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G. MANDATORY CONTACTS <br /> Public Health Services of San Joaquin Coun SEE -S 1999 <br /> n <br /> Enviromental Heaith Division: 2��- 3:4o P.M.i <br /> (Cont:c_ Name) (Time) (Dace) <br /> San Joaquin County /� SEE -$ 1999 <br /> Board of Supervisors: c-1J i,.3 N. 3: 40 C M/ <br /> (Contac: Name) (Time) (Date) <br /> H. HE.A L.TH Q-,FD SAF-=7Y CODE '_d 130.7 <br /> b) Anv designac.d-tovernmenc molovee echo obtains information in the course of his official duces <br /> revealing the°illegal discharge or threatened iIle2al discharge of a hazardous waste within t. <br /> geographical zr,-a of his jurisdiction and who meows that such discharze or threatened dischar2: <br /> is likely co cause substantial injur-. to !*e public or sate:v must ��zthin sevenre-��vo hours. <br /> disclose such information to the local Board of Supervisors and to he local Health Otizc.r. ':\,a <br /> disclosure of inrormatien is required under his subdivision when othenvise prohibited by law. or <br /> when law ztaforc.ment personnel have de;er.nwed chat such disclosure would adversely aa.ct an <br /> ongoing criminal investigation. or when the information is already zeneral public knowledge <br /> within the locality affected by :he discharge or traceried discharge. V <br /> r <br /> c) Anv designaied government ernployee who !knowingly and 'incencionally fails to disclose <br /> information equired to :he disclosed under subdivision (b) shall. upon conviction- be punished by <br /> imo.risorimenc in he councv jail for act more han one year or by imprisonment in state prison =or <br /> not more tan ire. vears. i ae tour to v aiso imoese upon :he person z ane of noc less than live <br /> thousand dollars (S5.000) cr more .rhan vvent•.—Give thousand dollars (S25.000). The fe?on,.- <br /> conviction for solation of this secrion saa Il require forfeiture of government emplo-vzneat within <br /> thirty days (30) of conviction. w <br /> 1. SiGvATLRE DISCLOSURE <br /> I ma chis report on behalf or all the de-si2rtated lovees of r-he County_ of San Joaquin_ and <br /> (Agency Name) <br /> Signature: <br /> Tvped/Printed;+fame: <br /> Title: <br /> Date: - 2 i Me: j�� [� � ✓`�" <br /> cc: C�-F��'A � �� SWEEPS9/SITE CODE f: <br /> C ON-j1v ECY N <br /> REREFER-RED TO: <br /> .� <br /> U IV <br /> EH 21 ,)t= (Rev. (MM/98) <br />