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C. MANDATORY CONTACTS Public Health Services of San Joaquin County Enviro=enral Heairh Divisio= &n'600"', (Conray Name) cr=e) (Dare) i San Joaquin Countyr - Board of Supe vis- ors: (�/I �(� C+� dt4 - / "✓� � (Conracr Name) Cry) (Dare) H. HEAL.T'rs AND SAFE= CODE S 25180.7. (b) Any designared govez-,u e r enmioyer who obtains im the course of his official duties reveaing the illegal discharge or t=_-arened _ o discharge of a Hazardous waste wirhin Lhe gecgraphical area of his jursdicdon and who km. d mr such dischary or t=rend discharge is ince.;y to cause suoszandai injury ro the public health or safe_ry must, within sevenry- two hours, disclose such informadon to the Iocal Board of Suaervsors and to the local health officer. No disclosure of information is r und`r this subdivision when otherwise prohibited by law, or when law enforcement pe-sonnei nave derma tsar such disclosure would adversely affect an ongoin; miaah invesM.aacn, or wnea the info=aticn is aiready general public knowledge nrirfiiT the Iocaiiry aiiecred by the discharve or 4_=arened dischar, (c) Amy desigaared gove=menr employe_ who kmwingiy and inr=ricmaily fails to disclose informadon wire^ to the aisciosed under subdivision ('Q} sh4 aeon conviction, be punished by irnprsonmenr in the counryjail for act more than one year or by impxisar P-+r in smte prison for nor more than three yew. The court may also inmcse anon the person a ane of nor less than ave thousand dollars (S5,000) or more dttar t'Nen y--five thousand dollars (S25,000). The felony conviction for violation of this section shah L _•' _ foff :rre of gover:'=e r loymenr within tbirry days (30) of convi=on. 1. SIGNATURE DISCLOSURE I make this reporr on behalf of all the designared employees of the County of San Joaquin, and (Ag=cy Name) Signature: c p Typed/Pr.nred Name: Tide: R E l_ s Dare: S — L9,-- '� e' Time: cc: 7 a SW=--PS#/SMZ CODE-: 9-:11 -7 �a L P Nq,/U-Kj CO v N RE'= TO: _r' 22 013 (Rev.4/91)