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O, alfi TA ONTA <br />Public Heafth Services <br />t <br />of San Joaquin County i�6m— <br />(Contact <br />Environmental Health Division: Name) <br />• <br />W--6 ZC16 f- 't <br />// '7•"o. /712L A, <br />(Time) (Date) <br />San Joaquin County <br />Board of Supervisors: <br />(Contact Name) (Time) (Date) <br />H. HEALTH AND SAFETY CODE S 25180-7. <br />(b) Any designated 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 to 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 the locality affected by the discharge or threatened discharge. <br />(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 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 DISCLOSURE <br />I make this report on behalf of all the designated employees of the County of San Joaquin, and <br />(Agency Name) <br />Typed/Printed Name: PAM V10 &e2T <br />Title: mil 1Q- E, t(• S <br />Date: q-2&-941 Time• 91,30 /It" <br />cc: &EZ Ei i— 075;5, <br />0/ 6114e 4--6 -1ST <br />EH 22 013 (Rev.4/91) <br />EPS /SITE CODE#: <br />CONMFR Y /f <br />REFERRED TO: N �� <br />