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C. <br /> NDATOFt. CONT i <br /> Health Services ;r�., T <br /> Public � � �- <br /> of Sar_ Joaquin County E,(�Yv'Y� `�- �,' 'v y �'�,�✓'/ L, j� / <br /> Envirorsnental Health Division: `- (Time) D " <br /> (Contact Name) <br /> Joaquin County <br /> 1 San `);��G <br /> �`, , (Time) (Date) <br /> Board of Supervisors: (Contact Name) CT <br /> H HEALTH AND SAFETy CODE S 25180.7. <br /> Any designated Bove nm"' e'nPloyeA who obtains informationo a aazardo of <br /> within <br /> dudes revealing the illegal discharge or threatere' e.11 c e or threatened <br /> the geographical area of his jur-sdiction and who !mows that such, discharge within seve_nrI- <br /> ?e is like_y to rause substantial m�urp to the public health or safety must, <br /> dischar,_ i <br /> o ;„ours, disclose such inroznanon to the local Board oron when otherwise prohibhe local ited <br /> SLmervisors and to M, <br /> r`'” uired under this sun <br /> officer. No disclosure of information is req ` <br /> aw, or when law enforct,.ent personnel have detemuned that�c-n disclosure would adversely <br /> by 1 , criminal investigation, or when the infeanadon is already genu public <br /> anect an ongoing or threatened discharge. <br /> '_.cnowiedge within the locality abetted by the discharge <br /> and intentionally fails to disclose <br /> Cc) ;,-_y designated gcve-�m=r a nployee who no`n (b) upon conviction, be punished <br /> inior_nadon required to the disclosed under subdivision Cb) sba1� rsonment in state prison <br /> by imprisonment in the county jail for not more than one year by P dne or <br /> dot more than three years- 'Lae court may also impose upon dollars(S25,000)n The felon <br /> for 000) or more than le�Y-fi'th"ous ' <br /> five thousand dollars (S5, iorfelture of government employment <br /> withinconviction for violation of this section shall regtare <br /> thir-c/ days (30) of conviction. <br /> I, SIGNATURE DISCLOSURE <br /> Make this report on behalf of all the designated employers of the County of San Joaquin, and <br /> I ma_ _ <br /> (mc, Name) <br /> Signature: fRr <br /> Typed/Printed Name: <br /> Title: ' S' Time: O O <br /> Date: _ <br /> cc: <br /> I,{) C G SWEEPS#/SITE COMM o� T.� <br /> CONMF ` Y/ N <br /> --RD To: LO G <br /> =h <br /> cH 22 013 <br />