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l <br /> G. MANDATORY CONTACT; <br /> Public Health Services <br /> of San Joaquin County � „ „ ! p Q <br /> Envirorunental Health Division: '� � � C� �y / `, � ' Try <br /> (Contact Name) (Time (Date) <br /> 1 San Joaquin County - ^ J7 <br /> Board of Supervisors: <br /> (Contact Name) (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 omcial <br /> the illegal. discharge or threatened illegal discharge of a hazardous waste within <br /> duties revealing v <br /> threatened <br /> knows that such discharge or thre <br /> the geographical area of his jurisdiction and who oarg <br /> al in ' to the public health or safety must, within sevenry- <br /> g likely to cause substantial Jury <br /> discharge u y <br /> two hours, disclose such information to the local Board of Supervisors and to the local health <br /> ofncer. 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 genal 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 /> intormarion required to the disclosed under subdivision (b) shall, upon conviction, be punished <br /> by imprisonrrienr 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 also impose upon the person a fine of not less than <br /> five thousand dollars ($5 , 000) or more than r+venry-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 /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employe-.s of the County of San Joaquin, and <br /> (Agency Name) <br /> Signature: � l <br /> Typed/Printed Name: fi` G- : cpes <br /> Tide: - <br /> Date: - / Q Time: - <br /> cc: S4V'rEPS /SITE CODE: oq / <br /> c �- P /7 i/ 7 not f CONMFR& N <br /> RE_z•ERRED TO : <br /> EH 22 013 (Rev. 4/91 ) <br />