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G. MANDATORY CONTACTS : _ EHD LOG# <br /> San Joaquin County �� � <br /> Envaronnaental Hew lth Department :.1�i�tl" -1/110 , y-4610 7 <br /> .:. <br /> .(Contact Name) <.. (Tame) (Date)' <br /> I <br /> Sail loaqum County i <br /> Board of Supervisors: a -+ j <br /> (Contact Name) (Time) Date) <br /> H. IWALTA AND.SArFETV CODi S 25180.7 <br /> I <br /> (b)Any designated government employee.who obtains infcirmation in the course of his official duties J <br /> TV ealing the illegal discharge or threw#tined illegal discharge of a hazarcitus waste witftin the I. <br /> geographic9 area of his jurisdiativ�n and who know that such discharge or threatened discharge is <br /> likely#o cause substantial injury# the public hearth or safety must,within seventy two hours, <br /> _, <br /> disclose such information tt the Beard of Supervisors and to the local healthrofficer leo disclosure <br /> o#'information is Ir un der this'subdivision when otherwise'prohibit'ed by law,cit when law <br /> enforcc ment personnel have deters ined that such disclosure would adversely affect anongoing � <br /> cr urinal investigation,or when the information is already general public knowledge within e <br /> locality affected by the discharge or threatened discharge. . a <br /> 1 <br /> (c)Any designated government employee who knovaingly and intentionally fails to disclose '► <br /> information required to the disclosed under subdivision(b)shall, upon conviction,be punished by <br /> imprisonment in the co-d tja'il'for not more tan one year lir by iniprisonmA ix'siate 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 titan twenty five thousand dollars($25,[00).. The felony conviction for ' <br /> -violation-of section shall r'e'eq%ire forfeiture of government employment within thirty days(30)of � <br /> conviction. <br /> I. SIGNATURE DISCLOSE <br /> I make this report on behalf of all.the designated employees of'.the C©unty!of Sa ;3oaquin, and <br /> s <br /> (Agency Name) <br /> Signature;. ••> ',., <br /> a. <br /> +i r <br /> I <br /> PrintTatne: Y. Tale ` <br /> Date;. ` t ry/b 7 Timre: <br /> SITE CGDE S z•. a <br /> .Y <br /> r' <br /> e� <br /> t <br /> Referred To: t <br /> Y <br /> 'til. ',•, <br /> • i <br /> i <br /> Ht12 02-0d3 Notification of Haz I)iscbwge ! <br /> 05/04/07 <br /> `F <br /> t <br />