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G. . MANDATORY CONTACTS 'O 3✓ <br /> Public Health Se vi= / <br /> of Saa Joaquin Cotmry k' <br /> T ✓ .0 jl „' <br /> Environmental Health.Divmoo �� : � - / / <br /> (Contac[Name) Crime) ?Cparre)q <br /> 1. San Joaquin County- <br /> Board <br /> ounty Board of Supervisors: <br /> ccorr=Name) : :(Time) (Date) <br /> H.' HE LTFi AND SA>;M.CODE S MSM7. <br /> (b). Any d=gnated gtraemment ehiplogee wfio obtains iafm>r�ioa m 6e c==Af vis..otiiaal <br /> dudes 4eYer}iing the McAaal discharge&threatened Megat discharge of a waste within <br /> the .gepgraphical.errs of his jinisdittiaa and who knows that such discharge.or:tl reatmed <br /> discharge is I,iliely to cause snhstanrial injury m the page health oesafety must,withte-seyeury- . <br /> two hour;,.disciosa such $rform4on to,the,local Board of Sttpesvisors and ifl the latah fieaIth <br /> officer. No disclostae of iniprmadon is rCgtdred'tmder thiss3bdivisiGa when orhfzwise prohibited <br /> bylaw,orwhen law m&rcemp—rpermtme!have detested tbatsuch dis lcwould adversely <br /> affect an ongoing mal investigation, or when the irifolmax on is *eady general public <br /> Imowledge witituc the locality"afrecced by'the discharge aitlueacene3 dischage <br /> (c) Azzy desisilit ovemmi= emplgy-- who knowingly fimm i to <br /> andasdose <br /> info <br /> on regtrired to die disclosed wader subdtgivdn,(b) shall;xman be;p ' <br /> %by imnrrsamnent in the county.jail for nor more than ane yeg or by znpxis4mnent in state prison <br /> for nor more than three years. The court mayalso rmpose t )da the pesos a Sz a of sat less than <br /> five thousat d'dollars($5,000)or more than 6reM7-&, a th6diand doIIars(w"25;000)• Tile felony <br /> spRvictian for viola ga of t4ss seedoa Sha regmre fpifeimre of government employm=t within <br /> thirty days (30) of coapiction <br /> I. SIGNATURE DISCLOSURE <br /> I make this repots antehalf of all the dell eOPyees afrie Comity.of San Joaquin, and <br /> (ASS Name)" <br /> Signature <br /> TypedlPrhtted N -✓�- E✓ �' <br /> Date: <br /> R,EFE ME.D TO-- <br /> Eli 22 013 (Rs:v:4/91) <br />