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.• e <br /> Ll. <br /> raHnaroRr caHlAcrs . <br /> SAM Joaquin County <br /> I.00a:I He Ith QtStri,�t; r f <br /> AVCO-ntactRame) rime nate <br /> San 'd::of in County <br /> Board of S yperyisortt <br /> Contact Naas <br /> HEALTH Cone 2Sl80'.7. <br /> (b) designated government employee +rho obtains infot'mation in the <br /> co 1N.Se of his <br /> Al. deities revealing the tzlegal discharge :or <br /> thre8t 004. 1I1e941 discharge or threatened iltega :d `schar+ge of a <br /> hatar�ons: waste Mthin the geographical area of hisurisdlction and Who: <br /> knows that such discharge or threatened discharge is Itk=1y to cause <br /> substantial irturY to the publ I hea;I th or saiFety asst. xt th#h <br /> Sd'Y1i t 'ttirO • d#sc l ose such i n foratai 0n to the 1 ocat .Board O <br /> Supero#s®rs anQ to the local hearth officer. disclosure: of <br /> information is ireq+u#-red under thissubdIvIs onAeh dth rviu prtihtbited <br /> by 14 or when law enforcement personnel l�a�te deter#o��t that such <br /> disclosure would adversely affect an ongoing :Cri+a#nal investigatJOR or <br /> when .the infonaut#a�n is alread <br /> Y general public knowledge within the. <br /> t ocar l; ty a f fected _by the discharge or• threatened d#scha rge.. <br /> A <br /> C) Any desi4nated government employee who knowingly and #ntent <br /> fat ls to disclose 'information required to be disclosionally <br /> ed undersubd#vision <br /> Ja(b� shal'l, upon connfctton;� be punished by trnprisona►ent n the bounty <br /> i I y p <br /> for not more than one year or y imprisonment in state prison for <br /> nat more than three Years. The court may also i <br /> fine of not less than five thousand do]jars impose upon person a <br /> tw+ent , {SS.00Q or more than <br /> y five tfionsand dollars ($2S.OtiO). The felony convictiau� foie <br /> violation of this section shall require forfeiture of goYernmet�t <br /> eaxploent with . thirty days of conviction. <br /> i• S'ICNATilRE <br /> DISCLOSURE <br /> i <br /> t make this report on behalf of a I I the designaCed employees of the <br /> County f San oaquin ,and the San Joaquin County Lova Health District, � <br /> and .. <br /> Age"cy Mame <br /> S:i gna Lure <br /> 90145--r5c J Typed Name: �1 � 4�'vUG"'.- <br /> Cit - C43 Title: <br /> Odte Time. <br /> .• f <br /> Revised 11-87 <br />