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oa - C) I <br /> G. M "NDATORY CONTACTS <br /> Public Health Services of San Joaquin Coun <br /> Environmental Health Division:San _ ✓` / P, M/ L�-� Q 2 <br /> (Corimcr Fame) (Time) (Date) <br /> Board of up runty VL 6AJ11Y� ()� <br /> Board of Supervisors: n. / pU �-1''k ¢-. (9. <br /> (Contact dame) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE 25180.7 <br /> b) Any designated government employee %%ho 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 law. 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 /> informarion required cc 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 stare prison for <br /> not more than three years. The court may also impose upon the person a tine of not less than five <br /> thousand dollars (55.000) or more than aventy-five thousand dollars (525.000). The felonv <br /> conviction for violation-of this section shall require forfeiture of government employment within <br /> thirry dans (30) of conviction. <br /> 1. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated € log-egs of e County of San Joaquin, and <br /> (Agency Name) <br /> Signature: �� �QQ(/>^ <br /> 1 <br /> Typed/Printed Name: [Lhe l 1� ��G[1 <br /> Title: 6i� 2 <br /> Date: - Time: <br /> cc: Coco g- AA t �r SWEEPSm/SI'Z'E CODE m: <br /> C ONTMFRY/N <br /> REFERRED TO: <br /> EH 2-2 013 (Rev. 08/20/98) `6$ iu Y4%NY' c. ;; <br />