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1 San Joaquin County <br />Board of Supervisors (Contact Name) (Time) (Date) <br />Signature: <br />Typed/Printed. Name: <br />Tide: <br />Dare: <br />C. MANDATORY CONTACTS <br />Public Health Services / iN_--- <br />of San Joaquin County h i; <br />---) <br />Environmental health Division: :,v, IN11 :7 ./1' I 4 2- „Y-) / - i '`)- ci1(..;; c.) <br />(Contact Name)(Time) (Date) <br />H. HEALTH AND SAFETY. CODE S 25180.7. (b) Any designated governmit employee who obtains information in the course of his official <br />dudes revealing the illegal discharge or threatened illegal disc-LTA-7e of a Hazardous waste within <br />the geogaphical area of his jurisciicdon and. who 1 .ows that such discharge or threatened <br />discharge is likely to cause substandal injury to the public health or safety must, wir1 <br />,4 r seventy- <br />two Hours, disclose such infonnadon to the local Board of Supervisors and to the local health <br />officer. No disclosure of information is required under this subdivision when odierwise prohibited <br />by law, or when law enforcement personnel have determined that such. disclosure would adversely <br />affect an ongoing aiminal invesdgation, or when. the information is already general public <br />knowledge within the locality affected by the discharge or threatened easel-large. <br />(c) Any designated government employee who •=owingly and intendonally falls to disclose <br />inforniadon required to the disclosed under subdivision CD) shall, upon conviction, be punished <br />by imprisonment in the county jail for not more than cne year or by imprisonment in state prison <br />for not more than three years. The court ay also impose upon the person a fine of not less than <br />Eve thousand dollars (55,000) or more than twenty-Eve thousand dollars (525,000). The felony <br />conviction for violation of this seodon shall require forfeiture of government employment <br />within <br />thirty days (30) of convicdon. <br />t. SIGNATURE DISCLOSURE <br />I make this report on behalf of all the designated employees of the County of San Joaquin, and <br />(Agency Name) <br />CC: Ku) Cca (7R/t k) <br />CL EPA(r( <br />SWEEPS-it/Slit. CODEFA: ,,A3f 7-5? <br />CONMFCYV N <br />REFERRED TO: Lo P va -771- <br />EH 22 013 (Rzv.4/91)