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Form 9 - Eiercise Pre-Approval <br />State of Ohio <br />FY2010 State Hornefand Security Program {SHSP) . . <br />Exercise Application <br />Primary County: Date: <br />F~cercise Coordinator: L~ . - <br />(Name) (Title) (Telephone number) <br />7). Previous Exercise Program Participation by the County/Jurisdiction: <br />FY 2005 Homeland Security Grant Exercise Program <br />FY 2006 Homeland Security Grant Exercise Program <br />FY 2007 Homeland Security Grant Exercise Program <br />FY 2008 Homeland Security Grant Exercise Program <br />FY 2009 Homeland Security Grant Exercise Program <br />2)., Scope of Exercise: Multi-County/List participating counties byname <br />TTX OR FE OR <br />3). Requested Exercise Hazard: <br />Chemical <br />Biological <br />Radiological <br />Nuclear <br />Explosive <br />Natural* <br />FSE <br />4). Requested exercise date(s)- <br />5)„ Anticipated Exercise Participants: (Check each category to be represented in the exercise and, where <br />appropriate, provide the organization's name) <br />_ Elected Offcials _ Law Enforcement _ Hospitals} <br />_ Commissioners _ Sheriff <br />_ CityNillage Local Police <br />T <br /> State Patrol _ <br />_ County Offices _ FBI <br />Engineer <br />~ _ Fire Departments} <br />_ Health Dept _ _ EMS Units <br />_ Human Svc <br /> <br />_ Coroner . _ _ <br /> <br />EMA Office _ _ <br />State Agencies _ Search and Rescue _ Federal Agencies <br />_ OH EPA _ FEMA <br />OH EMA _ ~ _ <br />_ Centers for Disease Control (CDC} <br />_ ODH ~ _ US Coast Guard <br />_ ODNR. <br />_ Adj. General _ Amateur Radio _ Civil Air Patrol <br />_ OH Dept of Ag _ American Red Cross <br />_ ODOT _ Salvation Army <br />_ Mental Health . _ Media <br />Others: <br />r ~ ~~ <br />Page 1 of 2 <br />dfi <br />Page 44 <br />