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PAGE_____OF_____
PUBLIC AUTHORITY:
Name of agencies with local police power/jurisdiction:
AGENCY
LOCATION
COMPLEMENT
CONTACT
______________
___________________
_____________
___________________
______________
___________________
_____________
___________________
______________
___________________
_____________
___________________
____________________________________________________________________________
General Capabilities:_______________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Accept Alarm Devices?_______________________________________________________
____________________________________________________________________________
Response Time:______________________________________________________________
____________________________________________________________________________
If agency contacted, what problems/needs did they observe for this
site?____________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
GENERAL SITE CHARACTERISTICS:
Population:________________
Type Local Government:_________________________
Demographics:_______________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Principal local problems of impact on site:_________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Comments:___________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
If activity is located on-base, is access to Navy property adequately
controlled?_________________________________________________________________
Is access to the site planned for security upgrade controlled?______________
If yes, what measures are used?_____________________________________________








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