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G. MINDM ORY CORIACIS .. <br /> San Joaquin County {� <br /> Local Ilcalth District: <br /> Contact Nam Time —/ Date <br /> San Joaquin County v <br /> Board of Supervisors: <br /> Contact Name Tim) 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 discipsure of <br /> , information is required under this subdivision when otherwise prohibited <br /> oy 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 to 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 /> 1 . SIGNATURE DISCLOSURE <br /> 1 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 /> S+k., Signature: <br /> V 2w Qct <br /> Typed Name: Do.v;d t`a�ls <br /> Title: 1S� s+acd S� '+qJq <br /> Date: <br /> a isItk <br /> Time: 3 :;0 <br /> P. <br /> Revised 11-87 <br />