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03 - 0(0.D <br /> G. MANDATORY CONTACTS <br /> Public Health Services of San Joaquin County <br /> Environmental Health Division: (2j � N 0 940 / :36 P IW, / /0 –0 tv — 03 <br /> (Contact Name) (Time) (Date) <br /> San Joaquin County <br /> Board of Supervisors: RoN 84f6pWo ;30 prt'W10- 06= 03 <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 Supervisors and to the local Health Officer. No <br /> 4_ 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 by <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 ($25,000). The felony <br /> conviction for violation of this section shall require forfeiture of government employment within <br /> thirty days (30) of conviction. <br /> 1. 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:� d�6011— <br /> Typed/PrintedName: /� 4 YMO V6 Val'i Ru-0 <br /> Title: �' F 14 <br /> Date: I D J (ol U Time: P 114 tv, <br /> cc: SW RGR – 41 UST tiNi SWEEPS#/SITE CODE#: <br /> CVRw Q C 13 CONMFRY/N <br /> Ts C REFERRED TO: <br /> EH 22 013 (Rev. 08/20/98) <br />