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�dn JOAqutn (.aunty <br /> Local Health Utstrtct: kpqco- (no�=r /_ �� - 17 s1 <br /> ntact Namd 7a Oate <br /> San Joaquin County <br /> Board of Supervisors: Kem cd dUJln <br /> Contact Name Time Date <br /> N, HEALTH AND SAFETY CODE 4 25180.1. <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 information to the local Board of <br /> Supervisors and to the local health officer. No disclpsure of <br /> information 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 (SS.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 /> 1 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 /> Ole- C <br /> c4_00cze-gsignature: o r� �LG�,•--�" <br /> po�s Typed Name: �orlrlCL. l7e-r-ah <br /> Title: -5e--n.;o r /Zea 5 I� -11,1� -1 a'✓t <br /> Date: 12- 17- 87 Time: 3;00p.✓Yl <br /> Revi sed 11-87 <br />