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G . MANDATORY CONTACT <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division: <br /> (Contact Name) (Time) WOV <br /> 1 San Joaquin County . ) Sa"i2: / �J )6i�7 <br /> Board of Supervisors : F�'S' - aa,'L..) tVON / <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 <br /> duties revealing the illegal discharge or threatened illegal discharge of a hazardous waste within <br /> the geographical area of his jurisdiction 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, disclose such information to the local Board of Supervisors and to the local health <br /> officer. No disclosure of information is required under this subdivision when otherwise prohibited <br /> by law, or when law enforcement personnel have determined that such disclosure would adversely <br /> affect an ongoing criminal investigation, or when the information is already general public <br /> knowledge 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 <br /> by imprisonment 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 /> five 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 re ort on behalf of all the designated employees o the/ C/ounty of San Joaquin, and <br /> �oaacy <br /> (Agency Name) <br /> Signature : <br /> Typed/Printed N e <br /> �1tJ\ VY�v\ �- <br /> Title: SCN \ or trlowrg <br /> Date : L7 2 Q&4.- <br /> Time: �q <br /> cc : � P. la )OCSWEEPS#/SITE CODE # : <br /> �IS.C. CONMFR Y / N <br /> of �rnc� REFERRED TO : <br /> EH 22 013 (Rev.4/91 ) <br />