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G <br />H. <br />MANDATORY CONE 7ACTS <br />Public Health Services of San Joaquin County <br />Environmental Health Division. DOI",V', C, ` OCT 2 2 <br />rjN <br />S J C (Contact Name) (Time) (Date) <br />an oaquin ount� <br />Board of Supervisors: VZO V., PI -1 R V-1 / 0 <br />(Contact dame) (Tim) (Date) <br />HEALTH AND SAFETY CODE 25180.7 <br />b) Anv designated government employee �vho obtains information in the course of his official duties <br />revealing the illegal discharge or threatened iIleQal discharge of a hazardous waste within the <br />geographical area of his jurisdiction and who knows that such discharge or threatened discharge <br />is likely to cause substantial injury to the public health or safety must within seventy-two hour, <br />disclose such information to the local Board of Supervisors and to the local Health Officer. No <br />disclosure of information is required under this subdivision when otherwise prohibited by law. or <br />when law enforcement personnel have determined that such disclosure would adversely affect an <br />ongoing criminal investigation, or when the information is already general public knowledge <br />within the locality affected by the discharge or threatened discharge. <br />C) Anv designated government employee who knowingly and intentional(v fails to disclose <br />information required to the disclosed under subdivision (b) shall, upon conviction, be punished by <br />imprisonment in the count.,' jail for not more than one year or by imprisonment in state prison for <br />not more than three vears. The court may also impose upon the person a tine of not less than five <br />thousand dollars ($5.000) or more than twenty-five thousand dollars (525.000). 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 />(Agency Name) <br />Signature: cc- AA I#--- <br />Tvped/Printed Name: o I p )NDN <br />Title: �ekn\xn YZ�l�S <br />Date: Lo 1 -2,2--(95 Time: <br />EH 22 0la (Rev. 03/20/98) <br />SWEEPS#/SITE CODE f: Sb �s-�S,{ �? <br />C ONiti1FR Y / N <br />REFERRED TO:_ <br />