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G. MANDATORY CONTACTS (- <br /> Public: Health Services <br /> of San Joaquin County / �� / <br /> Environmental Health Division: cwt 2 U I",L2U 4 v <br /> (Contact Name) (Time) (Date) <br /> San Joaquin County <br /> Board of Supervisors: <br /> (Contact Name) (Time) (Date) <br /> I-l. 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 <br /> within the geographical area of his jurisdiction and who knows that such discharge or <br /> threatened discharge is likely to cause substantial injury to the public health or safety must, <br /> within seventy-two hours, disclose such information to the local Board of Supervisors and to <br /> the local health officer. No disclosure of information is required under this subdivision when <br /> otherwise prohibited by law, or when law enforcement 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 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 <br /> prison for not more than three years. The court may also impose 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 /> government employment within thirty days of conviction. , <br /> 1. SIGNATURE DISCLOSURE <br /> I make this report on beh• of all the designated employees of the County of San Joaquin, <br /> and f's Ori " <br /> ( gencyName) <br /> Signature: <br /> Typed Name: �Tl l�= ' lr�►`1L 1 `1'L-' <br /> Title l�tl�tl2e��11-U��.+��� 1r ►�swy�- �(�`t1/�L�S�' <br /> Date: 3 �14d 'l7 Time: <br /> cc: <br /> Ll t�016" C n[ LM. WCA-LI ft �f��TLIGI <br /> lel-1 22 03 ("Rev. 71319) <br />