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tiA <br /> NOATORY COUTACI``) <br /> C .� <br /> San Joaquin County <br /> - <br /> local ficalth District : <br /> Contact Nam ' <br /> c <br /> San Joaquin / rimer/ Date <br /> Board oCounty <br /> Supervisors : _ <br /> lir 1 <br /> on tact Name rl / <br /> 11• HEALTH AND SAFETY CODE ¢ 25T1rt�e Date <br /> 180 , 7 , <br /> ( b ) Any designated <br /> i ' brae[ of his official erndutent employee who <br /> I: <br /> threatened III e elrevealin illegal <br /> information in the <br /> hazardous <br /> noN rdous waste Mithindischarge or threatened eilleeall discharge or <br /> that such dische geographical a 9 discharge of a <br /> substantial in rge or threat°^ed area ° f his Jurisdiction and w(10 <br /> seven [ Jury to the public health o� schar9e is likely <br /> Supervisors hours , disclose such in safe [ y to cause <br /> and to the formation to y must . within <br /> Information is re ui local health officer, the local Board of <br /> by law, or when law red under this subdivisioK8o disclosure of <br /> disclosure would enforcement personnel have when otherwls <br /> w en the info adversely effect an on determined I3ethaProhibited <br /> locality rmatfon is alreed going criminal such _ <br /> Y affected b y general public knowledge or <br /> Y the discharge or threatened within <br /> ( c ) A^Y designated discharge , the, <br /> fails to disclose infovernaknt employee who <br /> ( b ) shall , upon co on required to knowingly and in <br /> Jail for be punished bybf disclosed under subdivision <br /> not more than ma than one mprfsonment in the county re than three Year or by imprison county <br /> fine of not less years , The court "1I in stele <br /> tWe^ tY- five thousanan five thousandmay also impose upon Prison for <br /> violation dollars " dollars M 000 the Person a <br /> employment of this section X525 , 000 ) , The felon ) or more than <br /> Yment within Chir [ shall require forf y C0^ vlM on for <br /> Y days of conviction enure of government <br /> i SIGNATURE DISCLOSURE <br /> ke <br /> Count <br /> Y ofis report on behalf of all the <br /> and San Joaquin , and the San Joaquin <br /> LJJ <br /> designated Locempal of the <br /> quip County Local Health District , <br /> , Agency Name <br /> Signature : <br /> . _ rYPed Name : <br /> i • � CW <br /> ` ' = rule : c� / • I � i" �� <br /> Date : c <br /> rime : ; 1 �— �n� <br /> Revised 11 .87 <br />