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r - <br /> v <br /> G- MANDATORY CONTACTS <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division: <br /> I San Joaquin County (Contact Name) (Time) (Date) <br /> Board of Supervisors: - <br /> (Contact Name) -5-ds-90 <br /> HHEA1.•T'H AND SAFETY CODE S 25180.7. (Time) (Date) <br /> (b) Any designated government employee who obtains information in the course <br /> duties revealing the illegal discharge or threatened illegal discharge of a hazarof his official <br /> the geographical area of his jurisdiction and who knows that such discharge or hr waste within <br /> discharge is likely to cause substantial injury to the public health or safer mus <br /> two hours, disclose such information to the local Board of Su g threatened <br /> officer. No disclosure of information is required under this subdivisionY t, within seventy- <br /> when otherwise <br /> prficer. ed by law, or when law enforcement Supervisors and to the local health <br /> personnel have determined that such disclosure <br /> would adversely affect an ongoing criminal investigation, or when the information is already <br /> general public knowledge within the locality affected by the discharge or threatened discharge. <br /> (c) Any designated government employee who knowingly and intention <br /> information required to the disclosed under subdivision (b) shall, upon Cally fails to disclose <br /> by imprisonment in the county jail for not more than one year orb imprisonmentvibe punished <br /> Prison for not more than three ears. Y in state <br /> less than five thousand dollars ($5,000)or mor than twenty-five thousand y also impose upon the person a fine of not <br /> The felony conviction for violation of this section shall require forfeiture snd dollars meet 00). <br /> employment within thirty days of conviction. of government <br /> 1• SIGNA'T'URE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the e j J- County of San Joaquin, <br /> (Agency Name) <br /> Signature: <br /> Typed Nan, e• <br /> Title: <br /> Date: _ s-�s_� <br /> Time: <br /> cc: C <br /> EH 22 013 (Rev. 2/9A) <br />