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04 —623 <br /> G AVWRY CONTACTS <br /> APR — 9 2004 <br /> Y' M lF - r N!. l '' <br /> Scan Joaqu� m County <br /> Environmental Health Department: _6A 114- OM <br /> (Contact Name) (Time) (Date) <br /> San Joaquin County APR 9 2004 <br /> Board of Supervisors: _/ZO►J 3q �� Vw/l,A /(0: /9 61 MJ <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 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 casue 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 under this subdivision when otherwise prohibited by law, or when law <br /> 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 /> 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 by <br /> imprisonment in the county j ail 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 make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> 'n (Agency Name) <br /> Signature: "" — <br /> Print Name: Z Myhd Vr^ Pk-t--' Title: ie-F. o <br /> Date: 10(4 Time: G(" 0 A' Rm <br /> SITE CODE #: <br /> CC: - if 2 W L <br /> t) <br /> Referred To: <br /> EHD 22-02.003 Notification of Haz Discharge <br /> 10/2/2003 <br />