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G. MANDATORY CONTACTS �y— 03 5 <br /> Public Health Services <br /> of San Joaquin CountyD <br /> Environmental Health Division: �/ : Q m/ c <br /> (Contact Name) (Time) (Date) <br /> 1 San Joaquin County • 3� /� <br /> Board of Supervisors: <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE S 25180.7. <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 prohibited <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 than <br /> 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 /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> I <br /> GAJ <br /> Signature• _ <br /> 'I�ped/Printed ame• r � _ _ <br /> Title: S P2 f�' E <br /> Time• �°� <br /> cc: ' !d S' G SWEEPS#/SITE CODE#: _6,0 4f,?o 3 <br /> CONMFO N <br /> — REFERRED TO: R 00 G <br /> � o <br /> EH 22 013 (Rev-4/91) <br />