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Ij <br /> G. MANDATORY CONTACTS <br /> Public Health Services <br /> k <br /> of San Jo_aquin County , <br /> Environmental Health Division: Rd <br /> (Contact Name) (Time) (Date) <br /> T ` Yr <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 government employee who obtains information in the course of his official <br /> dudes 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 /> by law,or when law enforcement personnel have determined that such disclosure would adversely <br /> affect an ongoing criminal investigation, or when the information is already general public <br /> knowledge within the locality aff`cted by the discharge or threatened discharge. <br /> (c) Any designated government l�lemployee who knowingly and intentionally fails to disclose <br /> information required to the disclosed under subdivision (b) shall, upon conviction, be punished <br /> by imprisonment in the countyjaill'for not more than one year or by imprisonment in state prison <br /> for not more than three years. The court may also impose 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 secllion shall require forfeiture of government employment within <br /> thirty days (30) of conviction. <br /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of ally the designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> F A,;;'Signature• ,�7�, � I Q _ !V 4j •_ • ,,, <br /> Typed/Printed Name: p i F.,�s <br /> Title: L HT <br /> Date: 3 ` 5" �•5 f! Time: P. M. <br /> 1r <br /> cc: H5- E H D 4 -r t1 L� SWEEPS#/SITE CODE#: a r3U <br /> �r <br /> C if l ,.f S fi 6 c lc I D n CONMFRg/ N <br /> C 2 QC- <br /> REFERRED TO: <br /> D TS C, <br /> C f-e iS -Vic - <br /> EH 22 013 (Rev.4/91) <br /> f <br />