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G: MANDATORY CONTACT <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division: bwx t�tRbJ o Z3"R <br /> (Contact Name) (Time) (Date) <br /> • a i <br /> 1 San Joaquin County <br /> Board of Supervisors: ftD� . i10 / ra ?ZA,., / VQ- <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODES 25180.7. — '~ •- y _ <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 proltibited <br /> by law, or when law enforcement personnel have determined that such disclosure would adversely <br /> affect an .ongoing criminal investigation, or when the information is already general public <br /> 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 prison <br /> for not more than three years: The court may also impose upon the person a fine of not less thani. <br /> five thousand dollars ($5,000) or more than twenty-five thousandlidollars ($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 /> I. SIGNATURE DISCLOSURE 1 <br /> I make this report on behalf ofallthe designated employees of the County of San Joaquin, and <br /> SPN SOedQJw GuVxJ1�'I E1�V12,Gtnvr]NC&+— Nct'7��-114 �in5i /�u <br /> t (Agency Name) <br /> Signature: �,,,,�.LcLL <br /> Typed/Printed Name: 1 A.Fh..D V3 . Za. re 1C " <br /> Title: ?;rfat� �� i-wgdr mgu 1k aw, 5vrzi�iu`� <br /> Date: Time: it):1,7 /ko <br /> cc: �KYI ( QYa SWEEPS#/SITE CeODE#: <br /> CONMFRN ? <br /> REFERRED TO: Ji <br /> EH 22 013 (Rev.4/91) <br />