SITE INFORMATION AND CORRESPONDENCE

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G. MANDA:'ORY CONTACTS ,E' Q 7 _ 0a Public Hegth Services �! ppll y of San Joaquin County Environmental Health Division: � / (Contact Name) (Time) (Date) 1 San 3oac urn County /c ��/� / ; �5�• AD Board of Supervisors: Tune) (Date) (Contact Name) H. HEALTF AND SAFETY CODE S 25180.7. (b) Any designated government employee who obtains information in the course of his official duties revealing the illegal discharge or threatened illegal discharge of a hazardous waste within d who knows that such discharge or threatened discharge the discharge is likely to cause substantial injury to the public health or safety must, within seventy- two hours, disclose such information to the local Board of Supervisors and to the local health officer. 4o 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 affect an ongoing criminal investigation, or when the information is already general public knowle&ge within the locality affected by the discharge or threatened discharge. (c) ArY7 designated government employee who knowingly and intentionally fails to disclose informadon required to the disclosed under subdivision (b) shall, upon conviction, be punished by imprsonment in the county jail for not more than one year or-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 tho-rsand dollars (55,000) or more than twenty-five thousand dollars ($25,000). The felony conviction for violation of this section shall require forfeiture of government employment within thirty days (30) of conviction. I. SIGNA'T'URE DISCLOSURE I make this report on behalf all the designated employees of the County of San Joaquin, and &V V k�lw MOT (Agency Name) Signatt:re: Typed/Printed Name: Title: _ S�rojz��s Date: Time: cc: i SWEEPS#/SITE CODE#: CONMFR Y/ N REFERRED TO: EH 22 013 (Rev-4/91)