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MANDATORY CONTACTS <br /> Public Health Services of San Joaquin County <br /> Environmental Health Division: rC,n.ap�2e.�ti— / 4 . 3 P �,,/ JUL '2 21" 3 <br /> (Contact Name) (Time) (Date) <br /> San Joaquin County 17 <br /> Board of Supervisors: (L l c�j / 'q ;3 0 f M / I _2 K: if <br /> (Contact Name) <br /> (Time) (Date) <br /> H. HEALTH AND SAFETY CODE 25180.7 <br /> b) Any designated government employee who obtains information in the course of his official duties <br /> revealing the illegal discharge or threatened illegal discharge of a hazardous waste within the <br /> geographical area of his jurisdiction and who knows that such discharge or threatened discharge <br /> is likely to cause substantial injury to the public health or safety must, within seventy-two hours. <br /> disclose such information to the local Board of Supervisors and to the local Health Officer. No <br /> disclosure of information is required under this subdivision when otherwise prohibited bw lay. or <br /> when law enforcement personnel have determined that such disclosure would adversely affect an <br /> ongoing criminal investigation, or when the information is already general public knowledge <br /> 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 b% <br /> imprisonment in the county jail for not more than one wear or by imprisonment in state prison for <br /> not more than three years. The court may also impose upon the person a fine of not less than five <br /> thousand dollars ($5,000) or more than twenty-five thousand dollars ($25,000). The felonv <br /> conviction for violation of this section shall require forfeiture of government employment within <br /> thirty days(30)of conviction. <br /> 1. SIGNATURE DISCLOSURE <br /> I make this report on ehalf of all the designated employee of the County, of San Joaquin, and <br /> i <br /> (Agency Name) <br /> Signature: <br /> Typed/Printed Name: <br /> Title: ; + <br /> Date: ' <br /> 0 3 Time: <br /> cc: SWEEPS#/SITE CODE #: <br /> 1X� � CONMFR Y/N <br /> REFERRED TO: <br /> i" <br /> EH 22 013 (Rev- 08/20/98) <br />