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o'? <br /> pq of�Q <br /> J J q; 00���o Z101. <br /> G. MANDATORY CONTACTS �Q/ � Ov co�� <br /> V 0 <br /> Public Health Services of San Joaquin�County O` <br /> Environmental Health Division: l)(7nnc' 3:45 QM• / �� <br /> (Contact Name) (Time) (p Gj �� 5� <br /> San Joaquin County UI O do <br /> Board of Supervisors: kA W v^ / iAS P M./ �F <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE 25180.7 <br /> b) Anv 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-two 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 otherwise 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 under subdivision (b) shall. upon conviction, be punished by <br /> imprisonment in the county jail for not more than one Near 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 felony <br /> conviction for violation of this section shall require forfeiture of government employment within <br /> thirty days (30) of conviction. • <br /> I. SIGNATURE DISCLOSURE <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 /> �� � <br /> Tvped/Printed`Name: Q <br /> Title: Len se.'A i -w- <br /> Date: <br /> w Date: iQ1 m I l Time: I "t? <br /> I <br /> cc: �3Q Ct��n�) SWEEPS#/SITE CODE 9: <br /> l o ( CONMFR Y/N <br /> REFERRED TO: <br /> • <br /> EH 22 013 (Rev. 08/20/98) <br />