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G. MANDATOR- 00,ACSG. -)/(, <br /> Public Health Services <br /> of San Joaquin County ' . " 3 <br /> Environmental Health Division: <br /> (Contact Name) (Time) (Date) <br /> San Joaquin County <br /> Y <br /> Board of Supervisors: 3 - S�7 <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 <br /> duties revealing the illegaldischarge or threatened illegal discharge of a hazardous waste <br /> within the geographical area of his jurisdiction and who knows that such discharge or <br /> threatened discharge is likely to cause substantial injury to the public health or safety must, <br /> within seventy-two hours, disclose such information to the local Board of Supervisors and to <br /> the local health officer. No disclosure of information is required under this subdivision when <br /> otherwise prohibited by law, or when law'enforcement personnel have determined that such <br /> - disclosure would adverselyaffect <br /> an ongoing criminal investigation, or when the information is <br /> already general public knowledge within the locality affected by the discharge or threatened <br /> discharge. ` <br /> E (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 <br /> by imprisonment in the county jail for not more than one year or by imprisonment in state <br /> prison for not-more than three years. The court may also impose upon the person a fine of <br /> not less than five thousand dollars ($5,000) or more than twenty-five thousand dollars <br /> ($25,000). The felony conviction for violation of this section shall require forfeiture of <br /> -- government employment within thirty days of conviction. <br /> I. SIGNATURE DISCLOSURE <br /> I make this report on behalf.of all the designated employees of the County of San Joaquin, <br /> •and_. .. . .- yN s— t y <br /> (Agency Name) <br /> Signature: -> �c -nom /lam <br /> Typed Name: <br /> Title: <br /> Date: Time: <br /> - <br /> C re cu o c,/, <br /> EH 22 03 (Rev. 7/89) S SPH 5 <br /> Dohs Tscv <br />