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(0(0 -01-9 <br /> G. MANDATORY CONTACTS <br /> San Joaquin County <br /> Environmental Health Department: D64AQ. .l.&� /4,'0 3 r1l /unt <br /> (Contact Name) (Time) )1006- <br /> San Joaquin County / NOV 2 7 ZOOS <br /> Board of Supervisors: _eind Of Id w/'✓ If.'63 f 111 •/ <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE S 25180.7 <br /> (b)Any 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 know that such discharge or threatened discharge is <br /> likely to casue substantial injury to the public health or safety must, within seventy two hours, <br /> disclose such information to the Board of Supervisors and to the local health officer. No disclosure <br /> of information is required under this subdivision when otherwise prohibited by law, or when law <br /> enforcement personnel have determined that such disclosure would adversely affect an ongoing <br /> criminal investigation, or when the information is already general public knowledge within the <br /> 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 tan one year or by imprisonment in state prison for not <br /> more than three years. The court may also impose upon the person a fine of not less than five <br /> thousand ($5,000) or more than twenty five thousand dollars ($25,000). The felony conviction for <br /> violation of this section shall require forfeiture of government employment within thirty days(30) of <br /> 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: ��—, _ `z <br /> Print Name: RA-V 440,M VI7J Title: Sr. R61-AT <br /> Date: 11 Time: A.M P.M. <br /> SITE CODE #: <br /> CC: b TS G <br /> C w Q G (NOnI Tai e) <br /> Referred To: <br /> EHD 22-02-003 Notification of Haz Discharge <br /> 10/2/2003 <br />