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G. 1dANDATORY CONTACT <br /> w \ w <br /> Public Health Services a <br /> of San Joaquin County <br /> Environmental Health Division: 1 n ^ u o ` �l's f' a.W./ <br /> (Contact Name) (Time) (Date) <br /> 1 San Joaquin County <br /> Board of Supervisors: �� n .n ����y / y: s s 6 <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE S 25180.7. <br /> Cb) 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 /> Cc) Any designated government employee who knowingly and intentionally fads 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 (525,000). The felony <br /> conviction for violation of this section shall require forfeiture of government employment within <br /> thing days (30) of conviction. <br /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated em Ioyees of the �Q of baa Jo c�uin, and <br /> ?rlQ,f4D�tfullK l <br /> (Agency Name) <br /> Signature: <br /> Type rinsed Name: c nG♦ ,� <br /> Title: 5 e'-7'v i < r� f-,7"1' e i / 77,.-7,77S cc /ins <br /> Date: _ - f S -9 77� T"=e: 3 t L© �•. <br /> cc: �'� ( f'�I+ C C`' fl �� T)SWrr2S#/Sr1 E CODE#: <br /> CONWR�/ N <br /> '/k►ori I SRRED T0: <br /> E:: 22 013 (Rev.4/91) <br />