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s 5�0 / G. MANDATORY CONTA Public Health Services of San Joaquin County ,- EnvironmentalHealtbDivision: AaI ti (Contact Name) � Mme) VDate) San Joaquin County Board of k191 1A) (Contact Name) (Time) (Date) H. HEALTH AND SAFETY CODE S 251$07. (b) Any designated government employee who obtains information in the course of his official duties revealing the illegal discharge or threatened illegal discharge of a b4za, rdous waste within the geographical area of his jurisdiction' and who kngwsjftt:sucb Adischarge or threatened discharge is likely to cause substantial injury to the public hoalt .orsafety angst,,within seventy- two hours, disclose such information to the local Board of S�pervis6ii and to the local health officer. No disclosure of information is required under t�►is 5ubdi ',,ion whoWothe iso prohibited by law, or when law enforcement personnel bgvu dote. nod that such disclosure would adversely affect an ongoing criminal investigation, or when the inforrnatinn is already general public knowledge within the locality affected by the discharge or threatened discharge. (c) Any designated government employee who knowingly Wd lntcntionally fails to disclose information required to the disclosed under subdivision (b� Sa lie upon conviction,be punished by imprisonment in the county jail for not Marc than one year or byJaiprisoamcat in state prison for not more than three years. The court may also impose upon the peen a One of not less than five thousand dollars ($5,000) or more than twonty*five thousand dollars ($25,000). The felony conviction for violation of this section shall require forfeiture of government employment within thirty days of conviction. I. SIGNATURE DISCLOSURE I make this report on behalf of all the designated employees of the County of San Joaquin, and e S ( ency Mame) Signature: Typed Name: Title: S. Date: i d Time: cc: N S EH 22 013 (Rev. 2/90)