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J <br /> JRAUDAIORY CUNIACIS <br /> Seri Joaquin County ) <br /> Local Mealth District: `. _l0" �r <br /> Contact Name Time Date <br /> San Joaquin County <br /> Board of Supervisors: <br /> Contact Name Time Date <br /> 1{. 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 dlsclpsure of <br /> r information is required under this subdivision 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 /> 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 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 government <br /> employment within thirty days of conviction. <br /> ! _ 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 /> Signature: 1 <br /> Typed Name: ea�,p �Jls <br /> Title: 4 av,� oH <br /> l <br /> Date: Time: c{:cXD <br /> Revised <br />