ATTACHMENT NO. 1
STATE OF CALIFORNIA
JDIS SB54-1A
(Rev. 12/2025)
DEPARTMENT OF JUSTICE
PAGE 1 of 2
JUSTIFICATION FOR REQUEST FOR EXCLUSION FROM DISCLOSURE This form should accompany the form JDIS-SB54-1 if the submitting agency is requesting exclusion from disclosure because they believe disclosing the information would endanger the safety of a person involved in an investigation or endanger the successful completion of the investigation or a related investigation.
Date: 01/07/2026 Reporting Year: 2025
Submitting Agency ORI: _C_A_0_19_5_5_0_0 _____ _____________________ _ Submitting Agency Name: _P_o_m_o_n_a_P_o_lic_e_D_ep,__a_rt_m_e_n_t _____ ____ ____ ____ ____ _ Task Force Name: FBI San Gabriel Valley Safe Streets Task Force Task Force Purpose: To combat gang violence and drug trafficking within the San Gabriel Valley and the the Los Angeles County Jail System.
Please identify the specific information your agency believes meets the exclusion criteria and the facts supporting that belief:
NIA
Name of person completing form: Percy Clark/Corporal/Pomona Police DepartmenUlnternal Affairs Phone: (909) 620-3674 E-mail: [email protected]
Submit form to [email protected] or Fax to (916) 227-0427
STATE OF CALIFORNIA
JDIS SB54-1A
(Rev. 12/2025}
DEPARTMENT OF JUSTICE
PAGE2 of 2
JUSTIFICATION FOR REQUEST FOR EXCLUSION FROM DISCLOSURE Form JDIS-SB54-1A Instructions
Pursuant to Government Code section 7284.6, subdivision (d), the Attorney General does not have to disclose certain information in its report should doing so endanger the safety of a person involved in an investigation or endanger the successful completion of the investigation or a related investigation. If a California law enforcement agency (LEA) believes that any of the joint law enforcement task force information that is required to be provided to the DOJ (form JDIS-S854-1) under the Values Act would qualify for exclusion from disclosure, the California LEA shall identify the specific information it believes meets the criteria for exclusion and the facts supporting its belief. This form must accompany the form JDIS-S854-1 upon annual submission if the California LEA is seeking exclusion from disclosure.
1. Date - The date the reporting form was submitted.
2. Submitting Agency ORI and Name - Provide the ORI and name for your agency.
3. The name and purpose of the joint law enforcement task force - Provide the name and a description of the purpose of the task force in the space provided.
4. Justification for Exclusion from Disclosure - Identify the specific information you believe meets the criteria for exclusion and the facts supporting your belief.
5. Contact Information - Indicate the name, phone number, and email of the person completing the form.