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G. MANDATORY CONTACTS' <br /> Public Health Services <br /> of San Joaquin County 0 <br /> Environmental Health Division: <br /> (Contact Name) (T (Da e) <br /> e) <br /> 1 San Joaquin County -, / �� <br /> Board of Supervisors: (Time) ( ate) <br /> (Contact Name) <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 report on behalf of all the designated employees of th Coun of San Jo uin, and <br /> 'fad i � i <br /> (Agency Name) <br /> Signature: -S <br /> Typed/Printed Name. C <br /> Title: S <br /> Date: Time: c,.ro0 2024--f <br /> cc: .T SWEEPS#/SITE CODE#: <br /> ef('Iz �45.e6l z.fay:-- CONMFR<.Y-1' N <br /> REFERRED TO: <br /> EH 22 013 (Rev-4/91) <br />