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G. MANDATORY CONTA�M, <br /> 2 —ro 2: <br /> Public Health Services ! <br /> of San Joaquin County 7 <br /> Environmental Health Division` <br /> (Contact Name) (Tune) (Date) <br /> 1 San Joaquin County <br /> Board of Supervisors: <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE S 25180.7.; <br /> (b) Any designated govenzmmt 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 /> bylaw, orwhen law enforcement personnel have determined that such disclosure would adversely <br /> affect an ongoing cri ni.nal 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 /> b imprisonment in the co ail for more than one ear or b irr� risonment in state prison <br /> Y� P � �j Y Y - P <br /> for not more than three years. The court Imay also uzcpose 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 re ort on behalf of all the designated employees of the County of San Joaquin, and <br /> .(Agency,Name) <br /> Signature: <br /> Typed/Printed Name: ], t►'c.[.� -�. �Z ri+P�-se= <br /> Title: _ EfS <br /> Dare: Y3 — 9 a— Time:_L 10 v 4M <br /> cc. G f r S G SWEEPS#/SITE CODE,A: /� Au?d <br /> tit <br /> C v GJ C�G� CONMFR N <br /> REFERRED TO: <br /> EH 22 013 (Rev-4/91) `,' ° <br />