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G. MANDATORY CONTACT <br /> II Public Health Services <br /> of San Joaquin County I <br /> Environmental Health Division: //// t • �dk AF Ala ri / `.%Od / \:54e) <br /> (Contact Name) (Time) ( <br /> 1 San Joaquin County <br /> Board of Supervisors : t ;/V <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 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 /> two hours, disclose such information to the local Board 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 investigation, or when the information is already general 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 /> information required to the disclosed under subdivision (b) shall, upon conviction, be punished <br /> by imprisonment in the countyjail 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 twenty-fivc 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 /> L SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> Signature : <br /> „�/ Zctli�uuJi <br /> Typed/Printed Name : /l1/ J7 IIVFu4eAJ09LJ� <br /> Title: /P. E. /f. S. <br /> Date: Time: <br /> cc : DtG` SWEEPS#/SITE CODE# : /DF �( <br /> le 64J C13 CONMFR N <br /> REFERRED TO : <br /> EH 22 013 (Rev.4/91 ) <br />