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Ar <br /> qC� 1 <br /> MANDATORY CONTACTS <br /> Public Health Services <br /> of San Joaquin County - pad, ' rs1� �('� yY]/ 10-t <br /> Environmental Health Division: (Date) <br /> (Contact Naive) (Time) <br /> San Joaquin County fU yr, <br /> Board of Supervisors: ._ <br /> (Contact Name) v (Time) (Date) <br /> H. 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 within <br /> 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 /> 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 a1s6 impose upon the person a Fine of not less than <br /> five thousand dollars (S5,000) or more than twenty-five thousand dollars ($25,000). The felony <br /> conviction for violation of this section shall require forfeiture of government employment within <br /> thirty days (30) of conviction. <br /> [. SIGNATURE DISCLOSURE _ ; <br /> [ make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> Signature• <br /> Typed/Printed Name: <br /> Title: <br /> Date: 2 Tune:- C ,Pjm - <br /> cc: !1-rS.C. SWEEPS#/SITE CODE#: ljvSb3�' <br /> CONMFP45? N <br /> ¢ REFERRED TO: <br /> EH 22 013 (Rev.4/91) '° <br /> r <br />