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gg_ r(4 o G- MANDATORY CONTACTS San Joaquin County �y Local Health District: Contact Name rime to San Joaquin County Board of Supervisors: VZ/l/C/ ' .Zo Contact Name (° �G Time Da e H• HEALTH AND SAFETY CODE § 25180.7. (b) Any designated government employee who obtains information in t co -se of his official duties revealing the illegal discharge or he threatened illegal discharge or threatened illegal 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. information is required under this subdivisionNwhensotherwisefprohibited by law. or when law enforcement personnel have determined that such disclosure mould adversely affect an ongoing criminal investigation, or when the information is already general public knowledge within the. locality affected by the discharge or threatened discharge. (c) Any designated government employee who knowingly and intentionally fails to disclose 'information required to be disclosed under subdivision (b) shall , upon conviction, be punished b i ,fail for not more than one year or by imprisoonmentninnstatetprisonnfor not more than three years. The court may also impose upon the person a fine of not less than five thousand dollars ( 5,000) or more than twenty-five thousand dollars ($25.000). The felony conviction for violation of this section shall require forfeiture of government employment within thirty days of conviction. I. SIGNATURE DISCLOSURE I make this report on behalf of all the designated employees of the County of San Joaquin, and the San Joaquin C and ounty Local Health District. Agency Name 0- Zo Signature: D061 `(.lines �,,.!►� Typed Name: ( Title: Date: --------------4 /6 - Time: •� EH 22 03 (Rev. 11`/87)