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 PAGE_____OF_____
GENERAL FACILITY DESCRIPTION/USE:
Name of facility____________________________________________________________
Location____________________________________________________________________
(Attach map indicating location)
Gov't.
BUILDING OWNERSHIP: Owned ( )
Leased ( )
From________________________
OTHER TENANTS? Yes ( ) No ( ) List indicating location and type of
operation:__________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
BUILDING CONSTRUCTION:
(GENERAL DESCRIPTION)
THICKNESS/RESISTANCE
TO PENETRATION
Basement Floor________________________________
____________________
Upper Floors__________________________________
____________________
Walls_________________________________________
____________________
Ceilings______________________________________
____________________
Interior Walls________________________________
____________________
__________________________________________________
____________________
Date Constructed____________________ By_____________________________________
Location of Plans and As-Built Drawings:____________________________________
General Workmanship/Condition:______________________________________________
____________________________________________________________________________
Near-Term Modifications Planned_____________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Will Modifications Impact IDS?______________________________________________
Mission/purpose of facility:________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Facility Sensitivity/Criticality:___________________________________________
____________________________________________________________________________
____________________________________________________________________________
Location(s) of critical functions/assets in rank order:
(Indicate on floor
plan)
___________________________________________________
_________________
___________________________________________________
_________________
___________________________________________________
_________________
___________________________________________________
_________________
___________________________________________________
_________________
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