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y1Q.3 Ull 6 0 99 . 15 <br />MANDATORY CONTACTS <br />Public Health Services of San Joaquin Coun / DEC 22 <br />Environmental Health Division: ✓ /� ✓/� '•�S A-0/ <br />San Joaquin County <br />(Contact Name) �,� (Time) (Date) <br />��,� G�"l/ ' <br />Board of Supervisors: d1� / 9 •'45 A -m/ nFe 2 2 1999 <br />(Contact Name) (Time) (Date) <br />H. HEALTH AND SAFETY CODE 25180.7 <br />b) Any designated government employee who obtains information in the course of his official duties <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, within seventy-two hours. <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 lacy. or <br />when law enforcement personnel have determined that such disclosure would adversely affect an <br />ongoing criminal investigation, 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 disclose <br />information required to the disclosed under subdivision (b) shall, upon conviction, be punished by <br />imprisonment in the county jail for not more than one year 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 five <br />thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). The felonv <br />conviction for violation of this section shall require forfeiture of government employment within <br />thirty days (30) of conviction. <br />SIGNATURE DISCLOSURE <br />I make this report on Pehf of II the designat employees of the County of San Joaquin, and <br />(Agency Name) <br />Signature: <br />Typed/Printed Name: <br />Title: <br />Date:_ �7/f Time: <br />cc:17 <br />EH 22 013 (Rev. 08/20/98) <br />SWEEPS#/SITE CODE #: <br />CONMFR Y / N <br />REFERRED TO: <br />