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k' G. MANDATORY CONTACTS Public Health Services M - of San Joaquin County _ /a "IS Environmental Health Division: ( F -f` �� ,� - (Conta t.Name) (Time) (Date) 1 San Joaquin County Board of Supervisors: ►i,,1 (Contact.Name) (Time) (Date) H. HEALTH AND SAFETY CODE S 25180.7.- (b) 51$0.?:(b) Any designated government employee w o obtains information in the course of his official duties revealing the illegal discharge or threa ened illegal discharge of a hazardous waste within the geographical area of his jurisdiction and 1 vho knows that such discharge or threatened discharge is likely to cause substantial injury o the public health or safety must, within seventy- two hours, disclose such information to the 1 cal Board of Supervisors and to the local health officer. No disclosure of information is..req ed under this subdivision whep otherwise prohibited by law, or when law enforcement personnel have determined that such disclosure would adversely affect an ongoing criminal investigation, or when the information is already general public knowledge within.the locality affected by the discharge or threatened discharge. (c) Any designated government employee w o knowingly and intentionally fails to disclose information required to the disclosed under ubdivision (b) shall, upon conviction, be punished by imprisonment in the county jail for not m 3re than one year or by imprisonment in state prison for not more than three years. The c urt may also impose upon the person a fine of not less than five thousand dollars ($5,000) or m re than twenty-five thousand dollars ($25,000). The felony conviction for violation of this section shall require forfeiture of government employment within thirty days of conviction. I. SIGNATURE DISCLOSURE I make this report on behalf of all the designated employees of the County of San Joaquin, and H — (AgencyName) Signature: Typed Name: 'Rs Title: 7-E.HS Date: 2 D T e: i fl cc: S EH 22 01.3 (Rev. 2/9O) f1