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4 <br /> MANDATORY CONIACI, <br /> 11/�q_ San Joaquin Count I// J <br /> �IIII J�/ local Ilea lth District: <br /> ,ICc. M/ <br /> Contact Name)- <br /> ame <br /> TTiMCI pate <br /> San Joaquin County <br /> Board of Supervisors: <br /> Contact Name Time Date <br /> If. 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 /> Supervisors and to the local health officer. No disclpsure of <br /> lnformatlon is required d.der this subdlv'tsion when otherwise prohibited <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 /> i falls to disclose information required to be disclosed under subdivision <br /> (b) shall , upon conviction, be punished by imprisonment in the county <br /> jail for not more than one year or by imprisonment to 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 ($5.000) or more than <br /> twenty-five thousand dollars ($2S,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 /> /}^�� 7*- Agency Name <br /> �f3 CL�a 2cz <br /> slr\J apt\,U'W ev- Typed Name: <br /> 0%rL`a(�isI <br /> Title: <br /> Date )g Time: <br /> f Revised 11-87 <br />