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07-10-1995 01:45PM FRC TO 9449015 P.03 <br /> L' <br /> G. MANDATORY CONTACTS 0�l <br /> public Healih Services <br /> of San Joaquin County <br /> Environnier Cal Health Division: ho <br /> 19,- <br /> (Contact Name) (Tim (Date) <br /> i <br /> 1 San Joaquir County + / <br /> Board of Su)erviso t3CYGko/nI / 7//0/QJ <br /> } i (Contact Name) (Tirde) ;(Date) <br /> L <br /> i H. HEALTH ADD SAFE4Y CODEIS 25180.7. <br /> (b) Any d ignated,governm nt employee who obtains information in the course of his official <br /> duties reve g the illegal discharge or threatened illegal discharge of a hazardous waste within <br /> L the geographical area of his Ijurisdiction 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, ilisclose such infoation to the local Board of Supervisors and to the local health <br /> r- officer. No< ' closu , of info rr cation is required under this subdivision when otherwise prohibited <br /> by law, or w en law enforcemInt personnel have determined that such disclosure would adversely <br /> affect an or going criminal investigation, or when the information is already general public <br /> knowledge within the locality'affected by the discharge or threatened discharge. <br /> I <br /> (c) Any de;ignatedl 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 imprisonr aent in the county'jail for not more than one year or by imprisonment in state prison <br /> for not more than three years. ;The court may also impose upon the person a fine of not less than <br /> L five thousan dollars)($5,000)!or more than twenty-five thousand dollars ($25,000). The felony <br /> conviction f r violation of this section shall require forfeiture of government employment within <br /> lthirty days ( 0) of conviction. <br /> II. aIGNATURE DISCLOSURE <br /> I fimake rt ori behalf o6all th designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> Signa <br /> L <br /> Title: t N <br /> tS. l� ' <br /> Date: a i Time: ig_%�h <br /> s i I <br /> i <br /> cc: /� ; S•C. SWEEPS#/SITE CODE#: r.�f <br /> , I <br /> 4 G-!3• <•/oJ �0�//�) CONMFR Y/® <br /> REFERRED TO: <br /> I j <br /> L { jH 22 013 (R.ev.4/ 1) <br /> TOTAL P.03 <br /> JUL-10-1995 14:48 94% P.03 <br />