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& iVIAiNI DATORY CONTACTS <br /> Public Health Services of San Joaquin ntv <br /> Environmental Health Division: �''•-" <br /> (Contact Name) (Time) (Date) <br /> San Joaquin County 1 : 15AW / �1 <br /> Board of Supervisors: err... 6JJ c.l— - <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAFETY CODE 25180.7 <br /> b) Any designated government employee who obtains information in the course of his official duties <br /> revealing the illegal discharge or threatened illegal discharge of a hazardous waste within the <br /> geographical area of his jurisdiction and who knows that such discharge or threatened discharge <br /> is likely to cause substantial injury to the public health or safety must. within seventy-two hours, <br /> disclose such information to the local Board of Supervisors and to the local Health Officer. No <br /> disclosure of information is required under this subdivision when otherwise prohibited by law, or <br /> when law enforcement personnel have determined that such disclosure would adversely affect an <br /> ongoing criminal investigation, or when the information is already_ general public knowledge <br /> 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 by <br /> imprisonment in the county 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 fine of not less than five <br /> 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 make this report on behalf of all the si employees of the County of San Joaquin, and <br /> cvrl <br /> (Agency Name) <br /> Signature: <br /> Typed/Printed Name: - <br /> Title: <br /> Date: - 7 `e Time: _ <br /> cc: C1�vt -- �0 SWEEPS#/S1TE CODE#: <br /> C ONMFR Y/N <br /> REFERRED TO: <br /> si s 7 c-r <br /> -, ba",- , gszd 7 <br /> EH 22 013 (Rev. 08120/98) <br />