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7Ll- /C- <br /> G. <br /> CG. MANDATORY CONI AC <br /> Public Health Servic s <br /> of San Joaquin Coujity <br /> Environmental Heal Division: ( °i'Zi'l( � <br /> (Contact Name) (Tune) (Date) <br /> 1 San Joaquin CountY <br /> Board of Supervisors: `�— <br /> (Contact Name) (Time) (Date) <br /> H. HEALTH AND SAF TY CODE S 25180.7. <br /> (b) Any designate government employee who obtains information in the course of his official <br /> duties 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 t cause substantial injury to the public health or safety must, within seventy- <br /> two hours, disclose such information to the local Board of Supervisors and to the local health <br /> officer. No disclosure of information is required under this subdivision when otherwise prohibited <br /> by law, or when law enforcement personnel have determined that such disclosure would adversely <br /> affect an ongoing criminal investigation, or when the information is already general public <br /> knowledge within i he locality affected by the discharge or threatened discharge. <br /> (c) Any designat d 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 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 /> I. SIGNATURE DISC OSURE <br /> I make this report on behalf of all the designated employees of the County of San Joaquin, and <br /> (Agency Name) <br /> Signature: <br /> Typed/Printed N e: ' <br /> Title: <br /> Date: — - Time: '�) <br /> cc: c SWEEPS#/SITE CODE#:OK- <br /> CONMFR Y 'o <br /> S C <br /> JTS C D. REFERRED TO: <br /> EH 22 013 (Rev.4/91) <br />