MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C804F6.2FB92D70" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Windows® Internet Explorer®. ------=_NextPart_01C804F6.2FB92D70 Content-Location: file:///C:/8F33E5E1/CHAPTERX-A.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" INTRODUCTION

C/WLEPC POST EMERGENCY MATER= IAL SURVEY      &= nbsp;           &nbs= p;             =

        =   

        =             &nb= sp;            =             &nb= sp;            =             &nb= sp;           RETURN TO:     C/WLEPC

        =           =               =             &nb= sp;            =             &nb= sp;            = CABELL COUNTY COURTHOUSE

        =           =               =             &nb= sp;            =             &nb= sp;            = SUITE 300

        =             &nb= sp;         =               =             &nb= sp;            =             &nb= sp;HUNTINGTON, WV  25701

        =    

C/WLEPC POST EMERGENCY MATERIAL SURVEY

        =    

The objective of this= survey is to gather information concerning the C/WLEPC Material Assistance Plan as= it is operated under an actual emergency situation. The responses will be used= to evaluate the Plan's usefulness and to determine if changes are needed.  Your cooperation in promptly retur= ning your comments is appreciated.  If additional space is needed on any question, please attach your comments on another sheet of paper.

        =    

PART A (To be complet= ed by those rendering material assistance).

Organization:  __________________________________= _______________________________

Address:        =   _________________________________________________________________

1.     &nb= sp;   Give date and approximate time the material assistance was request was received:  Date:______________= __________________ Time:______________________________

2.      =             What person= in your organization coordinated the assistance given?        =          ____________________________________________________________________= ____

3.      =             What organi= zation and specific individual made the material assistance request?

        =     Organization:  __________________________Individual:_________________________<= /o:p>

4.  &n= bsp;      List the material and quantity of each provided.

        =             &nb= sp;     Material Description               &= nbsp;         Quantity

        =     A.___________________________              ____= ____________________________

        =     B.___________________________              ___________= _____________________       C.___________________________              ___________= _____________________

5.      =             How much ti= me passed between the actual request and when material left your facility?     ____________________________________________________________________= ____

6.      =             How was the material provided to the emergency site?____________________________

        =    ____________________________________________________________________= ____

7.  &n= bsp;      Give the date your material was returned to your facility or possession.     ____________________________________________________________________= ____

8.      =             How would y= ou rate the overall condition of the material returned compared to its conditi= on when loaned?

Worse &nbs= p; ____   Better   ____      Same ____<= o:p>

9.         Comments or suggestions for improvement to the Material Assistance Plan.<= /span>

_____________________________________________________________________= ___

 

 

PART B    (To be completed by th= ose receiving material assistance). Organization:______________________________________________________________= _____

Address        :__________________________________________________________________<= o:p>

1.         Give date and approximate time the material request was made.

        =     Date:____________________________

        =     Time:____________________________

2.      =             What person= in your organization coordinated the request for material assistance?   ____________________________________________________________________= ____

3.  &n= bsp;      To which organizations and specific individuals was your request made?

        =             &nb= sp;           Organizations        =             &nb= sp;            Contact Person

        =     A._____________________________      ______________________________

        =     B._____________________________      ______________________________

        =     C._____________________________      ______________________________

        =     D._____________________________      ______________________________

4.      =             What materi= al assistance and quantity was requested and which organizations provided=

        =      the material? 

Material Assistance     &nb= sp;               Quantity        =         Quantity    &nb= sp;          Providing

        =     Requested               &= nbsp;           &nbs= p;        Requested        =      Received         =     Organization

        =      A.____________________  &= nbsp; _____________   &nbs= p; _____________   _________________

        =      B.____________________  &= nbsp; _____________   &nbs= p; _____________   _________________

        =      C.____________________  &= nbsp; _____________   &nbs= p; _____________   _________________

        =      D.____________________  &= nbsp; _____________   &nbs= p; _____________   _________________

5.      =             How would y= ou rate the overall condition of the material received?

        =     Poor _____ Fair _____ Good _____ Excellent _____ <= /p>

6.  &n= bsp;      How much time passed between your request for and when the material assistance became available? ________________________________________________________________________

7.      =             Give the da= te you returned the material

        =             &nb= sp;      Lending Organization        =           =             &nb= sp;      Return Date<= /span>

        =          A.________________________________        =    _________________

        =          B.________________________________        =    _________________

        =          C.________________________________           ___________= ______

        =          D.________________________________        =    _________________

        =          E.________________________________        =    _________________   =  

8.  &n= bsp;      Comments or suggestions for improvement to the Material Assistance Plan:<= /span>

        =     ____________________________________________________________________= ___        =       ____________________________________________________________________= ___

 

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CHAPTER X<= /span>

APPENDIX “AR= 21;

 

 

REVISED - SEPTEMBER 2= 004

1=

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