SITE INFORMATION AND CORRESPONDENCE FILE 1

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y S G. MANDATORY CONTACTi. (Public'Healtl,Services _ of Sari,Joaquin County Environmental Health Division: r / (Contact Name) (Time} (Date) 1 San Joaquin County- Board of Supervisors: (Contact Name) (Tune) (Date) H. HEALTHAND SAFETY CODE S 25180.7. (b) Any designated government employee who obtains information in the course of his official duties revealing the illegal discharge or threatened illegal dischargetaof adis hazardous or threat d thin the geographical area of his jurisdiction and who knows discharge is likely to cause substantial injury to localeBoardcof Supervisors and tohealth or safety 7the t local health two hours, disclose such information to these prol-dited officer.. No disclosure of information is required under thisuthat disclosure would ad et�ision when _ brsely by law, or when law enforcement personnel have determined affect an ongoing criminal investigation, or when the information is already general public knowledge within the locality affected by the discharge or threatened discharge• and intentionally fails to disclose (c) Any designated government employee who knowingly shall, upon conviction, be punished information required to the disclosed under subdivision by imprisonment in the county jail for not more than one year or by imprisonment in state prison for not more than three years. The court may also impose housand doll rs {$2erson a 5,000}e of n The felony ot less than five thousand dollars ($5,000) or more than twenty conviction for violation of this section shall require forfeiture of government employment within thirty days (30) of conviction, I, SIGNATURE DISCLOSURE I make this report on behalf of all the designated employees of the County of San Joaquin, and k (Agen;;e) �( Signature:. " Typed/Printe Name: Name; Title• E DTime' ate: - cc: frA P. r S- 'C Y SWEEPS#/SITE CODE#: /oL5�7 re &e> q T� �} CONMFR. Y / N REFERRED TO: EH 22 013 (Rev.4/91)