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G . MANDATORY CONTACTS <br /> Public Health Services <br /> of San Joaquin County /J <br /> �-�o . <br /> Environmental Health Division: �`�cJyl C c� \ e� � <br /> (Contact Name) (Time) (Date) <br /> San Joaquin County /J n <br /> Board of Supervisors : 0�1 <br /> (Contact Name) (Time) (Date) <br /> 11 , HEALTH AND SAFETY CODE S 25180.7. <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 <br /> within the geographical area of his jurisdiction and who knows that such discharge or <br /> threatened discharge is likely to cause substantial injury to the public health or safety must, <br /> within seventy- two hours, disclose such information to the local Board of Supervisors and to <br /> the local health officer. No disclosure of information is required under this subdivision when <br /> otherwise prohibited by law, or when law enforcement personnel have determined that such <br /> disclosure would adversely affect an ongoing criminal investigation, or when the information is <br /> already general public knowledge within the locality affected by the discharge or threatened <br /> 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 <br /> by imprisonment in the county jail for not more than one year or by imprisonment in state <br /> prison for not more than three years. The court may also impose upon the person a fine of <br /> not less than five thousand dollars ($5 ,000) or more than twenty-five thousand dollars <br /> ($ 25 ,000). The felony conviction for violation of this section shall require forfeiture of <br /> government employment within thirty days of conviction. <br /> 1 . SIGNATURE DISCLOSURE <br /> I make this report on e n f of all the designated employees of the County of San Joaquin, <br /> and <br /> (Age ey Name) Ok-: IN v} i�) � hsw. <br /> Signature : <br /> Typed Name: JI�l�L� ClitJl ) { �� <br /> Title : vlsL�c:NA- `�Pc,(,(J <br /> Date: Oho /C( D Time : <br /> —T <br /> cc: <br /> 1311 22 03 (Rev. 7/89) �� ) <br />