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G. MANDATORY CONTACTS <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division: 6h Vat( // 60 .1 I'i <br /> (Contact Name) (Time) (Dat,_; <br /> San Joaquin County <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 <br /> within the geographical area of his jurisdiction and who knows that such discharge or <br /> threatened discharge is likely to cause substantial injury to the public health or safety must, <br /> within seventy-two hours, disclose such information to the local Board of Supervisors and to <br /> the local 'health officer. No disclosure of information is required under this subdivision when <br /> otherwise prohibited by law, or when law enforcement personnel have determined that such <br /> disclosure would adversely affect an ongoing criminal investigation, or when the information is <br /> already general public knowledge within the locality affected by the discharge or threatened <br /> 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 <br /> prison for not more than three years. The court may also impose upon the person a fine of <br /> not less than five thousand dollars ($5,000) or more than twenty-five thousand dollars <br /> ($25,000). The felony conviction for violation of this section shall require forfeiture of <br /> government employment within thirty days of conviction. <br /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, <br /> and <br /> S (Agency Name) <br /> Signature: <br /> Typed Name: Re-'CLI-5 <br /> Title: HeA ifh S'Pecla tS <br /> Date: Time: C) <br /> cc: <br /> 14 SWEEPS/SITE CODE #: <br /> AO <br /> --FS C 17�� CONT. MFR: N <br /> REFERRAL To. <br /> EH 22 013 (Rev. 2/90) ------ <br />