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n <br />Safety a L/ l <br />Bomb Threat Checklist <br />Speech Characteristics: <br />Fast <br />Slow <br />Stutter <br />Slurred <br />Other <br />Airplanes <br />Accent Characteristics: <br />Animals <br />Local <br />Region <br />Other <br />Patty <br />Manner of Caller: <br />Other <br />Cahn <br />Angry <br />Emotional <br />Laughing <br />Righteous <br />Rational <br />Other <br />Origin of Call: <br />Internal <br />External <br />Local <br />Long Distance <br />Did the caller appear to be familiar <br />with the facility? <br />Number/extension at which the <br />call was received: <br />Other <br />Intoxicated <br />Foreign <br />Deliberate <br />Incoherent <br />Coherent <br />Cell Phone <br />Yes No <br />Background Noises: <br />Office Machines <br />Street Traffic <br />Voices <br />Factory Machines <br />Airplanes <br />Trains <br />Animals <br />Trucks <br />Music <br />Quiet <br />Patty <br />Static <br />Other <br />People Contacted: <br />Yes <br />No Time <br />Facility Manager <br />Police Department <br />Fire Department <br />Other <br />Other <br />Other <br />Page 25 of 27 <br />02009 Republic Services <br />2/f712011 <br />Form IM <br />