07/21/14
MARINE-MANIFEST
RESOURCE: ( ) TASK FORCE NUMBER________________________
( ) STRIKE TEAM NUMBER______________________
( ) SINGLE RESOURCE
INCIDENT NAME: ______________________________________________
REPORTING LOCATION________________________________________
DATE____/______/_____ TIME_____________HRS (24 HOUR TIME)
DEPARTMENT PROVIDING RESOURCE: _________________________
RADIO CALL SIGN___________MARINE CHANNELS:____________________
BOAT: LENGTH: ______________ INBOARD/OUTBOARD:_________________
CREW NUMBER: ( ) PASSENGERS: ( )
( ) FIREFIGHTING CAPABILITY: ( ) PUMP: GPM_______________
( ) DIVE PLATFORM OR CAPABILITY:__________________________
( ) PRIMARY PATROL USE:_____________________________________
( ) MAY BE TRAILERED:_______________________________________
OTHER:
PERSONNEL: SPECIALTIES:
1._____________________________________________________________________
2._____________________________________________________________________
3._____________________________________________________________________
4._____________________________________________________________________
5._____________________________________________________________________
6._____________________________________________________________________
ADDITIONAL RESOURCE INFORMATION:
INITIAL ASSIGNMENT:_________________________________________________
DEMOBILIZED: TIME: ___________HRS DATE: ____/_____/_____
DEMOBILIZE APPROVAL:________________________ICS-221 Yes ( ) NO ( )
IC: ( ) OPERATIONS: ( ) PLANNING: ( ) LOGISTICS: ( ) FINANCE: ( )
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