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d-07-1997 1 :28PM FRy„ n' P_ 5 G. MANDATORY CONTACTS public Health Services of San Joaquin County / / Z Q yrf Environmental Health Division: G c ) (Time) (Date) 1 San Joaquin County D i 1/y' -f J l i Board of Supervisors: (Contact Name) / (Time) (Date) H. HEALTH AND SAFETY CODE S 25180.7. coursein the (b) Any designated government employee who obtains informatiof a hazardous waste v i cutin dunes revealing the illegal discharge or threatened illegal dischargege or _ such atened to the the geographical area of his jurisdiction anpublic healtird who knows tht or safety must,within seventy- discharge is likely to cause substantial injury P two hours, disclose such information to the local Board of Supervisors and to the local health officer. No disclosure of information is required under this subdivision when otherwise prohibited by law, or when law enforcement personnel have dor en�led it�fthat such uch�closure�eady would general versely publi affect d ongoing the local affected b the discharge or threatened discharge. knowledge within the locality Y (c) Any designated government employee who knowingly and intentionally fails to disclose information required to the disclosed under subdivision (b) shall, upon conviction, be punished by imprisonment in the county jail for not more than one year or by imprisonment in state prison for not more than three years. The court may also impose upon p n t dollars he person a fi: a of not e felony 1 five thousand dollars ($5,000) or more than twenty- Tehh within conviction for violation of this section shall require forfeiture of government employ thing days (30) of conviction. I. SIGNATURE DISCLOSURE deed employees of the County of San Joaquin, and I phis report on behalf of _ (Agency Name) Signature- Typed/Ptinte Name: Title: Date: ,tom L SWEEPS#/SrM CODE#: CC' CONMFR Y / N REFERRED TO: cu )-7 m z (RPv_4/91) P.P.i_, APR-07-1997 14:33