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{ <br /> 4F <br /> G. MANDATORY CON .CTS <br /> s <br /> San Joaquin County n <br /> Environmental Health Department: hl) PJ" <br /> (Contact Namc) (Time) r (Date) <br /> San Joaquin County nn I �) <br /> Board of Supervisors: 20 i�1 3a ('01 w f Vkj <br /> (Contact Name) (Time (Date) <br /> H. HEALTH AND SAFETY CODE S 25180.7 <br /> I (b) Any designated government employee who obtains information in the course of his official duties <br /> revealing the illegal discharge or threatened illegal discharge of a hazardous waste within the <br /> geographical area of his jurisdiction and who know that such discharge or threatened discharge is <br /> likely to cause substantial injury to the public health or safety must, within seventy two hours, <br /> disclose such information to the Board of Supervisors and to the local health officer. No disclosure <br /> of information is required wider this subdivision when otherwise prohibited by law, or when law <br /> 1 enforcement personnel have determined that such disclosure would adversely affect an ongoing <br /> criminal investigation, or when the information is already general public knowledge within the <br /> j locality affected by the discharge or threatened discharge. <br /> 11 <br /> j (c) Any designated government employee who knowingly and intentionally fails to disclose <br /> 3 information required to the disclosed under subdivision (b) shall, upon conviction, be punished by <br /> imprisonment in the county jail for not more tan one year or by imprisonment in state prison for not <br /> more than three years. The court may also impose upon the person a fine of not less than five <br /> thousand ($ 5 ,000) or more than twenty five thousand dollars ($25,000). The felony conviction for <br /> violation of this section shall require forfeiture of government employment within thirty days (30) of <br /> conviction. <br /> I. SIGNATURE DISCLOSURE <br /> i 1 make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> Signature: Zo:=2� 60 V'- n <br /> Print Name: ` r fl/1 a" VQN FICA� Title: Sf I <br /> Date: S l l + Time: P.m. <br /> SITE CODE #: <br /> cc: <br /> CVeVUQCq <br /> rtk f ,ac , "- 5. 9 G1, U0)try�- <br /> � -Uf <br /> Referred To : } <br /> LRD 22-03 Notification of Haz Discharge <br /> 11126/2007 <br />