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G. MANDATORY CONTACTS <br /> Public Health Services of San Joaquin Count`} <br /> Environmental Health Division: ZOn r)L lrrn <br /> San Joaquin County (Contact Name). (Time)pp —�t )LvG� <br /> �� � <br /> Board of Supervisors: �Yh t!d Wl rl / +"0�_M�OCTQ�j (L ye <br /> (Contact Name) (Time) (Date) <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 <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 Super-visors anti to the local Health Officer. NL o <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 /> information required to the disclosed under subdivision (b) shall, upon conviction, be punished bx <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 ($5,000) or more than twenty-five thousand dollars ($2.5,000). The felon <br /> conviction for violation of this section shall require forfeiture ofgovemmentemployment 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 /> Signature: i22 T' &)J L'�,( <br /> & <br /> Typed/Printed Name: rlA- rI ha�f� <br /> Title:- <br /> Date: <br /> itle:-Date: 10_2 q— 03 Time: <br /> cc: 5 Yy g'�i b —USS" v ht F SWEEPS?/SITE CODE 9: <br /> CV K W Q C 8 CONMFR Y/N <br /> DT,5 C REFERRED TO: <br /> EH 22 013 (Rev.08/20/98) <br />