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-os <br /> G. MANDATORY CONTACTS <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division: A b�k6AO fj / 0�5 / 3 -a -� p <br /> 1 San Joaquin County <br /> (Contact Name) (Time) (Date) <br /> � <br /> Board of Supervisors: iCprh 46"4)W / <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 <br /> prohibited by law, or when law enforcement personnel have determined that such disclosure <br /> would adversely affect an ongoing criminal investigation, or when the information is already <br /> general public 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 county jail for not more than one year or by imprisonment in state <br /> prison for not more than three years. The court may also impose upon the person a fine of not <br /> less than five thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). <br /> The felony conviction for violation of this section shall require forfeiture of government <br /> employment within thirty days of conviction. <br /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, <br /> and AA15 <br /> ' (Agency Name) <br /> Signature: > �n(L . <br /> Typed Name: - KFiS�Y %n�cy <br /> Title: - <br /> Date: Time: Z;DO gn, <br /> cc: l'�Ll>ni C'fg <br /> _ 'p,4/5 "TSCP <br /> 04 dvage/t/ <br /> EH 22 013 (Rev. 2/90) i <br />