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y�I ✓ o�rna�otNVr E ,T WDlj .. - .L <br />AixaX <br />Q <br />G. MANDATORY CONTA _ r <br />�.a <br />Public Health Services <br />of San Joaquin County i <br />Environmental Health Division; 1 y- <br />fiC.bh act,N7 (Ti=ne) <br />1 San Joaquin County • Q <br />Board of Supervisors:Pf\ a. -` - <br />(Contact Name)'(Time) r <br />H. HEALTH AND SAFETY CODE S 25180.7. <br />(b) Any designated government employee who obtaim uzformation in the course oaf his oggdal <br />duties revealing the illegal discharge or threatened ills <br />gal. dis -� _-_r-= <br />charge of a hazar" <br />dous e-, <br />the the geographical area of his jurisdiction and who knows that such dischjrge�or "tti <br />discharge is likely to cause substantial injury to the publichealth or safety must"within`;`sey nty. <br />two hours, disclose such information to the local Board of Supervisors and tos'the--:local h alth <br />officer. No disclosure of information is required under this'subdivision when otherwise proluNied } <br />by law, or when law enforcement personnel have determined that such disclosure would adve seI - <br />affect an ongoing criminal investigation, or when the information is already ' gene=a1` publi <br />knowledge within the locality affected by the discharge or threatened discharge <br />(c) Any designated government employee who knowingly and intentionally fails to drsclose' <br />information required to the disclosed under subdivision (l) shall, upon conviction, be piinishid'� *"o <br />by imprisonment in the county jail for not more than one year or by imprisonment in state prison,l <br />k for not more than three years. The court may also impose upon the person a fine of not less than' <br />five thousand dollars ($5,000) or more than twenty-five thousarnd dollars ($25,000). -The felony <br />conviction for violation of this section shall require forfeiture of government employment within': <br />thirty days (30) of conviction. ' <br />; <br />4 <br />I. SIGNATURE DISCLOSURE <br />I make this report on behalf of all the designated employees of the County of San Joaquin, and x <br />Signature:_ I y <br />Typed/Printed Name: <br />Title: 5e.4n t o -r <br />Date•i � `4i1 <br />EH 22 013 (Rev.4/91) <br />(Agency Name) ` <br />s <br />ne: 3 0 a f'^ <br />SWEEPS SITE CODE#: - <br />CONMF jY N <br />REFERRED TO:' <br />