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a <br /> EHD LOG# I - 014 <br /> G. MANDATORY CONTACTS <br /> San Joaquin County Environmental Health Donna Heran Time: ate: <br /> Department IQ <br /> Y 7- <br /> San Joaquin County Board of Supervisors— Michael Cockrell Time: Date: �� <br /> Contact—Office of Emergency Services <br /> H. HEALTH AND SAFETY CODE 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 knows that such discharge or threatened discharge is <br /> likely to cause substantial injury to the public health or safety must,within seventy-two hours, disclose <br /> such information to the local Board of Supervisors and to the local health officer. No disclosure if <br /> 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 locality <br /> affected by the discharge or threatened discharge. <br /> (c) Any designated government employee who knowingly and intentionally fails to disclose information <br /> required to be disclosed under subdivision (b)shall, upon conviction, be punished by imprisonment in <br /> the county jail for not more than one year or by imprisonment in state prison for not more than three <br /> years. The court may also impose upon the person a fine of not less than five thousand dollars <br /> ($5000) or more than twenty-five thousand dollars($25,000). The felony conviction for violation of this <br /> section shall require forfeiture of govemment employment within thirty days of conviction. <br /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all designated employees of the County of San Joaquin, and <br /> San Joaquin County Environmental Health Department <br /> (Agency Name) <br /> Signature: <br /> Printed Name. <br /> Title: lj <br /> Date: , 2.0( Time: r�� a�-- <br /> cc: DTSC Site Code: <br /> CVRWQCB <br /> G.l Df S,�L�il../,.t Con MFR Yes No <br /> ti . 77 11 VI& t4.)I`9h Referred: <br /> t 5 z cano tk)y, 10 1, <br /> 5 fo JlG+00 (Z--f 0� :Xf r_"c-f <br /> `� Svc ��qr �1or�clfl��C�l <br /> Revised 08/02/12 Page 2 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />