HFA.L.TH AND SAFETY CODE 25130.7 <br /> b) Any designated government emploves%Nho obtains information tea the course of bis official duties <br /> revealing the illegal discharge or threatened illegal disc'rarge of a hazardous waste within the <br /> geographical a=of his junsdiction and %vbo knows that such discharge or threatened discharge <br /> is likely to cause substantial injury to the public health or safety muse within sevenry-two hours, <br /> disc!=such information to the local Board of Supervisors and to the lost! Health 015c--r. No <br /> disc!osure of utforrnaaon is requited under this subdivision when otherwise prohibited by law. or <br /> when lacv anfotcement pemonnei have determined that such disclosure would adversely Iffect an <br /> ongoing cti urai investigation. or whet the ir>tormation is already general public knowledge <br /> within the locality affected by the discharge or dtresteaed discharge. <br /> c) Anv designated government empiovee who knowingly and intentionally fails to disclose <br /> urfamutuon required to the disclosed under subdivision(b)shall. upon conviction. be punished by <br /> imprtsorunenr in the county jail for not more tbao one year or by impnsmunenr in serve prison for <br /> not more dma itu=vc=. The court=v also impose upon the persoa a tine of not less than five <br /> thousand dollars ($3,000) or more than ttivemv-five thousand dollars (57.3.000). The feiony <br /> conviction fvr violation of this section shall require forfeiture of government empiovmeut within <br /> thirty days(30)of conyicxion. <br /> !. SIGNATURE DISCLOSL'RP <br /> I make this report on behalf of all the designated employees of the County of San Joaquin. and <br /> (Agency Name) <br /> Signature: <br /> Tvped/Prvtted-NNamt: O t Gra C ep ! �xnt i J <br /> Title: Oa rpt✓ ` C <br /> Dau: f ? Time; <br /> co: C-V rt) (' ($ SwEEPS9(Sn;=CODE (a(a <br /> (Z.- CONNffTON' <br /> ci r n f(a 54p- U I G2. REc cRRED TO <br /> EH z z o 13 (Rey.03l a931 <br />