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OCG G. MANDATORY CONTACTS Public Health Services of San Joaquin Counry Environmental Health Division: DONNA HERAN (Contact Name) (Time (Date) 1 San Joaquin County. Bcard of Supervisors: RONALD BALDWIN / C� (Contact Name) (Time) (Date) HEALTH AND SAFETY CODES 25180.7. (b) Any designated government e-nployee who obtains information in the course of his official duties revealing the illegal discharge or threatened illeo 1 discharge of a hazardous waste within the geca-aahical area of his jurisdiction and who knows that such discharge or threatened discharge is likely to cause substantial injury cc the public health or saferymust, within sevenry- two hours, disclose such informaricn to the local, Board of Supervisors and to the local health officer. No disclosure of infor_nation is required under this subdivision when otherwise prohibited by law, or when law enforcement personnel have derermined that such disclosure would adversely affect an ongoing �.ini.nal investigation, or when the information is already general public knowledge within the lecadry affec:ed by the discharge or threatened discharge_ (c) Any designated gove_^_unenr employee who Imowingiy and intentionally rails to disclose information required cc the disciesed under subdivision Co) shall, upon conviction, be punished by impriscr=enr in the county jail tar not more than one year or by=prso=e_nr in state prison for net mere than three years. The court may also impose moan the person a fine of not less than five thousand dollars (55,000) or mere than twenty-avc thousand dollars ($25,000). The felony conviction for violation of-his section shad require forfeiture of government ernploymenr within rh rry days (30) of convicr cn. :. SIGNATURE DISCLOSURE I make this report an be_+z of all the designated ennployees of the County of San Joaquin, and (Agency Name) Signature: Typed/Prinred Name: JERRY YOSHIOKA Tide: REGISTERED ENVIRONMENTAL HEALTH SPECIALIST Dare: Time: cC: CRWQCB (NON-TANK) SWIr�..JS7r/S1TE CODE-#: CAL-EPA (DTSC) CONMFR Y / N R=-_-R.'UD TO: _.. ?2 013 (Rev.4"!91)