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ti <br /> G. t MANDATORY CONTACT <br /> Public Health Services <br /> of San Joaquin County <br /> Environmental Health Division: v,{� � 57 • `� y / ? <br /> (Contact Name) (Time) (Date) <br /> 1 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 within . <br /> the geographical area of his jurisdiction and'who knows that such discharge or threatened <br /> discharge is likely to cause substantial injury.td the public health or safetymust, within seventy- <br /> two <br /> eventytwo 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 j <br /> conviction for violation of this section shall require forfeiture.of government employment within <br /> thirty days (30) of conviction. <br /> j <br /> I. SIGNATURE DISCLOSURE <br /> T make this report on behalf of all ,the.designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> Signature: <br /> Typed/Printed Name: <br /> Title: <br /> Date: x rr Time: <br /> cc: �f�5 r SWEEPS#/SI'T'E CODE#: 3�GI <br /> GVv4� rf n 1� CONMFRdl'� N <br /> REFERRED TO: I <br /> EH 22 013 Rev.4/91 <br /> 4 a : <br />