ࡱ> 130_ bjbj = bb(((((<<<<P< 0ddddd???QSSSSSS$Pw(S??SSw((dd&S(d(dQSQdkYmqiF=n ((D?L6,f???ww"??? SSSS????????? : LARGE ANIMAL FACILITIES SURVEY Please return to: NJDA, attn: Lynn Mathews, P.O. Box 330, Trenton, NJ 08625 NAME - ADDRESS - CITY - STATE - ZIP CODE - COUNTY - TELEPHONE NUMBER - (best number to call in the event of an emergency) EMAIL ADDRESS - _______________________________________________________ 1. WOULD YOU BE WILLING TO BOARD LARGE ANIMALS IN AN EMERGENCY? FOR HOW LONG? HOW MANY AND WHAT TYPE (cows, horses, etc.) ? DURING WHAT MONTHS WOULD THE ABOVE FACILITIES BE AVAILABLE IN AN EMERGENCY 2. WOULD YOU BE ABLE TO ASSIST IN EVACUATION OF LARGE ANIMALS IN YOUR AREA ? NUMBER OF TRAILERS AND SIZE - NUMBER OF VANS AND SIZE - DISTANCE YOU WOULD BE WILLING TO TRAVEL - 3. DO YOU HAVE MANPOWER THAT COULD ASSIST WITH FEEDING AND CARE OF THESE RELOCATED ANIMALS? 4. CAN YOU KEEP EVACUATED ANIMALS SEPARATED FROM YOURS? _________________ 5. EMERGENCY CONTACTS AND PHONE NUMBERS A. CONTACT # 1 - B. CONTACT # 2 - 6. DO YOU HAVE AN EMERGENCY GENERATOR TO PROVIDE POWER? Response to this questionnaire is voluntary. All personally identifiable information collected by this questionnaire is confidential and will be used to update the emergency preparedness information files that the Animal Emergency Working Group (AEWG) uses in case of evacuation and sheltering needs. Your information will not be used for purposes of taxation, investigation, or regulation. The AEWG will not sell or give this information to mailing or emailing lists. mnwx v m | h } i j k ] i 6 "<ͿͰͰͰͰͰͰtͰfͰͰͿͰͰh"CJOJQJ^JaJhCJOJQJ^JaJ hS8XhS8XCJOJQJ^JaJhWqnCJOJQJ^JaJhS8X>*CJOJQJ^JaJh,Q>*CJOJQJ^JaJhS8XCJOJQJ^JaJh,QCJOJQJ^JaJh,QOJQJ^Jh 2CJOJQJ^JaJh,Q5OJQJ\^J(mnw x n o i j  j k h i 56$a$gd 2$a$!"1YZ^_BCFZt_q'ACƸ6HhhD h\yB* CJOJQJ^JaJphhWqnCJOJQJ^JaJhCJOJQJ^JaJhS8XCJOJQJ^JaJh,QCJOJQJ^JaJh,Q>*CJOJQJ^JaJ;0P:p,Q/ =!"`#$% Dp^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH T`T Normal1$7$8$H$ CJOJQJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List <& < Footnote ReferencePK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]    8@0(  B S  ?NNNNNMM[dgYbfll>*urn:schemas-microsoft-com:office:smarttags PostalCode9*urn:schemas-microsoft-com:office:smarttagsState8*urn:schemas-microsoft-com:office:smarttagsCity:*urn:schemas-microsoft-com:office:smarttagsStreet;*urn:schemas-microsoft-com:office:smarttagsaddress ` x~ 33333k t k t   S8XWqn*"%(,Q 2n\y@@UnknownUnknownUnknown20100219T074218386G*Ax Times New Roman5Symbol3. *Cx Arial71 CourierA$BCambria Math" hDc&Dc&  ! xx23Q ?,Q:!xx LARGE ANIMAL FACILITIES SURVEYagmmoscRichmond, LynneOh+'0h   $ 0 <HPX` LARGE ANIMAL FACILITIES SURVEYagmmosc Normal.dotmRichmond, Lynne2Microsoft Office Word@F#@[@@9mq@@9mq ՜.+,0 hp  NJ Dept. of Agriculture LARGE ANIMAL FACILITIES SURVEY Title !"#$%&')*+,-./2Root Entry FRemq41TableWordDocument= SummaryInformation( DocumentSummaryInformation8(CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q