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W' "i "" DATORY CONTACTS <br /> 9 JUN - 1 2007 <br /> San Joaquin County <br /> Environmental Health Department: /Q ' '9 e•rA / <br /> (Contact Name) (Time) (Date) <br /> San Joaquin County _ 1 2W <br /> Board of Supervisors: 120y) r';a{dy,'4 <br /> (Contact Name) (Time) (Date) <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 casue 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(30) 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 /> Print Name: '�tMgy A Title: � P.Yl <br /> d <br /> 41VIr►^tVl�e{ ha(thLr <br /> Date: Time: A.M. <br /> SITE CODE ##: <br /> cc: <br /> Referred To: <br /> EHD'22-02-003 Notification of Haz Discharge <br /> 10/2/2003 <br />