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l G.�. MANDATORY CONTACTS1 <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division. 4/ J le_- <br /> .,,,,'.'(Contact.Name) (Time) 4 { (Date) <br /> t <br /> .'S- <br /> an Joaquin County T t t' <br /> Board of Supervisors; <br /> i (Contact Name) W1 {Time} ` k (Dale) <br /> HEALTH AND SAFETY CODE S 25180 7 .,, <br /> {b) 'Any designated government_employee who obtains`infarmation'in the course`aof his official <br /> duties reveal�n the ille a) disehar a ori threatened'ille al discharge of a hazardous waste <br /> g b b h _r ,g g <br /> r within the'geographieal area cif his-junsdictioh and.`who"knows that such discharge or <br /> :threatened discharge is.likely to cause:substantia1AnJury_tdAhe'-public "health``or safety must, <br /> _ w . 'w�tHin seventy-two hours disclose such information .to the.local.Board of Supervisors and to <br /> the ,local-Ihealth' officer.t-Nd disclosureof:information;is,requared,Under,thisdsubd"nsion when <br /> otherwise prohibited 6y'law;'or. when�Iaw`�enforcemegt personnel have determined that such <br /> disclosure would adversely affect an ongoing criminal,,-investigation,,:or:when the information is <br /> _ _.. already!general,public,knowledge within the' locality affected,by,the discharge or threatened <br /> discharge.--,, <br /> (c) -Any designated government employee who kno7 ingly�sand,intentinnally; fails to disclose <br /> information required:to-the'disclosed'under subdivisidn (b) shall, upon conviction, be punished <br /> by imprisonment;.in the county,jailifor=not more than .one,year`or=by imprisonment-in state <br /> prison for not more thasi�three yearsw ,The court may ajsoYimpose.upon the person a fine of <br /> not less than five-thousand`dollars;($5,000)'or`more°than twenty-five thousand dollars <br /> ($25,000). The'felony conviction for violation of this section shall require forfeiture of <br /> .P,governmdnt remployment.within,thirty days of conviction' 4 <br /> f. a .•, :v 't ;y: ,si Y..r <br /> T` SIGNATURE DISCLOSURE <br /> '- "I-make this reporN on behalf of,allrthe des�gnateci;employees:of}the County cf San Joaquin, <br /> and Cv ~ <br /> (Agency Name) <br /> ,At.?- <br /> tSignaturo•- ,a » <br /> q Typed Name: <br /> �bUL SC`14&J01�Cs�� <br /> . Title: _ <br /> "t .. Date: A {J r"r ! Time. <br /> All 3 <br /> " #; <br /> Ei-1 '22 03 (Rev. 7189) fi <br />