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DISASTER RECOVERY CENTER BASIC REQUIRMENTS <br />PHYSICAL LOCATION: <br />Name: <br />Physical Address (no PO Box): <br />City: County: <br />GPS: LAT LONG <br />Directions/Landmarks: <br />State: Zip <br />CONTACT PERSONS (POC): <br />Facility Point Of Contact: Name <br />Phone: <br />Address: <br />City: <br />After hours POC: Name <br />Phone: <br />State: <br />Zip: <br />Address: <br />City: <br />Alternative POC: Name <br />Phone: <br />State: <br />Zip: <br />Address: <br />City: <br />Emergency Management Director: Name <br />Phone: <br />State: <br />Zip: <br />Address: <br />City: <br />State: <br />Zip: <br />SITE CHARACTERISTICS: <br />Date available: Begin: End: Lease required: Y ❑ N ❑ <br />Cost $ Space available: sq. ft. Hours of use: Keys: <br />DRC use parking spaces: ADA parking spaces: Total: <br />Parking lot lights: Y❑ N ❑ Outside building lights: Y❑ N ❑ <br />ADA accessibility: <br />Exterior notes: <br />Response Time: Police: Fire: <br />Nearest hospital: Name Phone: <br />Address: <br />Distance: Time: <br />Local crime summary: <br />Local hazards summary: <br />58 <br />