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EHD LOG# <br />G. MANDATOR CONTACTS <br />San Joaquin County Environme <br />tal Health <br />Donna Heran <br />Time: <br />Date: <br />Department <br />9,?Z <br />San Joaquin County Board of Skvices <br />ervisors — <br />Michael Cockrell <br />Time: <br />Date: <br />C - <br />Contact — Office of Emer enc <br />H. HEALTH AND ISAFETY CODE 25180.7 <br />(b) Any designat d government employee who obtains information in the course of his official duties <br />revealing the Ilegal discharge or threatened illegal discharge of a hazardous waste within the <br />geographical rea of his jurisdiction and who knows that such discharge or threatened discharge is <br />likely to ca <br />substantial injury to the public health or safety must, within seventy-two hours, disclose <br />such informati n to the local Board of Supervisors and to the local health officer. No disclosure if <br />information is equired under this subdivision when otherwise prohibited by law, or when law <br />enforcement ersonnel have determined that such disclosure would adversely affect an ongoing <br />criminal inves igation, or when the information is already general public knowledge within the locality <br />affected by th discharge or threatened discharge. <br />(c) Any designate government employee who knowingly and intentionally fails to disclose information <br />required to be disclosed under subdivision (b) shall, upon conviction, be punished by imprisonment in <br />the county jail or not more than one year or by imprisonment in state prison for not more than three <br />years. The co rt may also impose upon the person a fine of not less than five thousand dollars <br />($5000) or mo a than twenty-five thousand dollars ($25,000). The felony conviction for violation of this <br />section shall r quire forfeiture of government employment within thirty days of conviction. <br />SIGNATURE DISCLOSURE <br />I make this report On behalf of all designated employees of the County of San Joaquin, and <br />(Agency Name) <br />Signature: <br />Printed Name: <br />Title: <br />Date: <br />cc: DTSC <br />. CVRWQCB <br />(�rl �c�r'l �r�Ci �'►C <br />t j ©p v�C <br />San Joaquin County Environmental Health Department <br />&; ,Carl ))+f-40, Mic hik <br />to <br />Time: 2 <br />Site Code: <br />Con MFR Yes No <br />Referred: <br />Revised 08/02/12 1 Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />