Incident Action Plan Page 11

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1. Incident Name
2. Operational Period (Date / Time)
ASSIGNMENT LIST
From:
MV SELENDANG AYU
12/17/2004-06:00: To 12/18/2004-06:00
ICS 204-OS
3. Section
4. Branch
5. Division/Group
6. Personnel
Name
Contact #
C1 & C2
Branch Director:
OPERATIONS
Section Chief:
Joe Ledbetter
359-9175
Div/Gru Supervisor
7. Resources Assigned This Period
Equipment
Supervisors:
A - Star Helo
Foreman:
Laborers:
7a. Resources Requested for Next Period
Equipment
Supervisors:
Foreman:
Laborers:
8. Work Assignments for this Period
Using A - Star Helo, deploy boom across streams at both locations upon sourcing and arrival of HAZWOPER trained technicians. If not
feasable, attempt again using vessels.
Operation dependent on weather and sea state.
9. Special Instructions for Division / Group
Safety Message
Environmental Concerns
Other Concerns
9. Important Contacts
9a. Attachments
Radio
Phone
Cell Phone
Pager
Other
Area Maps
LT Morrissey
CH 21
391-4201
Tides & Currents
CG Air Ops
Blank Request Forms
Jim Steffen
568-9173
Comms List
Air Ops
Weather
LT Jager
581-7156
Air Logistics
Claims
10. Prepared By (Resources Unit Leader)
Date / Time
11. Approved By (Planning Section Chief)
Date / Time
12/16/04
12/16/04
June 2000
ASSIGNMENT LIST
ICS 204-OS
Electronic version: NOAA 1.0 June 1, 2000
.

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