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T,1C. MANDATORY CONTA6_-. <br /> ? blic Health Services <br /> of San Joaquin County <br /> Environmental Health Division: cru, /.VO <br /> (Contact Name) (Time (Date) <br /> 1 San Joaquin County p <br /> Board of Supervisors: let� / /-, /of/Jr / v 3—A <br /> (Contact Name) (lime) (Date) <br /> H. HEALTH AND SAFETY CODE S 25180.7. <br /> (b) Any designated government employee who obtains information in the course of his official <br /> duties revealing the illegal discharge or threatened illegal discharge of a hazardous waste within <br /> the geographical area of his jurisdiction and who knows that such discharge or threatened <br /> discharge is likely to cause substantial injury to the public health or safety must, within seventy- <br /> two hours, disclose such information to the local Board of Supervisors and to the local health <br /> officer. No disclosure of information is required under this subdivision when otherwise prohibited <br /> by law, or when law enforcement personnel have determined that such disclosure would adversely <br /> affect an ongoing criminal investigation, or when the information is already general public <br /> knowledge within the locality affected by the discharge or threatened discharge. <br /> (c) Any designated government 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 county jail for not more than one year or by imprisonment 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 dollars ($5,000) or more than twenty-five thousand 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 /> i. SIGNATURE DISCLOSURE <br /> I m this report on behalf of all the designated emplo ees �nCf th/e/(��unty of San Joaquin, and <br /> �ak mac �!-�_�✓�YtrnN.e."�z !� �-L/1n c�iV'byGT+ <br /> / <br /> (Agency Name) <br /> Signature: <br /> Typed/Printed 1.Name: i <br /> Title: � _ ndca� �z ,inn a / -�/ke�s �n (L <br /> Date: /o—s- ti Time: f/ : n A' /-?-/I . <br /> cc: C_ - SPA- _0 Ts SWEEPS#/SITE CODE#: <br /> (l Q CGxs CONMFR Y/0 <br /> REFERRED TO: <br /> Eli 22 013 (Rev.4/91) <br />