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G. HA IMORY CON1AM <br /> San ,Joaquin County <br /> Local Ilealth District: t7 <br /> Contact Name Time Oate <br /> San Joaquin County <br /> Board of Supervisors: k <br /> Contact Name Time Date <br /> li. HEALTH AND SAFETY CODE 4 25180.7. <br /> (b) Any designated government employee who obtains information in the <br /> co -se of his official duties revealing the illegal discharge or <br /> threatened illegal discharge or threatened illegal discharge of a <br /> hazardous waste within the geographical area of his jurisdiction and who <br /> knows that such discharge or threatened discharge is likely to cause <br /> substantial injury to the public health or safety must. within <br /> seventy-two hours. disclose such information to the local Board of <br /> Supervlsnrs and fa tlr+t lnr.l lw nlih of: <br /> Inroarrnation Is r:quIred under this subdivision when othcrwiseprohibited <br /> by law. or when law enforcement personnel have determined that such <br /> disclosure would adversely affect an ongoing criminal investigation, or <br /> when the information is already general public knowledge within the <br /> locality affected by the discharge or threatened discharge. <br /> (c) Any designated government employee who knowingly and intentionally <br /> falls to disclose information required to be disclosed under subdivision <br /> (b) shall . upon conviction, be punished by imprisonment to the county <br /> jail for not more than one year or by imprisonment in state prison for <br /> not more than three years. The court may also impose upon the person a <br /> fine of not less than five thousand dollars (15.000) or more than <br /> twenty-five thousand dollars (125,000). The felony conviction for <br /> violation of this section shall require forfeiture of government <br /> employment within thirty days of conviction. <br /> I . SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the <br /> County of San Joaquin. and the San Joaquin County Local Health District. <br /> and <br /> Agency Na�mme <br /> CCI �)�{S/TSC1� Signature: :/'1 �J 'T� <br /> C Pu3p Typed Name: <br /> Time: <br /> r�� � I <br /> 1'.II 22 03 ( Rev. 11 /87) - <br />