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qqD� 3 <br /> G '\,,ANVATORY CONTACTS <br /> Public Health Services of San Joa uin County y MAR <br /> Environmental Health Division: �o� � (Titre) (Date) <br /> (Contact Name) <br /> ';an Joaquin County O Q�C Gl W l� � D/'1 t ; MAR 1 � -- <br /> 3oard of Supervisors: (Time) (Date) <br /> (Contact Name) <br /> H. -iEALTH AND SAFETY CODE 25180.7 <br /> �) Anv designated government employee who obtains information in the course of his ofcial dunes <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 /> �s likely to cause substantial injury to die public health or safety must within seventy-two hours. <br /> disclose such information to the local Board of Supervisors and to the local Health O��icer. No <br /> disclosure of information is required under this subdivision when otherwise prohibited by law. or <br /> when lav enforcement personnel have hdn tlr'ninotat onlhi disclosure <br /> �lr ad�egeneral public ct an <br /> Llkno eledge <br /> ongoing criminal investigation. or w <br /> within the locality affected by the discharge or threatened discharge. <br /> C) Anv designated government emplovee 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 vear 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 (SZ�_0U1))- The felon. <br /> conviction for violation of this section shall require forfeiture of government :mplovment within <br /> thirty days (30) of conviction. <br /> [. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin. and <br /> v Name <br /> (Agency ) <br /> Signature: <br /> Typed/Printed Name: <br /> Title:_ 1�2w c�1ti �' t l� V�V( Wt <br /> Date: �� (� Time. 1 a OUB <br /> a� �t bY1 SWEEPS461TE CODE #: qo <br /> cc: <br /> � <br /> C, CONivIFRYq/ <br /> gs3��v <br /> CAj R—u) REFERRED TO: <br /> EH 2:'. o I; (Rcv. (A13n198) <br />