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REPUBLIC• <br /> SERVICES <br /> Safety Manua/ <br /> Bomb Threat Checklist <br /> Speech Characteristics: <br /> Fast Slow Intoxicated <br /> Stutter Slurred <br /> Other <br /> Accent Characteristics: <br /> Local Region Foreign <br /> Other <br /> Manner of Caller: <br /> Calm Angry Deliberate <br /> Emotional Laughing Incoherent <br /> Righteous Rational Coherent <br /> Other <br /> ® Origin of Call: <br /> Internal External Cell Phone <br /> Local Long Distance <br /> Did the caller appear to be familiar with the facility? Yes No <br /> Number/extension at which the call was received: <br /> Other <br /> Background Noises: <br /> Office Machines Street Traffic Voices <br /> Factory Machines Airplanes Trains <br /> Animals Trucks Music <br /> Quiet Party Static <br /> Other <br /> People Contacted: Yes No Time <br /> Facility Manager <br /> Police Department <br /> Fire Department <br /> Other <br /> Other <br /> Other <br /> Page 25 of 27 <br /> ©2009 Republic Services 2/17/2011 Form 1019 <br />