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J ,r� <br /> (.. MAN DA101?Y C-OUTACP) <br /> San Joaquin (;aunty <br /> Local I1ralth District: �� 1 a• �'vP�f� yl��� <br /> COntdCt Namc _TTime Da[e <br /> San Joaquin County <br /> Board of Supervisors: <br /> Contact Name Time +Date <br /> I{• HEALTH AND SAFETY CODE § 25180.1. <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 nicely 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. Ho disclpsure of <br /> 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 /> fails to disclose information required to be disclosed under subdivision <br /> (b) shall . upon conviction. be punished by Imprisonment in the county <br /> ,fail 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 (15.000) 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 /> I . SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the <br /> County of San JTA�q�e <br /> uin, and the San Joaquin County Local Health District. <br /> and z <br /> ty Name <br /> ' <br /> Si natur <br /> g c. ��Vez�_��z <br /> aIyped Name: 1q,PYL/� IND L�— <br /> �".J title: ) <br /> Date: G <br /> t t me: <br /> Revised 11-87 <br />