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G, MANDATORY <br /> F <br /> j <br /> Public Health Services <br /> f Sari Joaquin County <br /> Environmental Health ivision: 1 _ <br /> (Contact NT (Date) <br /> Saxe Joaquin County, <br /> Board of Supervisors: <br /> (Contact a (Date) <br /> flw HEALTH E CODE S 25180.7. <br /> b y designated o rx nt employee whoobtains information ° the course of Ins official <br /> duties s revealing the illegal discharge or threatenedillegal discharge of a hazardous waste within <br /> the geographical area of his jurisdiction and whos that such discharge or threatened <br /> discharge is likely to cause substantial injury to the public health or safety t within seventy- <br /> two <br /> hours, disclose such $ tion to the local Board of Supervisors and to the local health <br /> officer, No disclosure of information is required under this subdivision hers otherwise prohibited <br /> y law, or when law enforcement personnel have determined that such °solos e would adversely <br /> affect an ongoing rl .n investigation, car when the information is already general public <br /> knowledge 't ' the locality ted by the discharge or threatened discharge. <br /> Any designated gave gent employee who knowingly and intentionally fails to disclose <br /> information required to the disclosed under subdivision b shall, upon conviction, be punished <br /> by imprisonment in the countyjail for not more than one year r by g prise et in state prison <br /> for not more than three years. The court may also impose upon the person a fine of not less than <br /> five thousand doll , or more than twenty-five thousand dollars 25,000). The felony <br /> conviction for violation of this ect n shall require forfeiture of governnient employment within <br /> thirty days 3 of conviction. <br /> 1. SIGNATURE DISCLOSURE <br /> 1 make this report or behalf of all the designated loees of the Countyof San Joaquin, and <br /> (Agency e <br /> Signature.- <br /> Typed/PrintedName.- <br /> Title: <br /> a e" tle <br /> Date: <br /> rSWE <br /> "p t <br /> ta f lion CONWR Y/0 <br /> REFERRED TO: <br /> EH 22 1 Re . 1 <br />