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& MANDATORY CONTACTS <br /> Public Health Services of San Joaquinounty + I ,p <br /> Environmental Health Division: U 0n A � ��C,- I �• 3 7 1 IT& Q <br /> (Contact Name) t -(Time) ('Date) <br /> San Joaquin County _. <br /> Board of Supervisors: r\ e" [, -LA) <br />` (Contact Name) (Time)' (Date <br /> H. HEALTH AND SAFETY CODE 25180.7 ' <br /> b) — Any des ignated'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 .vithin the <br /> geographical area of his jurisdiction and who'knMA's 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 Supen,isors and to the local Health Officer. No <br /> disclosure of information is required under this subdivision when,otherwise prohibited by laic. 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 /> . r <br /> C) f' Any designated government employee who knowingl}- 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 ($x,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 /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin. and <br /> (Agency Name) <br /> 1 ' - <br /> Signature: <br /> Typed/Printed Name: <br /> -Title: V 12-P- e V S <br /> .Date: 4 B. L` Time: 46 <br /> cc: 1,�} (�,cj 5 `S SWEEPS-/SITE CODE #: <br /> S CONIVIFJ(�y N <br /> REFERRED.TO:' <br /> I f4 ,t <br /> EH 22 013 (Rev. 08/20/98 <br /> A <br />