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G. MANDATORY cONrAM / Public Health Services of San Joaquin County Environmental Health Division» (Contact Name) (Time) (Date) 1 San Joaquin County- Board ounty�� q Board of Supervisors: �/` (Contact Name) Cry) (Daze) H. HEAL?-ri AND SAFETY CODE S 25180.7. (b) Any designated government employer who obtains information in the course of his official dudes revealing the illegal discharge or threatened iliegal discharge of a hazardous waste within the geographical area of his jurisdiction and who knows that such discharge or threatened discharge is likely to cause substantial injury to the public health or safety must, within seventy- two hours, disclose such information to the local Board of Supervisors and to the local health officer. No disclosure of informadon is required under this subdivision when otherwise prohibited by law, or when law eoforcemenr personnel have detenined that sucz disclosure would adversely affect an ongoing aiTrinal investigation, or when the information is already general public Iciowledge within the locality affected by the discharge or threatened discharge. (c) Any designated gove-mme it employee who imowingly and intentionally fails to disclose infor_.�ation required to the disclosed under subdivision (b) shall, upon convicricn, be punished by imprisonment in the county jail for not more than one year or by imprisonment in state prison for not more than d=e-- ws ye . The court may also impose upon the person a fine of not less than. five thousand dollars ($5,000) cr more than twenty--five thousand dollars ($25,000). The felony conviction for violadon of this section shall require forfeiture of govmPnt employment within thirty days (30) of convicdon. I. SIGNATURE DISCLOSURE I make this report ca behalf of all the designated employees of the County of San Joaquin, and CAg=cy Name) Signature: T�jped/Printed Name: -� Title: Date: Time: cc: CAL �r4- /�.T_S'-�' . SWEEPS#/SITE CODE#: IA TO: EH 22 013 (Rev.4/91)