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a <br /> G. MANDATORY CONTACTS'" <br /> C> --Q` <br /> "'Public Health Services <br /> t; of San Joaquin County <br /> Environmental Health DivisionsaZ1e22Z_1 <br /> ' (Contact Name) (Tune) (Date) <br /> 1 San Joaquin County, r <br /> Board of Supervisors: o / <br /> i (Contact Name) .,*w (Time) : `_ (Date) <br /> H. HEALTH AND SAFETY CODE S 25180.7. �' - • f <br /> (b) -Any designated government employee who obtains'information in the course of his official <br /> duties revealing the illegal discharge or threatened illegal discharge of a hazardous waste within <br /> w the geographical area of his jurisdiction and who knows that such discharge or threatened <br /> discharge is likely to cause substantial injury to the public health or safety must, within seventy- <br /> two hours, disclose such information to the local Board of Supervisors and to the local health <br /> officer. No disclosure of information is required under this subdivision when otherwise prohibited <br /> by law, or when law enforcement personnel have determined that such disclosure would adversely <br /> affect an ongoing criminal investigation, or when the information•is already general public <br /> knowledge within the locality affected by the discharge or threatened discharge. , <br /> (c) Any designated government employee who knowingly and intentionally fails.-to disclose <br /> q information required to the disclosed under subdivision (b) shall,-upon conviction, be punished <br /> - -by imprisonment in the county jail for not more than one year or by'imprisonment in state prison <br /> for not more than three years. The court may also impose upon the person a fine of not less than <br /> :five thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). The felony <br /> ,.,:conviction for violation ofthis section shall require forfeiture of government employment within <br /> ¢. .thirty days (30) of conviction. <br /> _hn <br /> .rx4 <br /> I.. SIGNATURE DISCLOSURE <br /> [ make:this report op behalf of:all the designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> a <br /> _ Signature: - <br /> Typed/Printed Name: <br /> 4ZCZ az 4 /M- <br /> Title: <br /> vi rr� <br /> Date: Time: .2 t o d <br /> cc:_ SWEEPS#/SITE CODE#: /� w <br /> CONMFR Y/ N <br /> �5REFERRED TO: <br /> EH 22 013 (Rev.4/91) `� <br />