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G <br />H <br />MANDATORY CONTACTS <br />Public Health Services <br />of San Joaquin County <br />Environmental Health Division: ��,qr41/,L/A f O <br />(Contact Name) (Time (Date) <br />San Joaquin County / <br />Board of Supervisors:o y b' <br />(Contact Name) (Time) (Date) <br />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 <br />within the geographical area of his jurisdiction and who knows that such discharge or <br />threatened discharge is likely to cause substantial injury to the public health or safety must, <br />within seventy-two hours, disclose such information to the local Board of Supervisors and to <br />the local health officer. No disclosure of information is required under this subdivision when <br />otherwise prohibited by law, or when law enforcement personnel have determined that such <br />disclosure would adversely affect an ongoing criminal investigation, or when the information is <br />already general public knowledge within the locality affected by the discharge or threatened <br />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 <br />prison for not more than three years. The court may also impose upon the person a fine of <br />not less than five thousand dollars ($5,000) or more than twenty-five thousand dollars <br />($25,000). The felony conviction for violation of this section shall require forfeiture of <br />government employment within thirty days of conviction. <br />I. SIGNATURE DISCLOSURE <br />I make this report on behalf of all the <br />and kV n vim. ,,Ir L,26a�- 'JLI <br />Signature: <br />Typed Nar <br />Title: C-, V L)AImezn h L <br />Date: (ie-{, y /77Q <br />_ <br />of the County of San Joaquin, <br />cc: Z <br />/'Z, - s <br />EH 22 03 (Rev. 7/8'9)\ ���' <br />C � �1 �( Sca2l/� Cc S <br />3-4/02, <br />