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G. MANDATORY CONTACT <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division: . �iZn� -- l / 211 01_M7 <br /> (Contact Name) (Time) (Date) <br /> y <br /> 1 . T San Joaquin County R JUt Q 1 <br /> Board of Supervisors: <br /> (Contact Name) _y,..,,. - , (Time) .(Date), <br /> H. -. N HEALTHAND SAFETY CODE S 251$0.7. <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 /> 6;o Hours, disclose such-information to the-local-Bcard 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 mv-estigation,-or'when the information is already general public <br /> knowledge within the locality affected by the discharge or threatened discharge. <br /> M (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 more7than three years. The court may-also impose upon the person a fine of not less than- <br /> five thousand dollars,($5,000) 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 /> (hirty days (30) of conviction." <br /> L SIGNATURE DISCLOSURE <br /> r <br /> I make'this report on behalf'of all'the designated'employees of the County of San Joaquin, and <br /> �- - - (Agency Name). - .. <br /> Si <br /> Typed/Printed Name: u f e - r " <br /> _ <br /> Title: - V <br /> Time: 4 , <br /> cz: �� ' .x .R SWEEPS#/SITE CODE#:n <br /> -REFERRED TO: <br /> EH 22 013 (Rev.4/91) x . _ <br />