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G• 1'IAMWORY CONTACT; <br /> / San Joaquin County <br /> Local Heal ch District: <br /> Contact Name -Time Date <br /> San Joaquin County <br /> Board of Supervisors: <br /> Contact Name T 1 Oa te� <br /> IT. itEALTH AND SAFETY CODE 4 25180.7. <br /> (b) Any designated government employee who obtains information in 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 informatlon to the local Board of <br /> Supervisors and to the local health officer. No disclpsur,� of <br /> info•rmatlon is required under this subdivision when othcrwlse 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 /> falls 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 (15.000) or more than <br /> twenty-five thousand dollars (125.000). 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 /> Signature: <br /> r <br /> Typed Name: �IJi2Lltj Kc.'Ot.t— <br /> GV <br /> Title: S <br /> Date: ��%��j Time: �• �?Jj� =�, <br /> Ell 22 03 ( !'.uv . 11 'n7 ) <br />