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G . MANDATORY CONT. . _ <br /> San Joaquin County <br /> Local Health District : /�dil/ !�i}'li//✓07j / / <br /> ( Contact Name ) Time Oate <br /> San Joaquin County <br /> Board of Supervisors : �/✓ �'ffGO�i✓ / 5` �{/ J/�- <br /> Contact Name Time Date <br /> H . HEALTH AND SAFETY CODE 4 25180 . 7 . <br /> ( b ) Any designated government employee who obtains information to the <br /> co -se of his official duties revealing the illegal discharge or <br /> threatened illegal discharge or threatened illegal discharge of a <br /> hazardous waste within the geographical area of his jurisdiction and who <br /> knows that such discharge or threatened discharge is likely to cause <br /> substantial injury to the public health or safety must , within - <br /> seventy- two hours , disclose such information to the local Board of <br /> Supervisors and to the local health officer. No disclpsure of <br /> infoirmation is required under this subdivision when otherwise prohibited <br /> by law , or when law enforcement personnel have determined that such <br /> disclosure would adversely affect an ongoing criminal investigation . or <br /> when the information is already general public knowledge within the <br /> locality affected by the discharge or threatened discharge . <br /> ( c ) Any designated government employee who knowingly and intentionally <br /> fails to disclose information required to be disclosed under subdivision <br /> ( b ) shall , upon conviction , be punished by imprisonment In the county <br /> jail for not more than one year or by imprisonment in state prison for <br /> not more than three years . The court may also impose upon the person a <br /> fine of not less than five thousand dollars ( $ 5 . 000 ) or more than <br /> twenty- five thousand dollars ( $ 25 . 000 ) . The felony conviction for <br /> violation of this section shall require forfeiture of government <br /> employment within thirty days of conviction . <br /> I . SIGNATURE DISCLOSURE <br /> I make this report on behalf of all the designated employees of the <br /> County of San Joaquin , and the San Joaquin County Local Health District . <br /> and <br /> Agency Name <br /> n IL5 �5� Signature : <br /> Typed Name : <br /> Title : let Sr, <br /> Date : ?— az Time : <br />' i <br /> Revised 1187 <br />