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------------- G. MANDATORY CONTACTS Public Health Services ofSan Joaquin Cc Environmental Health Division. Y Sari Joaquin C ounty (Contact Name) / Board of Supervisors: fo (Tr 11 ! �� (Datel5 U� H. (Contact Name) /g 3=/ DEC L200C j HEALTH AND (Time) 7A SAFETY CODE 25180.7 b) Any designated government employee who obtains information in the course of his official duties revealing the illegal discharge or threatened illegal discharge of a hazardous waste within the geographical area of his jurisdiction and who knouts that such discharge or threatened discharge is likely to cause substantial injury to the public health or safety must, with nseven[}•-two hours. disclose such information to the local Board of Supers isors and to the local Health Officer. No disclosure of information is required under this subdivision when otherwise prohibited by law_ or when law enforcement personnel have determined that such disclosure would adversely affect an ongoing criminal investigation, or when the information is already general public knowledge within the locality affected by the discharge or threatened discharge. C) Am designated govemment employee who knowingly and intentionally fails to disclose information required to the disclosed under subdivision (b) shall, upon conviction, be punished b% 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 upon the person a fine of riot less than five thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). The felon conviction for violation of this section shall require forfeiture of government employment vwitl, thirty days (30)of conviction. 1. SIGNATURE DISCLOSURE I make this report on behalf of all the designated employees of the County of San Joaquin, and (Agency Name) Signature: Typed/Printed Name: Title: �c� /S�efJiron n��rFaD Nea�Thl�lST Date:. f Z /Y160. Time: M cc: Q C SWEEPS'VSITE CODE#: CONMFR Y/N REFERRED TO: C/tarle5 ,s�a�ore Jr, 07577 ^.,4�� %l d, 7r--y 64 9S39I EH 22 013 (Rev. 08/20/98)