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o3 0i <br /> 1 1 .__ 1 A�I�YI;? TORY CONTACTS <br /> Public Health Services of San Joaquin County <br /> NN der APP <br /> Environmental Health Division: p <br /> �4�1 / C / 4 c.. <br /> (Contact Name). (Time) (Date) <br /> San Joaquin County <br /> Board of Supervisors: eotl_') 64IJ w} <br /> l r f.I`f/ APR 18 2' <br /> (Contact Name) (Time) --(D—ate) <br /> I-I• HEALTH AND SAFETYCODE 25180.7 <br /> b) Any designated government employee who obtains information in the course of his official dMill; <br /> revealing the illegal discharge or threatened illegal discharge of a hazardous waste within the <br /> geographical area of his jurisdiction and who knows that such discharge or threatened discharge <br /> is likely to cause substantial injury to the public health or safety must, %�ithin seventy-two hour;, <br /> disclose such information to the local Board of Supervisors and to the local Health: Officer. NO <br /> disclosure of information is required under this subdivision when otherwise prohibited by la«-, or <br /> when law enforcement personnel have determined that such disclosure would adversely affect an <br /> ongoing criminal investigatiod, or when the information is already general public knowledge <br /> within the locality affected by the discharge or threatened discharge. <br /> C) Any designated government employee who knowingly and intentionally fails to discless <br /> information required to the disclosed under subdivision (b) shall, upon conviction, be punished b%- <br /> imprisonment in the county jail for not more than one rear or by imprisonment in state prison for <br /> not more than three years. The court may also impose upon the person a fine of not less than figs <br /> 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 govemment'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 the County of San Joaquin, and <br /> ►.a V�rUn M.e.s -fie l�4 <br /> (Agency Name) <br /> Signature: <br /> Typed/Printed Name: � L/Dt J ✓ <br /> Title: 12��sg Q„d F� vJC�A4-_- ( <br /> Date: j 63 <br /> Time: <br /> cc: C U W e,(/3 SWEEPSWSITE CODE 9: <br /> CONMFRY/N <br /> REFERRED TO: <br /> Edi 22 013 (Rev, 08/20/98) <br />