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ryr :rF:sT.. : <br /> DATORY C4A= <br /> Public Health Services <br /> of San Joaquin County <br /> ' - ;Environmental Health Division . _ ' <br /> (Contact Name) Iu <br /> pe <br /> (Date) <br /> San Joaquin County .;� <br /> Board of $upervisors; r,,,,rr� rt / lZ.t ► ., <br /> (Contact Name) 5 (Date) <br /> H. HF ." I Al D SAFET Ct DE ?S $O,T. ;Y,. <br /> {b); Any designated; oy governtneot etnp 1 ee who obtains information.ui.the` <br /> +:oourso:'af"his ol "zcial <br /> duties revealin'gthe Alegal discharge•or threatened illegal discharle�of hazardous <br /> within the geograplxi l area of his jurisdiction and who knows that such`Ascharge'or <br /> threatened discharge is likely to cause substantial injury to the'pu#li '.health='vr'safetp imust�% , <br /> within seventy-two hours, di d se, such information to the lo�l coarct.of Su��rvisar.�Yard to <br /> :.. <br /> the: local health of cer. No disclosure of information 's.required Under`t is:,subdivjsion. ►hen ;:"': <br /> btlaezwise prohibited by-law, or when law enforcements personnel'f►ave�determined <br /> disclosure would adversely affect an ongoing criminal investigation, or'when theAinfoiation is:... , <br /> already general public knowledge within the locality affected by the discharge,or #hreatened <br /> E� <br /> discharge <br /> (c). Any designated. government employee who )tnowingly and intentionally fai' tri..discicsse <br /> Information required to the disclosed under subdivision (b) shall, upon'convtctfon, be.punished <br /> by imprisonment in the county jail for not more than one.year car-hy'hnprisv anent' 'state <br /> •. <br /> prison for not more:than three yew. The court may also.impose upon,the,person_a.fine of <br /> not less than five thousand dollars ($5,000or more than twenty five thousand dollars <br /> ( '250000). The felony comriction for violation of this section shall require`forfeiture it : r <br /> government employment within thirty days of conviction. <br /> SIGNATURE DISCLOSURE <br /> I, SIfi1�t14 •r �"�'� - <br /> = r r <br /> I,make this report on behalf of all the designated em loyees of th+e•County of San Joaquin, <br /> and ..7 4N `e-a <br /> ( ency Name) <br /> Signature. .: <br /> Typed Name: + ' . '� .... ::._:._:... .. , <br /> Title: g 7.+ <br /> :t: S' <br /> � YSl.i: illi/e a.y-s.'.5.:," •w... <br /> Date: ,. .-. <br /> r�irrr��.�w <br /> kfi• eiiiL. .6� . <br /> 77 <br /> tv <br /> EH 22 03 7'89) <br /> .s.: <br /> • fi; • .. t :a... -.ry•....._'.yiE.ry i"7^-7r ."'4'i:tr:..$ . <br />