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G. MANDATORY CONRCTS <br /> San Joaquin County �� " <br /> Environmental Health Department: _.Lo 0" b�� o-►i gqm <br /> (Contact Name) (Time) (Date) <br /> San Joaquin County n <br /> Board of Supervisors: a lti► t3'� 14 W rod / � / _ <br /> (Co ) (Time) .�_ ate) <br /> ntact Name <br /> H. HEALTH AND SAFETY CODE S 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 know that such discharge or threatened discharge is <br /> likely to cause substantial injury to the public health or safety must,within seventy two hours, <br /> disclose such information to the Board of Supervisors and to the local health officer. No disclosure <br /> of information is required under this subdivision when otherwise prohibited by law, or when law <br /> enforcement personnel have determined that such disclosure would adversely affect an ongoing <br /> criminal investigation, or when the information is already general public knowledge within the <br /> 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 tan one year or by imprisonment in state prison for not <br /> more than three years. The court may also impose upon the person a fine of not less than five <br /> thousand($5,000)or more than twenty five thousand dollars($25,000). The felony conviction for <br /> violation of this section shall require forfeiture of government employment within thirty days(3 0)of <br /> 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 /> Signature: <br /> r <br /> Print Name: .12Q 11 M rt J 1\ 40" ]CL UC Title: S12 j <br /> Date: wW 2 `7 L O� Time: /Z AM r,lvi <br /> SITE CODE #: <br /> cc: D TE-�f, <br /> Referred To: <br /> EHD 22-03 Notification of Haz Discharge <br /> 11/26/2007 <br />