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G. MANDATORY CONTACTS <br /> Public Health Services of San Joa 4 n y <br /> Environmental Health Division: 6yL{/jja/j � � <br /> / 10:aD A-M./JAN � <br /> San Joaquin County (Contact Name) (Time) (Date) <br /> Board of Supervisors: RIM ba 0 / IU:n 8.m./ JAN <br /> (Contact Name) (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 by 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 by <br /> imprisonment in the county jail for not more than one year 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 /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> �V1 /✓DYL fnlUl S) -� <br /> (Agency Name) <br /> Signature: <br /> Qhxy� <br /> Typed/Printed Name: 741� {� (,{� b�D ok <br /> Title: } S <br /> Date: / Time: I I-QQ AM <br /> cc: �, <br /> �► ������ - � SWEEPS#/SITE CODE #:ARQZ_3I Zo <br /> CONMFR Y/N �A 000?19W+ <br /> REFERRED TO: 1 aI <br /> EH 22 013 (Rev. 08/20/98) <br />