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_ I <br /> G. MANDATORY CONTAL� 't C <br /> Public Health Services <br /> of San Joaquin County <br /> f Environmental Health Division: plot a I G <br /> j (Contact Name) (Tune) (Date) <br /> I San Joaquin County- <br /> Board <br /> ounty-Board of Supervisors: �Dn t ; ,, 1' y'y3• �,n ��� elf` <br /> (Contact Name)i` (Time) (Date). <br /> H. HEALTH AND SAFETY CODE S 25180.7. <br /> (b) Any designated government employee who obtains uiform,,tion in the course of his official <br /> dudes revealing the illegal discharge or threatened illegal discharge of a hazardous waste within <br /> the geographical area of his jurisdiction and who knows that such discharge or threatened <br /> discharge is likely to cause substantial injury to the publicl!health or safety must, within seventy- <br /> two hours, disclose such information to the Iocal Board of Supervisors and to the Iocal health <br /> officer. No disclosure of information is required under this subdivision when otherwise prohibited <br /> by law, or when law enforcement personnel have dere-mined that such disclosure would adversely <br /> affect an ongoing criminal investigation, or when the inforuLtion is already general public <br /> knowledge within the locality affected by the discharge or threatened discharge. <br /> (c) Any designated government employee who knowingly aria intentionally fails to disclose <br /> information required to the disclosed under subdivision (b) shall, upon conviction, be punished <br /> P n, P ed <br /> by imprisonment in the county jail for not more than one year oral,by imprisonment in state prison <br /> for not more than three years. The court may also impose upon the person a fine of not less than <br /> five 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 /> [. SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> it <br /> (Agency Name) 11. <br /> r <br /> Signature: <br /> Typed/Printed Name: <br /> Title: 7/- <br /> Date: <br /> Date: -zS- z Time: <br /> cc: /�A I /S C SWEEPS#/SITE CDDE#: <br /> CONMFRY N <br /> REFERRED FO: <br /> �e <br /> EH 22 013 (Rev.4/91) '' <br />