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- x <br /> G. MANDATORY CONTACTS , <br /> Public Health Services <br /> .of San Joaquin County ? ` <br /> / -7//7 R <br /> Environmental Health Division: � o �U � / 2 c <br /> Li (Confa'e`Nani ) (Time) (Date) <br /> 1; San Joaquin County, <br /> rBoard.of Supervisors: <br /> -. _ . (Contact Name) (Time) - (Date) <br /> -H. 'HEALTH AND SAFETY CODE-S 25180.7. <br /> ­(b) Any designated government-employee who obtains i formation ui the course of his official <br /> ditties`revealing the illegal discharge or threatened illegal discharge wof 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 t6the public_ health or safety must,`within severity- <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 prolut�ited <br /> by law or when law enforcement personnel have determined that such disclosure would adversely <br /> affect_an ongoing criminal investigation, or when file u�formarion is, already,general public <br /> knowledge within the localityffectedlbyt'the-discharge'orthreatened discharge. , ; F <br /> _(e) .Any designated government employee who knowingly and intentionally fails r to disclose <br /> r r� information required to the disclosed under subdivision'(b).shall; upon conviction, be punished <br /> by imprisonment in the county jail for'no't 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 line of.not less than ' <br /> y five thousand dollars ($5,000) or more than twenty=five 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 /> j I. .% SIGNATURE DISCLOSURE <br /> I make t 's report on behalf of all`the designated employees of the County of San Joaqui , and <br /> (Agency Name) <br /> 7 'Signature: <br /> " Typed/Printed.Name: .7` i�VFz(ev <br /> ” Title:"= R , . <br /> "f <br /> ;. <br /> Date: ' <br /> cc C�/�wQ� 'SWEEPS#/SITE CODE#: �`//z.5 2 y.�o <br /> CONMFR3Y%,'N �+ <br /> d ti <br /> 'REFERRED TO: z. .x-rrr " <br /> r <br /> FH 22 013 (Rev.4/91) <br /> l <br />