SITE INFORMATION AND CORRESPONDENCE

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G. MANDATORY CONTAC'T'S , 'c Health Services ? , public ` of San Joaquin County ��' Environmental Health Division: ►< '� '` z ` ''�' (Time) (Date) (Contact Name) 1 San Joaquin County" k �� ( �,`,� i�:a� �.,„. / (/�—LL - San of Supervisors: (Date) (Contact Name) (Time) ( H HEALTH AND SAFETY CODE S 25180.7. designated government employee who obtains information in the course of his official (b) Any duties revealing the illegal discharge or threatened illegal discharge of a hazardous waste within the geographical area of his jurisdiction and who knows � rsatyg ° discharge is likely to cause substantial injury to the public health e � of mpv �seventy- t wo hours, disclose such information to the local Board of Supervisors and o the local wise of bate th officer. No disclosure f information ave undered ermined that such disclosure would adversely bylaw, or when law enforcement affect an ongoing criminal investigation, or when the is already general p knowledge within the locality affected by the discharge designated government employee who knowingly and intentionally fads to shed se (c) Any gn on conviction, be p information required to the disclosed n d mo ebb one(year or by imprisonment instate prison by imprisonment in the county jail for impose upon the person a fine of not less than for not more than three years. The court mai also five thousand dollars ($25,000). The felony five thousand dollars ($5,000) or more than twenty- loyment within conviction for violation of this section shall require forfeiture of government emp thirty days (30) of conviction. I• SIGNATURE DISCLOSURE ort on behalf of all the designated employees of the County of San Joaquin, and I make this rep Ah •�`�,��' (Agency Name) �� cT Signature: Typed/Printed N e: �� z/�� c%�s TS C SWEEPS#/SITE CODE#: cc: CONMFR Y el REFERRED TO: EH 22 013 (Rev.4/91)