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G <br />H <br />I. <br />G <br />MANDATORY CONTACTS <br />Public Health Services of San Joaquin County <br />11 <br />Environmental Health Division: -� n (l L L� C <br />(Contact Name) (Time) (Date) <br />San Joaquin County <br />Board of Supervisors: r', o n BLU ALC <br />(Contact Name) (Time) (Date) <br />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 law, 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 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 felony <br />conviction for violation of this section shall require forfeiture of government employment within <br />thirty days (30) of conviction. <br />SIGNATURE DISCLOSURE <br />I make this report on behalf of all the designated employees of the County of San Joaquin, and <br />Signature: <br />Typed/Printed Name: L <br />Title: C-1 <br />(Agency Name) <br />10 <br />Date:—P- P3 --Cl� I Time: 04, Q (i <br />cc: (-I <br />EH 22 013 (Rev. 08/20/98) <br />SWEEPS#/SITE CODE #: 1�1 B GC1 <br />CONMFR Y / N <br />REFERRED TO: L�JA tf L,( <br />