SITE INFORMATION AND CORRESPONDENCE

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{ IATORY CONTACTS na Public Health Services of San Joaquin County Environmental Health Division: AUG 16 2002 San Joaquin County (Contact Name) (Time) (Date) Board of Supervisors:_ Emt "�(,A / P AUG 16 2002_ . 4s .M./ (Contact Name) (Time) (Date) H. HEALTH AND SAFETY CODE 25130.7 i b) Any designated government employee who obtains information in the course of his official duties revealing the illegal discharge or threatened illegal discharge of a hazardous waste within the geographical area of his jurisdiction and who knows that such discharge or threatened discharge is likely to cause substantial injury to the public health or safety must_ «rithi n seventy-two hours, disclose such information to the local Board of Supem-isors and to the local Health Officer. No disclosure of information is required under this subdivision when otherwise prohibited by la%%. or when lav enforcement personnel have determined that such disclosure would adversely affect an ongoing criminal investigation, or when the information is already general public knowledge within the locality affected by the discharge or threatened discharge. C) Any designated government employee who knowingly and intentionally, fails to disclose information required to the disclosed under subdivision (b) shall, upon conviction, be punished b% imprisonment in the county jail for not more than one year or by imprisonment in state prison for not more than three years. The court may also impose upon the person a fineof not less than tine thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). The felony conviction for violation of this section shall require forfeiture of government employment with" thirty, days (30) of conviction. in I. SIGNATURE DISCLOSURE I make this report on ehalf of all the designated employe of the County of San Joaquin, and (Agency Name) Signature: _ C��4 0�0 k Typed/Printed Name: !� t Ch Q, Ye S-�e rrtt 2-4— Title: E'gd;roP7e Date:$ ' I�bn 2Z_ Time: cc: C'. S w rZ [� C SWEEPS9/SITE CODE#: I C CONMFR Y/N (aw O"IL— REFERRED TO: EH 22 013 (Rev. 08/20/98)