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Type of Service: Route to Hospital(written detail): Travel time from site: <br /> ❑Physical trauma only 1. Head south on S Airport Way toward E 8'St. Approximately 11 minutes <br /> ❑ 115 feet Chemical exposure only Distance to hospital: <br /> 2. Make U-turn at E 8t''St. <br /> ®Physical trauma and 2.7 mile Approximately 3.4 miles <br /> chemical exposure Name/no.of 24-hr <br /> 3. Turn left(west)onto E.Harding Way <br /> ®Available 24 hours 0.5 mile ambulance service: <br /> 911/ <br /> 4. Turn right(north)onto Cemetery Ln/La Follette Ave. <br /> 328 feet <br /> 5. Turn left(west)onto E.Maple St. <br /> 226 feet <br /> 6. Turn right(north). <br /> 135 feet <br /> 7. Destination will be on the right. <br /> A. SECONDARY OR SPECIALTY SERVICE PROVIDER <br /> (NOT APPLICABLE IN THIS CASE) <br /> Name of Phone No.: <br /> Hospital: <br /> Address: Alt.Phone#: <br /> City,State,ZIP Point of <br /> Contact: <br /> Type of Service: ❑Physical trauma only Phone No.: <br /> ❑Chemical exposure only Comments <br /> ❑Physical trauma and chemical exposure <br /> ❑Available 24 hours <br /> Distance to/fi•om site: miles Time to/from site: minutes ***Hospital map attached <br /> 17 of 23 <br />