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State of California—Department of Fish and Wildlife <br /> EXERCISE NOTIFICATION <br /> DFW 1964(Rev. 04/01/14) Page 1 <br /> Company Name: <br /> Company Address: <br /> Facility/Vessel Name: <br /> OSPR Contingency Plan#: <br /> Point of Contact: Phone: <br /> Cell: <br /> Email: Fax: <br /> Exercise Date : Exercise Time: <br /> Exercise Location: <br /> Type of Exercise: ❑ Table Top/Functional ❑ Equipment Deployment ❑ (1St 6 Months) ❑ (2nd 6 Months) <br /> ❑ Unannounced ❑ Other <br /> Level of Participation (optional): ❑ Facility/vessel personnel ❑ National Team <br /> ❑ Regional Response Team ❑ International Team <br /> Level of OSPR ICS Participation (optional): <br /> ❑ IC ❑ Planning ❑ Operations ❑ Other <br /> ❑ ICS software to be used Type: ❑ None <br /> OSPR Design Team Participation (optional): ❑ Yes ❑ No <br /> Sensitive Site Location, if any(Site Number/Site Name): <br /> Objectives—Use numbers described in the California Code of Regulations, Title 14, Section 820.01 (e-q): <br /> Other Participants (Agencies, OSRO's, etc.): <br /> Email to osprdrills(a)wildlife.ca.gov Please call (916)445-9338 or email if not on the calendar within 5 days. Thank you. <br />