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w +� <br /> / G. NANOATORY CONIACIS <br /> �f San Joaquin County (� <br /> Local Health District: Kos Vontact1: 7 3U /tom <br /> Contact Name —'�(-Time Oa[c <br /> San Joaquin County <br /> Board of Supervisors: <br /> Contact Name Time Date <br /> H. 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 /> information is required under this subdivision when othe prise 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 /> fails 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 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 ($5,000) or more than <br /> twenty-five thousand dollars ($25,000). The felony conviction for <br /> violation of this section shall require forfeiture of goverument <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 Name <br /> G" Signature: <br /> Typed Name: oaV:d Carts <br /> euRwq�B Title: 1`ea"s4cw+ ,l Sa';4 <br /> Do FES <br /> -fScp Date: Time: Ioroo 4 <br /> C' od,`f.. wa4cf StrVi ll— <br /> Revised 11-87 <br />