Download:
pdf |
pdfDEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
URBAN SEARCH RESCUE RESPONSE SYSTEM
TASK FORCE DEPLOYMENT DATA
Paperwork Burden Disclosure Notice
Public reporting burden for this form is estimated to be 1 hour per response. The burden estimate includes the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and submitting the form. You are not required to respond to this
collection of information unless it displays a valid OMB Number. Send comments regarding the accuracy of this burden estimate and any suggestions for
reducing the burden to: Collections and Research Branch, Department of Homeland Security, Federal Emergency Management Agency, 1800 South
Bell Street, Arlington, VA 20590-3305, Paperwork Reduction Project (1660-0073). Note: Do not send your completed form to this address.
TF TYPE I EQUIPMENT / VEHICLE AIRCRAFT LOADING MANIFEST DATA
TASK FORCE DESCRIPTION
NUMBER OF PAX / CANINES
EQUIPMENT DESCRIPTION
UNIT EQUIPMENT LOCATION
POINT OF DEPARTURE (commercial)
POINT OF DEPARTURE (military)
CACHE EQUIPMENT
CODE
DESCRIPTION
QTY
TYPE
LENGTH
WIDTH
HEIGHT
TOTAL WEIGHT (lbs)
TOTAL WEIGHT
FEMA Form 089-15
Page 1 of 8
HAZARDOUS MATERIAL
QTY
UNIT OF
MEASURE
DESCRIPTION
TYPE
NOTE
VEHICLE LIST
CODE
DESCRIPTION
QTY
TYPE
LENGTH WIDTH HEIGHT
GROUND
CLEARANCE
WHEELBASE
WEIGHT
(lbs)
TOTAL WEIGHT
(lbs)
TOTAL WEIGHT
POINT OF CONTACT (name, work phone, home phone, cell phone, e-mail)
FEMA Form 089-15
Page 2 of 8
TF TYPE III EQUIPMENT / VEHICLE AIRCRAFT LOADING MANIFEST DATA
TASK FORCE DESCRIPTION
NUMBER OF PAX / CANINES
EQUIPMENT DESCRIPTION
UNIT EQUIPMENT LOCATION
POINT OF DEPARTURE (commercial)
POINT OF DEPARTURE (military)
CACHE EQUIPMENT
CODE
DESCRIPTION
QTY
TYPE
LENGTH
WIDTH
HEIGHT
TOTAL WEIGHT (lbs)
TOTAL WEIGHT
FEMA Form 089-15
Page 3 of 8
HAZARDOUS MATERIAL
QTY
UNIT OF
MEASURE
DESCRIPTION
TYPE
NOTE
VEHICLE LIST
CODE
DESCRIPTION
QTY
TYPE
LENGTH WIDTH HEIGHT
GROUND
CLEARANCE
WHEELBASE
WEIGHT TOTAL WEIGHT
(lbs)
(lbs)
TOTAL WEIGHT
POINT OF CONTACT (name, work phone, home phone, cell phone, e-mail)
FEMA Form 089-15
Page 4 of 8
EXAMPLE
DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
URBAN SEARCH RESCUE RESPONSE SYSTEM
TASK FORCE DEPLOYMENT DATA
Paperwork Burden Disclosure Notice
Public reporting burden for this form is estimated to be 1 hour per response. The burden estimate includes the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and submitting the form. You are not required to respond to this
collection of information unless it displays a valid OMB Number. Send comments regarding the accuracy of this burden estimate and any suggestions for
reducing the burden to: Collections and Research Branch, Department of Homeland Security, Federal Emergency Management Agency, 1800 South
Bell Street, Arlington, VA 20590-3305, Paperwork Reduction Project (1660-0073). Note: Do not send your completed form to this address.
TF TYPE I EQUIPMENT / VEHICLE AIRCRAFT LOADING MANIFEST DATA
TASK FORCE DESCRIPTION
Urban Search & Rescue Task Force CO-TF1
NUMBER OF PAX / CANINES
70 passengers and 4 canines
EQUIPMENT DESCRIPTION
UNIT EQUIPMENT LOCATION
Denver Federal Center
6th and Kipling
Denver, CO 80225
Type I cache and vehicles
POINT OF DEPARTURE (commercial)
POINT OF DEPARTURE (military)
Denver International Airport
8500 Pena Blvd. Denver, CO 80249
Buckley Air Force Base
18401 E A-Basin, Aurora, CO 80011
CACHE EQUIPMENT
CODE
DESCRIPTION
QTY
TYPE
LENGTH
WIDTH
HEIGHT
TOTAL WEIGHT (lbs)
J3B
Pallets
15
463L
84"
108"
96"
80,000
D3B
Hazmat Pallets
1
463L
84"
108"
60"
2,500
TOTAL WEIGHT
FEMA Form 089-15
82,500
Page 5 of 8
EXAMPLE - continued
HAZARDOUS MATERIAL
QTY
UNIT OF
MEASURE
DESCRIPTION
TYPE
4
each
Batteries, Wet, Acid
Corrosive
24
bottles
Cleaner, Electric CRC
Flammable Liquid
35
gallons
Gasoline
Flammable Liquid
400
wipes
Isopropyl Alcohol
Flammable Liquid
3
each
NItrogen
Non-Flammable Liquid
15
each
Paint, Spray, Fluoresc
Flammable Gas
12
bottles
Starting fluid
Flammable Liquid
2
each
Acetylene
Flammable Gas
31
cyl
air, compressed
Non-Flammable Gas
18
boxes
Cartridges, Power De
Explosive 1.4C
3
each
Fire extinguisher
Non-Flammable Gas
28
each
Engine, Internal
Combustion
34
cyl
Oxygen, compressed
Non-Flammable Gas
5
gallons
Hydraulic fluid
Combustible Liquid
600
each
Batteries alkaline
Corrosive
16
cans
Aerosol
Non-Flammable Gas
NOTE
In Fire Extinquisher
VEHICLE LIST
CODE
WEIGHT TOTAL WEIGHT
(lbs.)
(lbs)
GROUND
CLEARANCE
WHEELBASE
80"
8.7"
158"
8000
24000
60"
80"
7.4"
78"
1920
3840
72"
84"
7.0"
1500
3000
DESCRIPTION
QTY
TYPE
LENGTH WIDTH HEIGHT
Trucks
3
For F-350
248"
96"
Utility Vehicle
2
Kubota RTV 90C
120"
Towing Trailer
2
Haulmark
144"
TOTAL WEIGHT
30840
POINT OF CONTACT (name, work phone, home phone, cell phone, e-mail)
Lee Dunn w/ 303-274-0814 xt 14; h/ 303-526-0192; c/720-641-6031 or 303-898-5273; e-mail: [email protected]
FEMA Form 089-15
Page 6 of 8
EXAMPLE - continued
TF TYPE III EQUIPMENT / VEHICLE AIRCRAFT LOADING MANIFEST DATA
TASK FORCE DESCRIPTION
Urban Search & Rescue Task Force CO-TF1
NUMBER OF PAX / CANINES
34 passengers and 4 canines
EQUIPMENT DESCRIPTION
UNIT EQUIPMENT LOCATION
Denver Federal Center
6th and Kipling
Denver, CO 80225
Type I cache
POINT OF DEPARTURE (commercial)
POINT OF DEPARTURE (military)
Denver International Airport
8500 Pena Blvd. Denver, CO 80249
Buckley Air Force Base
18401 E A-Basin, Aurora, CO 80011
CACHE EQUIPMENT
CODE
DESCRIPTION
QTY
TYPE
LENGTH
WIDTH
HEIGHT
TOTAL WEIGHT (lbs)
J3B
Pallets
6
463L
84"
108"
96"
21835
D3B
Hazmat Pallets
1
463L
84"
108"
60"
500
TOTAL WEIGHT
FEMA Form 089-15
22335
Page 7 of 8
EXAMPLE - continued
HAZARDOUS MATERIAL
QTY
UNIT OF
MEASURE
DESCRIPTION
TYPE
2
each
Batteries, Wet, Acid
Corrosive
24
bottles
Cleaner, Electric CRC
Flammable Liquid
20
gallons
Gasoline
Flammable Liquid
400
wipes
Isopropyl Alcohol
Flammable Liquid
1
each
NItrogen
Non-Flammable Liquid
15
each
Paint, Spray, Fluoresc
Flammable Gas
12
bottles
Starting Fluid
Flammable Liquid
NOTE
In Fire Extinquisher
VEHICLE LIST
CODE
WEIGHT TOTAL WEIGHT
(lbs.)
(lbs)
GROUND
CLEARANCE
WHEELBASE
80"
8.7"
158"
8000
24000
60"
80"
7.4"
78"
1920
3840
72"
84"
7.0"
1500
3000
DESCRIPTION
QTY
TYPE
LENGTH WIDTH HEIGHT
Trucks
3
For F-350
248"
96"
Utility Vehicle
2
Kubota RTV 90C
120"
Towing Trailer
2
Haulmark
144"
TOTAL WEIGHT
30840
POINT OF CONTACT (name, work phone, home phone, cell phone, e-mail)
Lee Dunn w/ 303-274-0814 xt 14; h/ 303-526-0192; c/720-641-6031 or 303-898-5273; e-mail: [email protected]
FEMA Form 089-15
Page 8 of 8
| File Type | application/pdf |
| File Modified | 2009-04-29 |
| File Created | 2009-04-09 |