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G. MAND JAWONTACTS Public Health Services 1" 1 �a99 of Sen Joaquin County /. ��/ / y 3 5 A M / MAY znvuonmental Health Divisicn: (Time) (Date) �(Conract Name) 1 San Joaquin County, � 3 5 MAY 19 1999 Board of Supervisors: (Contact Name) Clime) (Date) H. HEALTH AND SAFETY CODE S 25180.7. Official (b) Any designated government employee who obtains io�do o a� �d wah.�te within duties revealing the illegal discharge or threatened illegal charge or threatened the geographical area of his jurisdiction and who knows that such discharge discharge is likely to cause substantial injury e cheaoardc health erovrisars anduto�[he local health two hours, disclose suc.l infor:madon to the local _ officer. No disclosure of information 1S required under Lh1S such' disclosure would adversely by law, or when law enforcement pe-'Sonnei have determinedgeneralpublic affect an ongoing criminal investigation, or when the information is already knowledge within the locality affected by the discharge or threatened discharge. (c) Any designated governmenr rnployee who kacwingiy and intentionally fails to disclose upon c�nvictior., be punished. inform anon required to the disclosed under subdivision (b) shor all, imprisonment in state prison by imprisonment in the county jail for not more than one , for not more than threw years. T'ne court may also impose upon the person a tine of not less than. five thousand dollars ($5,000) or more than twenry-avc thousand dollars CS25,000). The felony section shall require forte=tom of government conviction for violation of this semployment within thirty days (30) of conviction_ I. SIGNATURE DISCLOSURE I make this reporr on behalf of all the designated employees of the County of San Toaamn, and (Agency Name) Signature: 9 Typed/Prince Name: _ fi Title: s- 1 -7 - 9 Dare: — —' SWEEpS#/SITE CODE: NIS cc: �-- L CON'_— O/ N RE.URED TO: EH 22 013 (Rev-4/91)