SITE INFORMATION AND CORRESPONDENCE

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G.. MANDATORY CONTACTS San Joaquin CountyY Local Health District: ' i t on act ame T "1e Date San Joaquin Count Board of Supehvisors: Contact ame Time Date' f H• HEALTH AND SAFETY CODE 5 25180.7; (b) Any designated government employee whoobtains information in the co: -se of his official duties revealing the illegal discharge or threatened illegal discharge or �t'hreatened illegal discharge of a hazardous waste within the geogreohical area of his jurisdiction and who i knows that such discharge or threatened discharge is likely to cause substantial injury to the publics.health or safety must, within seventy-two hours, disclose such. information to the local Board °f Supervisors and to the local health officer:: No disclosure of information is required under this subdivision when otherwise prohibited by law, or when law enforcement personnel have determined that such disclosure would adversely affectlan ongoing' criminai investigation, or when the information is already general public knowledge within the locality affected by the discharge or threatened discharge. (c) Any designated government employee who knowingly and intentionally fails to disclose information required to be' disclosed under subdivision'' (b) 'shall , upon conviction, be punished 'by imprisonment in the county Jail for not more than one year ori} by imprisonment in state prison for not more than three years. The court may also impose upon the person a fine of not less than five thousa'd dollars (55,000) or more than a twenty-five thousand dollars (;25;000). The ;felony conviction for violation of this section shall require forfeiture of government F l employment within thirty days of conviction. } I• SIGNATURE DISCLOSURE I make this report on behalf of alil: the designated employees of the County of San Joaquin, and the San ''Joaquin County Local Health District, and Agency Name Signature: ' Typed N 4 Title: t � 4 0 P2� Date: ;t Time: SL M S.T.(m• `' '' Revised "