Incident Action Plan Page 14

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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 #
Division B & D
Branch Director:
OPERATIONS
Section Chief:
Joe Ledbetter
359-9175
Div/Gru Supervisor
Randy Henry
359-9172
7. Resources Assigned This Period
Equipment
Supervisors:
2
D. Magone
Redeemer
+5
Foreman:
Mike Barker
Joshua
+2
Laborers:
7
7a. Resources Requested for Next Period
Equipment
Supervisors:
Foreman:
Laborers:
8. Work Assignments for this Period
Proceed to Pumicestone Bay (division D) and commence booming sensitive areas. Return to Division B.
9. Special Instructions for Division / Group
Safety Message
Environmental Concerns
Other Concerns
Watch weather.
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
PO Coburn
12/16/04
Tim McKinna
12/16/04
June 2000
ASSIGNMENT LIST
ICS 204-OS
Electronic version: NOAA 1.0 June 1, 2000
.

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