Form VA Form 10-10066 VA Form 10-10066 Open Pit Burn Registry Web-accessible Self-Assessment/Qu

Open Burn Pit Registry Web-accessible Self-Assessment/Questionnaire

Form 10-10066_Open Burn Pit Self-Assessment 10-22-13

Open Burn Pit Registry Airborne Hazard Web-Accessible Self-Assessment/

OMB: 2900-0800

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2900-0800 can be found here:

2019-08-13 - Reinstatement with change of a previously approved collection

Document [pdf]

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21 October 2013

Airborne Hazards
And Open Burn Pit Registry
Self-Assessment Questionnaire

OMB 2900- XXXX
VA Form 10-10066

This information is collected in accordance with section 3507 of the Paperwork Reduction Act
of 1995. Accordingly, VA may not conduct or sponsor and you are not required to respond to a
collection of information unless it displays a valid OMB number. We anticipate that the time
expended by all individuals who complete this questionnaire will average 40 minutes. This includes
the time it will take to read instructions, gather the necessary facts and fill out the form. The results of
this questionnaire will lead to improvement in the quality of service delivery by helping to shape the
direction and focus of specific programs and services. Submission of this form is voluntary and
failure to respond will have no impact on benefits to which you may be entitled.

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Airborne Hazards and Open Burn Pit
Registry Self-Assessment Questionnaire
Contents
1.

Deployment History .............................................................................................................................. 1

1.1.

Deployment Data from the VA Defense Information Repository (VADIR) ....................................... 1

1.2.

Location Specific Deployment Exposures ......................................................................................... 1

1.3.

General Military Occupational Exposures......................................................................................... 2

1.4.

Environmental Exposures, Regional Air Pollution............................................................................. 3

Symptoms and Medical History ............................................................................................................ 4

2.1.

Functional Limitations and Reported Cause ..................................................................................... 4

2.2.

Health Conditions.............................................................................................................................. 6

2.3.

Height and Weight .......................................................................................................................... 10

2.4.

Cancer History ................................................................................................................................. 10

2.5.

Tobacco Exposure ........................................................................................................................... 12

2.6.

Deployment Smoking History ......................................................................................................... 15

2.7.

12 Month Alcohol Use .................................................................................................................... 15

Health Concerns .................................................................................................................................. 15

Places You’ve Lived (Residential History)............................................................................................ 17

Non-Military Work History (Non-Military Occupational History) ....................................................... 18

5.1.

Current Occupational Status ........................................................................................................... 19

5.2.

Main Occupation............................................................................................................................. 19

5.3.

Dust Exposures ................................................................................................................................ 20

5.4.

Gas, Smoke, Vapors or Fumes Exposures ....................................................................................... 21

5.5.

Asbestos Exposure .......................................................................................................................... 22

Home Environment, Community, and Hobbies (Environmental Exposures)...................................... 23

Health Care Utilization ........................................................................................................................ 24

Contact Preferences............................................................................................................................ 24

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Note: items in square parenthesis, “[]”, are not displayed to the user.

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1. Deployment History

1.1.
Deployment Data from the VA Defense Information
Repository (VADIR)
Note: Deployment and demographic data will be obtained from DoD data sources (VADIR)
after the user’s personal identifier is authenticated and stored in the registry database. All
deployments from DoD data are displayed to the user. The user will then indicate if the
deployment dates are valid or not, add missing deployments, and select which base names
they were at while deployed. Guidance will be provided to facilitate direct contact with the
appropriate DoD service to correct entries in the official system of record for the DoD
deployment data.
Report Section

Report Field

Deployment Periods

Service

Note
User Validates

Begin Date
End Date
Conflict
Location
GWVIS Note

1.2.

Note

Indicates Operation Desert Storm and Operation Desert
Shield service

Location Specific Deployment Exposures

“Tell us about potential exposures while you were deployed.”
[Note: Section 1.2 questions are asked for each deployment or deployment segment in
the VADIR data]
“During this deployment or portion of your deployment:”
A. [if deployment dates within 1990 – 1992, e.g. VADIR GWVIS indicator set], Were you
exposed to soot, ash, smoke, or fumes from the Gulf War oil well fires?
Yes, No, I do not wish to answer, Don’t know
B. Where did you spend most of your time during these dates?

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[if deployment dates not within 1990 – 1992, e.g. VADIR GWVIS indicator not set:list
base names, see Appendix A]
Other, I do not wish to answer, Don’t know
C. If you were at more than one base, where did you spend the second most amount of
time during these dates?
[if deployment dates not within 1990 – 1992, e.g. VADIR GWVIS indicator not set: list
base names, see Appendix A]
Other, I do not wish to answer, Don’t know
D. Were you near a burn pit during these dates (on the base or close enough to the base
for you to see the smoke)?
Yes, No, I do not wish to answer, Don’t know
E. [If ‘D’ = yes], Who ran this burn pit (circle all that apply)?
U.S. forces, Coalition forces, Host nation, I do not wish to answer, Don’t know
F. [If ‘D’ = yes] Did your duties during these dates include the burn pit (examples include
trash burning, hauling trash to the burn pit, burn pit security, trash sorting at the burn
pit)?
Yes, No, I do not wish to answer, Don’t know
G. [If ‘D’ = yes] On a typical day, how often did smoke or fumes from the burn pit enter
your work site or housing?
Never, {1, 2, 3, … 24} hours, I do not wish to answer, Don’t know
H. On a typical day, how often were you outside or in an open tent or shelter (for example
a single wall tent with open seams or drafty “B” hut)?
Never, {1, 2, 3, … 24} hours, I do not wish to answer, Don’t know
I. On a typical day, how often were you near (for example you could smell or see it)
sewage ponds?
Never, {1, 2, 3, … 24} hours, I do not wish to answer, Don’t know

1.3.

General Military Occupational Exposures
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During any of your deployments:
A.

Were you ever close enough to feel the blast from an IED (improvised explosive
device) or other explosive device?
Yes, No, I do not wish to answer, Don’t know

In a typical month, how many days were you near heavy smoke from weapons,
signal smoke, markers, or other combat items?
Never, {1, 2, 3 … 31} days, I do not wish to answer, Don’t know

In a typical month, how many days were you in convoy or other vehicle operations?
Never, {1, 2, 3 … 31} days, I do not wish to answer, Don’t know

In a typical month, how many days did you perform refueling operations?
Never, {1, 2, 3 … 31} days, I do not wish to answer, Don’t know

In a typical month, how many days did you perform aircraft, generator, or other
large engine maintenance?
Never, {1, 2, 3 … 31} days, I do not wish to answer, Don’t know

In a typical month, how many days did you perform construction duties?
Never, {1, 2, 3 … 31} days, I do not wish to answer, Don’t know

In a typical month, how many days did you perform pesticide duties for your unit?
Never, {1, 2, 3 … 31} days, I do not wish to answer, Don’t know

1.4.

Environmental Exposures, Regional Air Pollution

Did you do anything differently during your deployment(s), when you thought or
were informed air quality was bad (for example during dust storms or heavy
pollution days)?
Yes, No, Never thought of this, I was not informed or aware of bad air quality, I
do not wish to answer, Don’t know

[A’=yes], What did you do differently (select all that apply)?
1.
Wore a mask, cravat, or bandana over your mouth or nose
2.
Spent less time outdoors
3.
Did less strenuous activities (i.e. avoided physical training (PT))
4.
Took medication
5.
Closed windows of your sleeping quarters
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6.
7.
8.
9.
10.
11.
97.

21 October 2013

Spent less time in convoy
Canceled outdoor activities
Exercised indoors instead of outdoors
Used or changed air filter/air cleaner
Other
I did not do anything differently
I do not wish to answer

In a typical month during your deployment(s), how many days did you experience
dust storms?
Never, {1, 2, 3 … 31} days, I do not wish to answer, Don’t know

During your deployment(s), did you experience wheezing, difficulty breathing, an
itchy or irritated nose, eyes or throat that you thought was the result of poor air
quality?
Yes, No, I do not wish to answer, Don’t know

[If ‘D’=yes], How many days in an average month did you experience wheezing,
difficulty breathing, an itchy or irritated eyes, nose or throat that you thought was
the result of poor air quality?
Never, {1, 2, 3 … 31} days, I do not wish to answer, Don’t know

During your deployment(s), did you seek medical care for wheezing, difficulty
breathing, an itchy or irritated nose, eyes or throat that you thought was the result
of poor air quality?
Yes, No, I do not wish to answer, Don’t know

2. Symptoms and Medical History
“Tell us your health history. Please list all conditions even if you don’t think
they’re related to a deployment exposure.”

2.1.

Functional Limitations and Reported Cause

[Source: NHIS Adult Health Status & Limitations starting with AHS.091_01.000]
A. How difficult is it to run or jog one mile on a level surface?
Not at all difficult, only a little difficult, somewhat difficult, very difficult, can’t do
it at all, do not do this activity, I do not wish to answer, Don’t know
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B. How difficult is it to walk on a level surface for one mile?
Not at all difficult, only a little difficult, somewhat difficult, very difficult, can’t do
it at all, do not do this activity, I do not wish to answer, Don’t know
C. How difficult is it to walk a ¼ of a mile – about 3 city blocks?
Not at all difficult, only a little difficult, somewhat difficult, very difficult, can’t do
it at all, do not do this activity, I do not wish to answer, Don’t know
D. How difficult is it to walk up a hill or incline?
Not at all difficult, only a little difficult, somewhat difficult, very difficult, can’t do
it at all, do not do this activity, I do not wish to answer, Don’t know
E. How difficult is it to walk up 10 steps or climb a flight of stairs?
Not at all difficult, only a little difficult, somewhat difficult, very difficult, can’t do
it at all, do not do this activity, I do not wish to answer, Don’t know
[Source: NHIS: Adult Health Status & Limitations AHS.200_00.000, selection 14 modified]
F. [If any question A-E = “difficult”] What condition or health problem causes you to have
difficulty with these activities? (Check all that apply.)
01 Vision/problem seeing
02 Hearing problem
03 Arthritis/rheumatism
04 Back or neck problem
05 Fracture, bone/joint injury
06 Other injury
07 Heart problem
08 Stroke problem
09 Hypertension/high blood pressure
10 Diabetes
11 Lung/breathing problem(for example, asthma and emphysema)
12 Cancer
13 Birth defect
14 Brain injury, (for example, Traumatic Brain Injury/TBI, Intellectual disability )
15 Other developmental problem (for example, cerebral palsy)
16 Senility
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17 Depression/anxiety/emotional problem
18 Weight problem
19 Missing limbs (fingers, toes or digits), amputee
20 Kidney, bladder or renal problems
21 Circulation problems (including blood clots)
22 Benign Tumors, Cysts
23 Fibromyalgia, lupus
24 Osteoporosis, tendinitis
25 Epilepsy, seizures
26 Multiple Sclerosis (MS), Muscular Dystrophy (MD)
27 Polio(myelitis), paralysis, para/quadriplegia
28 Parkinson's disease, other tremors
29 Other nerve damage, including carpal tunnel syndrome
30 Hernia
31 Ulcer
32 Varicose veins, hemorrhoids
33 Thyroid problems, Grave's disease, gout
34 Knee problems (not arthritis (03), not joint injury(05))
35 Migraine headaches (not just headaches)
90 Other impairment/problem (Specify one)
97 I do not wish to answer
99 Don't know/Not sure

2.2.

Health Conditions

[Source: NHIS Adult Conditions ACN.031 series]
A. Have you ever been told by a doctor or other health professional that you had Hay fever
or allergies to pollen, dust, or animals?
Yes, No, I do not wish to answer, Don’t know
[Source: NHIS Adult Conditions ACN.080_00.000]
B. Have you ever been told by a doctor or other health care professional that you had
asthma?
Yes, No, I do not wish to answer, Don’t know
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C. Have you ever been told by a doctor or other health care professional that you had
emphysema?
Yes, No, I do not wish to answer, Don’t know
D. Have you ever been told by a doctor or other health care professional that you had
chronic bronchitis?
Yes, No, I do not wish to answer, Don’t know
[Source: NHIS Adult Conditions ACN.035 series]
E. Have you ever been told by a doctor or other health care professional that you had
chronic obstructive pulmonary disease also called COPD?
Yes, No, I do not wish to answer, Don’t know
F. Have you ever been told by a doctor or other health care professional that you had
some lung disease or condition other than asthma, emphysema, chronic bronchitis or
COPD?
Yes, No, I do not wish to answer, Don’t know
G. [if F=”Yes”] Have you ever been told by a doctor or other health care professional that
you had constrictive bronchiolitis (CB)?
Yes, No, I do not wish to answer, Don’t know
H. [if F=”Yes”] Have you ever been told by a doctor or other health care professional that
you had pulmonary fibrosis or idiopathic pulmonary fibrosis (IPF)?
Yes, No, I do not wish to answer, Don’t know
I. [if B-F = yes], When you were told you had asthma, emphysema, chronic bronchitis,
COPD or some other lung disease by a doctor or other health care professional, were
you told before, during, or after deployment? (check all that apply.)
Before deployment, During deployment, After deployment, I do not wish to
answer, Don’t know
J. [if I = Before], Did this lung disease get better, worse, or about the same during
deployment?
Better, Worse, About the Same, Not applicable, I do not wish to answer, Don’t
know
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K. Have you ever been told by a doctor or other health care professional that you had
hypertension, also called high blood pressure?
Yes, No, I do not wish to answer, Don’t know
L. Have you ever been told by a doctor or other health care professional that you had
coronary artery disease?
Yes, No, I do not wish to answer, Don’t know
M. Have you ever been told by a doctor or other health care professional that you had
angina pectoris?
Yes, No, I do not wish to answer, Don’t know
N. Have you ever been told by a doctor or other health care professional that you had a
heart attack, also called myocardial infarction?
Yes, No, I do not wish to answer, Don’t know
O. Have you ever been told by a doctor or other health care professional that you had a
heart condition other than coronary artery disease or angina or myocardial infarction?
Yes, No, I do not wish to answer, Don’t know
P. [if K-O = yes], When you were told you had hypertension, coronary artery disease,
angina pectoris, a heart attack, or some other heart condition by a doctor or other
health care professional, were you told before, during, or after deployment? (check all
that apply.)
Before deployment, During deployment, After deployment, I do not wish to
answer, Don’t know
Q. On average, how many hours of sleep do you get in a 24-hour period? (Round up 30
minutes or more to the next whole hour.)
{1,2,3 … 24} hours
97 I do not wish to answer
99 Don't know
“Questions R and S are about snoring and breathing during sleep. To answer these
questions, please consider both what others have told you and what you know about
yourself.”

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R. How often do you snore?
0
1
2
3
4
7
8

Never
Rarely - less than one night a week
Sometimes - 1 or 2 nights a week
Frequently - 3 to 5 nights a week
Always or almost always - 6 or 7 nights a week
I do not wish to answer
Don't know

S. How often do you have times when you stop breathing during your sleep?
0
1
2
3
4
7
8

Never
Rarely - less than one night a week
Sometimes - 1 or 2 nights a week
Frequently - 3 to 5 nights a week
Always or almost always - 6 or 7 nights a week
I do not wish to answer
Don't know

[Source NHIS ACN.125_00.250]
T. During the past 12 months, have you regularly had insomnia or trouble sleeping?
Yes, No, I do not wish to answer, Don’t know
[Source modified from NHIS ACN.125_00.130]
U. During the past 12 months, have you had Neurological problems? (Some examples of
neurological problems may include numbness, tingling, or weakness in your arms or legs
or difficulties with thinking or memory.)
Yes, No, I do not wish to answer, Don’t know
[Source modified from NHIS ACN.125_00.100]
V. During the past 12 months, have you had problems of the immune system?

Yes, No, I do not wish to answer, Don’t know
[Source NHIS ACN.201_05.000]
W. During the past 12 months, have you been told by a doctor or other health professional
that you had any kind of liver condition?
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Yes, No, I do not wish to answer, Don’t know
X. During the past 12 months, have you been told by a doctor or other health professional
that you had any a chronic multi-symptom illness (examples include irritable bowel
syndrome, chronic fatigue syndrome, and fibromyalgia)?
Yes, No, I do not wish to answer, Don’t know
Y. [if T-X = yes], Did your, neurological or immune problems, chronic multi-symptom
illness, or liver condition first occur before, during, or after deployment? (check all that
apply.)
Before deployment, During deployment, After deployment, I do not wish to
answer, Don’t know

2.3.

Height and Weight

A. How tall are you without shoes?

(x feet, y inches), I do not wish to answer, Don’t know
B. How much do you weigh without shoes?
X pounds, I do not wish to answer, Don’t know

2.4.

Cancer History

[Source NHIS ACN.130_00.000]
A. Have you ever been told by a doctor or other health professional that you had Cancer or
a malignancy (tumor) of any kind?
Yes, No, I do not wish to answer, Don’t know
B. [if ‘A’ = Yes, allow up to three cancers to be reported] What kind of cancer was it (check
up to three)?
01 Bladder
02 Blood
03 Bone
04 Brain
05 Breast
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06 Cervix
07 Colon
08 Esophagus
09 Gallbladder
10 Kidney
11 Larynx-windpipe
12 Leukemia
13 Liver
14 Lung
15 Lymphoma
16 Melanoma
17 Mouth/tongue/lip
18 Ovary
19 Pancreas
20 Prostate
21 Rectum
22 Skin (non-melanoma)
23 Skin (DK what kind)
24 Soft tissue (muscle or fat)
25 Stomach
26 Testis
27 Throat - pharynx
28 Thyroid
29 Uterus
30 Other
97 I do not wish to answer
99 Don't know
C. [if ‘A’ = Yes, for each cancer selected] How old were you when this cancer was first
diagnosed?
{00-99} Years
I do not wish to answer, Don’t know
A. Do you currently have any of the following symptoms? (Check all that apply.)
1. Cough for more than 3 weeks
2. Sputum or phlegm production for more than 3 weeks
3. Wheezing or whistling in the chest
4. Shortness of breath; breathlessness
5. Decreased ability to exercise
6. Hay fever or other respiratory allergy
7. Sore throat, hoarseness, or change in voice
8. Chest pain, chest discomfort or chest tightness
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9. Chronic sinus infection/sinusitis
97. I do not wish to answer
B. In the past 12 months did you have any of the following symptoms? (Check all that
apply.)
1. Cough for more than 3 weeks
2. Sputum or phlegm production for more than 3 weeks
3. Wheezing or whistling in the chest
4. Shortness of breath; breathlessness
5. Decreased ability to exercise
6. Hay fever or other respiratory allergy
7. Sore throat, hoarseness, or change in voice
8. Chest pain, chest discomfort or chest tightness
9. Chronic sinus infection/sinusitis
97. I do not wish to answer
[Source: Medical Research Chronic (MRC) Breathlessness scale]
C. [IF ANSWER TO “A” Current Health symptoms = 04] How would you rate your
shortness of breath or breathlessness? (Check the description/grade that applies to
you.) I’m:
1. Not troubled by breathlessness except on strenuous exercise
2. Short of breath when hurrying on the level or walking up a slight hill
3. Walking slower than most people on level ground, stop after one mile, or stop
after 15 minutes walking at my own pace
4. Stopping for breath after walking about 100 yards or after a few minutes on
level ground
5. Too breathless to leave the house, or breathless when dressing or undressing
7. I do not wish to answer

2.5.

Tobacco Exposure

[Source: NHIS Adult Health Behaviors: AHB.010_00.000]
A. Have you smoked at least 100 cigarettes in your entire life?
1. Yes
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21 October 2013

2. No
7. I do not wish to answer
9. Don’t know
[if A=Yes continue to ‘B’ else skip to ‘F’]
B. How old were you when you first started to smoke fairly regularly?
X (age in years),
96. Never smoked regularly
97. I do not wish to answer
99. Don’t know
[if B=age continue to ‘C’ else skip to ‘F’]
C. Do you now smoke cigarettes every day, some days or not at all?
1. Every day
2. Some days
3. Not at all
7. I do not wish to answer
9. Don’t know
D. [if ‘C’=not at all], How long has it been since you quit smoking cigarettes?
{00-99} (Years since quit),
7. I do not wish to answer
9. Don’t know

E. [if ‘C’=some days], On the average, how many cigarettes do you now smoke a day?
{00-99} (Number of cigarettes per day)
97. I do not wish to answer
99. Don’t know
F. Have you ever smoked tobacco products other than cigarettes even one time?
(Such as cigars, pipes, water pipes or hookahs, small cigars that look like cigarettes,
bidis, cigarillos, marijuana?)
1. Yes
2. No
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7. I do not wish to answer
9. Don’t know
[if F=Yes continue to ‘G’ else skip to ‘H’]
G. Do you now smoke tobacco products other than cigarettes every day, some days,
rarely, or not at all?
1. Every day
2. Some days
3. Rarely
4. Not at all
7. I do not wish to answer
9. Don’t know

H. Have you ever used smokeless tobacco products even one time? (Such as chewing
tobacco, snuff, dip, snus, or dissolvable tobacco.)
1. Yes
2. No
7. I do not wish to answer
9. Don’t know
[if H=Yes continue to ‘I’ else skip to ‘J’]
I. Do you now use smokeless tobacco products every day, some days, rarely, or not at
all?
1. Every day
2. Some days
3. Rarely
4. Not at all
7. I do not wish to answer
9. Don’t know

J. Are you exposed to second-hand smoke or environmental tobacco smoke every day,
some days, rarely, or not at all?
1. Every day
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2.
3.
4.
7.
9.

2.6.

21 October 2013

Some days
Rarely
Not at all
I do not wish to answer
Don’t know

Deployment Smoking History

[Source: modified from DoD USAPHC DARE H2-5c]
A. [if 6.5.A = yes], Did you start smoking for the first time while being deployed?
Yes, No, I do not wish to answer, Don’t know
B. [if 2.7.A = No], How did deployment(s) change how much you smoked?
No change, I smoked more while deployed, I smoked less while deployed, I do
not wish to answer, Don’t know

2.7.

12 Month Alcohol Use

A. In the PAST YEAR, how often did you ever drink any type of alcoholic beverage (Included
are liquor such as whiskey or gin, beer, wine, wine coolers, and any other type of
alcoholic beverage)? "On average, how many days per week did you drink?"
Never, Less than one, 1-7 days per week, I do not wish to answer, Don't know

3. Health Concerns
“Help us focus our efforts on health issues you care about.”
A. Compared to pre-deployment, would you say your overall health is better, worse, or
about the same?
Better, Worse, About the same, I do not wish to answer, Don’t know
B. During your deployment(s), do you believe you were sick because of something you
breathed?
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Yes, No, I do not wish to answer, Don’t know
C. Do you currently have a sickness or condition you think began or got worse because of
something you breathed during deployment(s)?
Yes, No, I do not wish to answer, Don’t know
D. [If ’C’=yes], When did the problem start?
1. Before deployment
2. During Deployment
3. 6 months or less after deployment
4. More than 6 months later after deployment
5. Not sure
7. I do not wish to answer
E. Please rate your concern that something you breathed during deployment has already
affected your health.
Not at all concerned, a little concerned, very concerned, I do not wish to answer
F. [If ’E’=concerned], Please identify your biggest health concern that something you
breathed during deployment has already affected your health.
1. Lung/Respiratory/Breathing problem
2. Heart problem
3. Skin problem
4. Eye problem
5. Gastrointestinal (GI) problem
6. Neurological problem
7. Immune problem
8. Effect on children or ability to have children
9. Cancer
10. Other problem
97. I do not wish to answer
G. Have you discussed this concern with your health care provider, medical professional or
team?
Yes, No, Not yet but I would like to talk with a medical professional
H. Are you concerned that in the future that your health will be affected by something you
breathed during deployment(s)
Yes, No, I do not wish to answer, Don’t know
I. [If ’H’=yes], Please rate your concern that something you breathed during deployment
will affect your future health.
Not at all concerned, a little concerned, very concerned, I do not wish to answer
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J. [If ’I’=concerned], Please identify your biggest health concern that something you
breathed during deployment will affect your future health.
1. Lung/Respiratory/Breathing
2. Heart
3. Skin
4. Eyes
5. Effect on children or ability to have children
6. Cancer
7. Other
97. I do not wish to answer
K. [If ’C or ‘H’’=concerned], Which exposure do you think has the biggest overall effect on
your health?
1. Off base air pollution during deployment (factories, cars, burning trash, dust)
2. On base air pollution during deployment (burning fuel, burn pits)
3. Hobbies and non-military jobs
4. Military jobs while I’m not deployed
5. Smoking (by you or those near you)
6. Don’t know
7. I do not wish to answer

4. Places You’ve Lived (Residential History)
“Poor air quality in places where you’ve lived may impact how deployment
exposures affect you.”
A. What is your current address (if not shown above [from VADIR and VA BIRLS sources])?
Please include the city, state, zip code, and country.
1. Country ______________
[If country <> “USA” then skip to 5]
2. City Name______________
3. State_______ (two letter code)
4. Zip code (if known):____________ (5 digit number)
5. How many years have you lived at your current address (listed above)? ____ years
6. Do you live nine or more months of the year at the address listed above? Yes, No
17

DRAFT – Working Document

21 October 2013

7. If not, indicate the other residence.
a. Other city name______________
b. Other state_______ (two letter code)
c. Other zip code (if known):____________ (5 digit number)
d. Other country ______________

B. Where have you lived the longest? Please include the city, state, zip code, and country.
1. The address where I lived the longest is the same as my current address.
Yes __ (if yes go to next question), No
2. Country ______________
[If country <> “USA” then skip to 6]
3. City Name______________
4. State_______ (two letter code)
5. Zip code (if known):____________ (5 digit number)
6. Indicate the approximate year you moved to this address: __________
7. Indicate the approximate year you moved out of this address: ________
C. Please provide the address where you lived the longest before age 13. Please include

the city, state, zip code, and country.
1. Country ______________
[If country <> “USA” then skip to 5]
2. City Name______________
3. State_______ (two letter code)
4. Zip code (if known):____________ (5 digit number)
5. Indicate the approximate age you moved to this address. ________ years (Enter “0” if you
lived there before age 1)
6. Indicate the approximate age you moved out of this address: _______years

5. Non-Military Work History (Non-Military Occupational History)

DRAFT – Working Document

21 October 2013

“Exposures in your non-military jobs may impact how deployment exposures
affect you.”

5.1.

Current Occupational Status
A. Which of the following were you doing last week?
1 Working for pay at a job or business
2 Working without pay at a job or business
4 Working, but not for pay, at a family-owned job or business
3 Looking for work
5 Not working at a job or business and not looking for work
7 I do not wish to answer
9. Don't know
B. [if A=3 or 5] What is the main reason you did not [3 or 5 text: work last week/have
a job or business last week]?
01 Taking care of house or family
02 Going to school
03 Retired
04 On a planned vacation from work
05 On family or maternity leave
06 Temporarily unable to work for health reasons
07 Have job/contract and off-season
08 On layoff/laid-off from a job
09 Disabled
10 Other
97 I do not wish to answer
99 Don't know

5.2.

Main Occupation

A. Select the occupational category that best describes your main occupation. Do not
include your occupation during military service. If your occupation is not included, select
“other occupation”:
Artist or art related

Forestry

Building and grounds,
cleaning and
maintenance

Mining or drilling

Transportation - Bus,
car, or van driver
Other transportation
related

DRAFT – Working Document
Construction and
building trades
Farming - animal,
agriculture
Firefighter

Sales, office, retail, and
administrative
Other occupation [text
entry]

21 October 2013
Police and correctional
Production related - machine operator,
manufacturing, assembling, or
processing
Professional, including business,
financial, engineering, computer,
science, media, education
Medical, dental and healthcare related

Vehicle, engine, or
aircraft mechanic
Welder

Food preparation and
serving
Transportation - Truck
driver

I do not wish to answer

B. Total years in this non-military job {0…99} years (enter 0 if less than one year).
{00-99} years
I do not wish to answer, Don’t know

5.3.

Dust Exposures

A. Have you ever worked for a year or more in any dusty job outside the military?
Yes, No (Go to next set of questions), I do not wish to answer, Don’t know
B. For the job with the biggest dust exposure:
1. Select the occupational category that best describes the job with the longest dust
exposure. If your occupation is not included, select “other occupation”:
Artist or art related

Forestry

Building and grounds,
cleaning and
maintenance
Construction and
building trades
Farming - animal,
agriculture

Mining or drilling

Firefighter

Food preparation and
serving

Police and correctional
Production related - machine
operator, manufacturing,
assembling, or processing
Professional, including business,
financial, engineering,
computer, science, media,
education
Sales, office, retail, and
administrative

Transportation - Bus,
car, or van driver
Other transportation
related
Vehicle, engine, or
aircraft mechanic
Welder

Other occupation
[text entry]

Medical, dental and
healthcare related

DRAFT – Working Document
Transportation - Truck
driver

21 October 2013
I do not wish to answer

2. In this job, what were the most common kinds of dust to which you were
exposed?
Animal dander

Wood or sawdust

Cotton, wool, or other cloth
or textile
Flour
Grain
Hay
Paper or cardboard
Soil or dirt

Asbestos

Metal (aluminum, copper,
iron, steel, or other types)
Plaster

Cement
Coal
Fiberglass
Granite or other rock
Other dust [text entry]

Sand or silica
Talc
Lime
Plastic or rubber
I do not wish to answer

3. Total years in this job {0…99} years (enter 0 if less than one year).
{00-99} years
I do not wish to answer, Don’t know
4. Are you working in this dusty job now?
Yes, No, I do not wish to answer, Don’t know

5.4.

Gas, Smoke, Vapors or Fumes Exposures

A. Have you ever been exposed to gas, smoke, chemical vapors or fumes in your nonmilitary work?
Yes, No (Go to next set of questions), I do not wish to answer (Go to next set of
questions), Don’t know
B. For the job with the biggest gas, smoke, vapor or fume exposure:
1. Select the occupational category that best describes the job with the longest gas,
smoke, chemical vapor, or fume exposures. If your occupation is not included, select
“other occupation”:
Artist or art related
Building and grounds,

Medical, dental and healthcare
related
Forestry

Sales, office, retail,
and administrative
Transportation -

DRAFT – Working Document

21 October 2013

cleaning and maintenance
Construction and building
trades
Farming - animal, agriculture
Firefighter

Food preparation and serving

Other occupation [text entry]

Mining or drilling
Police and correctional
Production related - machine
operator, manufacturing,
assembling, or processing
Professional, including business,
financial, engineering, computer,
science, media, education
I do not wish to answer

Truck driver
Transportation - Bus,
car, or van driver
Other transportation
related
Vehicle, engine, or
aircraft mechanic
Welder

2. In this job, what were the most common kinds of gas, smoke, or chemical vapors or
fumes to which you were exposed?
Cutting oils or mists

Fumes from chemicals

Solvents

Exhaust: primarily
diesel engine

Gasoline or other fuel
fumes

Welding

Exhaust: primarily
gasoline engine

Pesticides or insecticides

Other gas, smoke, or chemical vapor
or fume (indicate kind)___________

Exhaust: both diesel
and gasoline engine

Smoke from burning
buildings, fuel oil, refuse,
or wood

Exhaust: primarily another kind

Paint or lacquers

Don’t know

I do not wish to answer

3. Total years in this job {0…99} years (enter 0 if less than one year).
{00-99} years
I do not wish to answer, Don’t know
4. Are you working in this job with gas, smoke, or chemical vapors or fumes now?
Yes, No, I do not wish to answer, Don’t know

5.5.

Asbestos Exposure

A. Have you ever worked in a job with asbestos exposure, including military service?
Yes, No (Go to next set of questions), I do not wish to answer, Don’t know
22

DRAFT – Working Document

21 October 2013

B. Circle the type(s) of asbestos exposure that describe(s) how you were exposed
1. I did not handle asbestos directly, but asbestos was present on overhead
pipes or ceilings, flooring, brakes, or other materials.
2. I did not handle asbestos directly, but I worked in area where asbestos dust
was created by others.
3. I handled asbestos or asbestos containing products directly and created
asbestos dust.
97. I do not wish to answer
98. Don’t know
C. How many years did you work in a job with asbestos exposure (enter 0 if less than one
year)?
{00-99} years
I do not wish to answer, Don’t know
D. Are you working in a job with asbestos exposure now?
Yes, No, I do not wish to answer, Don’t know

6. Home Environment, Community, and Hobbies (Environmental
Exposures)
“Exposures in your home environment or hobbies may impact how deployment
exposures affect you.”
A. Are there any traditional farm animals that live on your land or that you visit on a
regular basis?
Yes, No, I do not wish to answer, Don’t know
B. Have you ever removed mold in your home because of its effect on your health?
Yes, No, I do not wish to answer, Don’t know
C. Have you ever lived in a home that had elevated radon levels?
Yes, No, I do not wish to answer, Don’t know
D. Please select from the list below any hobbies you participate in
[Source: DoD USAPHC DARE questionnaire, page 14, section G].

DRAFT – Working Document

21 October 2013

Woodworking, including
sanding

Welding, brazing or soldering

Metal working, including
machining, grinding

Stained glass work

Hobbies utilizing epoxy resin
adhesives

Pottery work, including
glazing

Indoor swimming and/or
indoor ice-skating

None

97. I do not wish to

answer,

E. [if item selected in ‘D’] How many total hours a week, on average, do you participate
in all the above hobbies combined?
1,2, 3, 4, 5, 6, 7, 8, 9, 10 or more, I do not wish to answer,
Don’t know

7. Health Care Utilization
[Source NHIS: Adult Access to Health Care & Utilization, AAU.305_00.000]
A. About how long has it been since you last saw or talked to a doctor or other health care
professional about your own health? Include doctors seen while a patient in a hospital.
1. Never
2. 6 months or less
3. More than 6 months, but not more than 1 yr ago
4. At least 1 year, but not more than 2 yrs ago
5. At least 2 years, but not more than 5 yrs ago
6. At least 5 years ago
7. I do not wish to answer
9. Don't know
B. Do you wish to see a DoD or VA health care provider to discuss your health concerns
related to airborne hazards during deployment?
Yes, No, Don’t know

8. Contact Preferences
“Help us communicate in ways that are most effective.”
A. How do you prefer to receive updated information on burn pits and other airborne
exposures?
1. Email from the VA
24

DRAFT – Working Document

21 October 2013

2.
3.
4.
5.
6.

VA Web site
Through my health care provider
Via social media (e.g. twitter, facebook)
Letter/U.S. Mail
Through the Department of Defense
7. Through a Veterans Service Organization
8. I do not wish to receive any updated information
B. Do you use the Internet?
1. Yes
2. No
7. I do not wish to answer
9. Don't know
C. Do you send or receive emails?
1. Yes
2. No
7. I do not wish to answer
9. Don't know

APPENDIX A: LIST OF CONTINGENCY BASES
Country
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Base Name
308
ADL
AR AR
AR Rumaythah
Abrams
Abu Ghraib

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Abu Naji
Adalla
Adam
Adder
Aggies
Aitha
Akashat
Al Abarrah
Al Aleel
Al Asad

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Al
Al
Al
Al
Al
Al
Al
Al

Ashshar
Aziziya
Fahr
Fallujah
Farahidy
Fattah
Faw Peninsulsa
Habbaniyah

Iraq
Iraq
Iraq
Iraq
Iraq

Al
Al
Al
Al
Al

Hartha
Hayy
Hiedier
Hussein
Iskandariyah

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Al
Al
Al
Al
Al
Al
Al
Al
Al
Al
Al
Al
Al
Al

Jadida
Khansa
Khidr
Kindi
Kisik
Meerah
Mina
Muallimeen
Muthana
Qaim
Qurna
Shaab
Tib
Tun Kapri

10/22/13
Other Names Used
Apache; Gunner Main
None
Broomhead
None
None
Abu Ghraib Prison BCC; Abu
Ghurayh; Baghdad Central
Detention Center
None
None
None
Al Taillil; Ali Air Base; Taillil
None
Cottrell
None
None
None
Al Asad Air Base; MCAS Al Asad;
Rifles Base; Webster
None
None
None
Patrol Base B; St. Mere
None
None
Janin Al Few Penninsula
Habbaniyah; Manhatan; Manhattan
None
Kut Al Hayy
None
None
Chosin; Dogwood FLB; Gela; JSS
Iskan
None
None
None
None
None
None
None
Nuab Dubat
None
Causey; Tiger Base
None
None
Al Tib; PB Uvanni; Samarra
None

A-1

APPENDIX A: LIST OF CONTINGENCY BASES

10/22/13

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Al Walid
Al Zubidiyah
Alamo
Albu Hyatt
Alpha
Ameriyah
An Najaf
Andaloos
Andrea

Latham; Waleed
None
None
None
Al Hillah; Babylon Palace
None
Najaf
None
Kulsu; PB Andrea; Phantom; Stone

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Angur
Animal
Annihilators
Apache - IZ
Aqur quf
Ar Ramadi

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Ares
Arlington
Aruba
As Sadah
As Sindiyah Bridge
As Zubayr Port
Ash Shura
Ashreen
Assassin
Assassin Main
Atlas
Attack
Aztec
BOR
BP Hassa
BP Hue City
Baath Party HQ
Bab Al-Mouadam
Babil
Badoush
Baghdad Island
Baghdad-Bandit Island
Baharia
Baker
Bali
Bama
Barbarian
Basrah Air Station
Basrah Maqal
Basrah Palace
Bassam

None
None
None
Al Sheeb; Al Wahab
None
Al Ramadi; Junction City; Ramadi;
Rifles West
Aryes
Arlington CEA Depot
None
None
As Sindiyah MJB FL
AZP
None
None
None
Camp Ruhlen
None
None
None
None
None
None
None
Rasheed
None
None
Bandit Island
Bandit Island
Dreamland; Fallujah; Vulturno
None
Pathfinder
None
PB Barbarian
BAS
None
South Palace
None

A-2

APPENDIX A: LIST OF CONTINGENCY BASES

10/22/13

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Battle
Bayji
Beladiyat
Bernstein
Besmaya Range
Black
Black Foot
Black Lions
Blackfoot
Blackhawk
Blue Diamond
Bonzai DJSS
Border Fort 9
Brassfield
Bravo
Breadbasket
Bucca
Buckmaster
Buhritz
Bulldog
Bushmaster - IZ
Bushmaster 1
Bushmaster 2
Butler Range Complex
Buzz
CMOC
COP 4
COP 727
COP 763
COP 799
COP 821
COP 828
COP 838
COP 9
COP Hotel
COP North
COP Nu Hamza
COP South
COP Subak Sur
COP Tash
COS Irbil
CSH Warehouse
CTCP Support House
Cahill
Caldwell

None
None
None
Tuz Military Airfield
Besmiyah Range
None
None
None
Gimlet; Khalis; Rock
None
None
None
None
Mora
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
JSS Sadiyah II; Warpath
None
None
None
None
None
None
None
None
None
None
None
None
None
KMTB; Kirkush Military Training
Base; Kirkush NIA Training Facility

Iraq

Callahan

COS Callahan

A-3

APPENDIX A: LIST OF CONTINGENCY BASES

10/22/13

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Camp AL Saad
Camp Buffalo
Camp Cougar
Camp Daniels
Camp Eden
Camp Gator
Camp Hutch
Camp Khalid
Camp Stephen
Canal
Carpenter
Carver
Cashe North
Cashe South
Castle
Cavalier
Cedar II
Charlie
Cherokee
Chindit
Choate
Chosen
Cleary
Cobra
Cold Steel
Comanche
Combat Outpost
Commanche
Command Liason Element Compound

None
None
FOB Cougar; Freedom
FOB Daniels; Samarra
None
FOB Gator
None
None
None
None
Wyatt
None
COP Cashe North; Tuwaitha
None
None
None
None
Al Hillah; Bravo
None
None
Melody; Spartan Main
None
None
Badgerville; Balad BOS-1; Jalula
None
None
AG College
None
CLE Compound; TFBSO; Taskforce
Business Stability Operations

Iraq
Iraq
Iraq
Iraq

Commando Bar
Condor
Conqueror
Constitution

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Corregidor
Courage
Craw
Cross
Crusader Main
Da Nang
Dagger
Dahuk Training Center 1
Dahuk Training Center 2
Danger
Delta - IZ

Iraq

Dezil

None
None
None
Camp Constitution; FOB
Constitution
None
D-Main; Freedom; Mosul Palace
AAK
None
Camp Cowboy
None
Raider; Raider Base
Zawita Compound
None
Ironhorse
Al Kut; Ubaydah Bin Al Jarrah
Airfiled
None

A-4

APPENDIX A: LIST OF CONTINGENCY BASES
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Diamondback
Dibbis
Diwaniyah
Diyala Governance Center
Diyala Media Center
Dogwood
Dragon
Duke
Dur Rajaib Bridge
Eagle Base
Eastern Barracks
Echo - IZ
Edge
Ellis
Embassy Annex
Endeavor
Essayons
FTCP
Falcon
Fallahat
Fat Boy Bridge
Fernandez
Ford
Fort
Fort Atterbury
Fortitude - IZ
Fortress Lines
Foxtrot - IZ
Freedom Compound
Freedom I
Freedom II
Freedom III
Freedom Rest
Gabe
Gaines Mills
Gannon
Gannon II
Garry Owen
Gaspar
Gator
Gatorswamp Bridge
Ghazaliyah
Ghazaliyah I
Ghazaliyah II
Ghazaliyah III
Golf
Grant
Green

10/22/13
LSA Diamondback; Mosul Airfield
None
None
None
COL DMC
None
None
None
Dur Rajaib MJB
None
None
Ad Diwaniyah; Ad Diwanyah
None
None
None
None
None
Camp Payne
Al Saqr; Ferrin Huggins
None
Fat Boy MJB LSB
None
None
None
None
Patriot; Widowmaker
None
None
None
Aggressor; Warhorse
Regular
None
None
Boom; Hound; Scorpion Xray
None
Husaybah
None
None
None
None
Gatorswamp MJB LSB
None
None
None
None
None
None
None

A-5

APPENDIX A: LIST OF CONTINGENCY BASES

10/22/13

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Green Acres
Green Zone
Grierson
Grizzly
Guerrero
Habur Gate
Haditha
Hadithah
Hamid
Hammer
Hashimiyah
Hateen
Hawas
Hawijah
Hawk
Hawkes
Hell Hound
Hit

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Honor
Hope
Hor Al Bash
Hotel
Howell
Hunter
Hurricane Point
Hurriyah II
Hussiniyah
IBA
IMN
IT2
Ibrahim Bin Ali
Imam Mansour
Independence
India
Inman
Intisar
Irbil Residence Office
Iron
Iskan
Islanders
Istiqlal
JBB

None
None
None
Ashraf; Barbarian
None
Zahkho
None
Hadithah Dam; Miller
None
None
None
None
None
None
None
None
None
Eden; Hit Training Center; NAEA
Training Center
Wolfpack Base
Camp Eagle; War Eagle
None
None
None
None
None
None
None
None
None
None
None
None
Muthana
Karbala
None
None
None
None
None
None
None
Anaconda ; Balad; Joint Base Balad

Iraq
Iraq
Iraq
Iraq

JSS
JSS
JSS
JSS

Joint Security Station 18
None
None
None

18
2
Adhamiyah
Al Awad

A-6

JSS Al Ezdehar
JSS Al Jameat
JSS Al Qanat
JSS Al Rashid
JSS Al Rashid 2
JSS Al Wahida
JSS Anbar Provisional Covernment Center
JSS Bab Al Sheihk
JSS Basateen
JSS Commanche
JSS Deason
JSS Diamond
JSS Hamiyah
JSS Haswah
JSS Hotel
JSS Hurriyah
JSS Jabella
JSS Jurf
JSS Kumayt
JSS Mahmood
JSS Masafee
JSS Mushada
JSS Mutanabe
JSS Mutanabi
JSS Salaam
JSS Salamiyat
JSS Scorpian
JSS Sheikh Marouf
JSS Siniyah
JSS Tal Abtah
JSS Thawra II
JSS Tomahawk
JSS Umms ah
JSS Ur
JSS Wahida
JSS Youngblood
Jaguar
Jenkins
Joint Coordination Center Abu Ghraib
Juiaba
Juliet
Jumayah
Justice
Juwarin AFB
K-1
K-3
KILO
Kaiser

10/22/13
Al Ezdehar; Ezdehar
None
None
None
None
Recon
JSS Anbar PGC
None
None
None
None
None
None
None
COP Hotel
None
None
None
None
None
None
None
JSS 1
None
None
None
None
None
None
None
None
None
None
None
None
None
None
JSS Jenkins
JCC Abu Ghraib
None
None
None
Banzai; Dakota; Hunte
None
None
None
None
None

A-7

APPENDIX A: LIST OF CONTINGENCY BASES

10/22/13

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Kalsu
Karada
Key West
Khadairy
Khadra
Khaffijayah
Khatoon
Knight
Korean Village
Kubaysah
LSA Geiger
Lee
Lima
Lion - IZ
Love
Loyalty

None
None
None
Al Shorta; Askari
None
None
None
None
Byers
None
None
None
None
None
None
Camp Dragoon; Ironhorse; Patriot

Iraq

Lutifiyah

JSS Lutifiyah; Patrol Base Lutifiyah

Iraq
Iraq
Iraq

MacKenzie
Magic Mountain
Mahmudiyah

Pacesetter; Samarra
None
Al Mahmudiyah; Italy; St. Michael

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Makhmur
Malaab
Manchester
Marez
Marlboro
Martyrs Monument
McHenry
Meade
Mercury
Midland
Milledge
Minden
Mittica
Mobile
Mohawk
Morehead
Motor Head Bridge
Mountain
Mudaysis
Mujema
Mullalah
Mullalah 2
Munshada East
Muntheria
Murray
Mustang Ranch

None
None
None
Glory; Performance
None
None
None
None
ABU GHARAB; ABU GHURAYB
None
None
None
Family Quarters
None
None
None
Motor Head MJB Float Bridge
None
None
None
None
None
None
None
None
None

A-8

Nasir Wa Salam
Nasser
Nepsa
Nimr
Normandy
Norris
Norseman
North Retrans
Nott
Nubai
Nukhayb
Numaniyah
OP Burgess
OP Castillo
OP Graceland
ORyan
Obaid
Ocotal
Old State Building
Omaha
PB A
PB Arrowhead
PB Copper
PB Corregidor
PB Diyarah
PB Dolby
PB Doria
PB Hillah
PB Inchon - IZ
PB Kaufman
PB Kelsey
PB Kemple
PB Lions Den
PB Mahawil
PB Mamah Khan
PB Mchale
PB Okinawa
PB Olson
PB Raider
PB Razor
PB Tahadi
PB Tamooz
PB Vanderhorn
PB Yates
PB Yusifiyah
PJCC Nasiriyah
Paladin
Paliwoda

10/22/13
None
JSS Nasser
None
None
COS Normandy; Cobra; Khanaqin
None
None
None
None
None
None
None
None
None
None
Lion
None
None
None
None
Crazyhorse
None
None
None
None
None
None
Al Hillah
None
None
None
None
None
None
Momenkhan
None
None
COS Olson; Patrol Base Olson
None
None
None
None
None
None
PB Yusifiyah; Yusafiah; Yusufiyah
None
None
Eagle Base

A-9

APPENDIX A: LIST OF CONTINGENCY BASES
Iraq
Iraq
Iraq
Iraq

Patton
Phoenix - IZ
Power
Prosperity

Iraq
Iraq
Iraq

Prosperity Exclusion
Pump House Barney
Q-West

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Qalat Salih Airfield
Qasr Amijj
Qatana
Rabbat
Rabiy
Radwaniyah
Radwaniyah Palace Complex
Rasheed
Rawah
Rawashid
Reaper - IZ
Red Falcon
Relay Point 1
Relay Point 10
Relay Point 11
Relay Point 12
Relay Point 18
Relay Point 2
Relay Point 3
Relay Point 4
Relay Point 5
Relay Point 6
Relay Point 7
Relay Point 8
Relay Point 9
Remagan
Retrans South
Reyanah
Riggs
Rivera
Riverside
Rock
Rough Rider
Round Top
Rowad
Rusafa
Rustamiyah

Iraq
Iraq

Sab Al Bour
Sabataj

10/22/13
None
Dahuk CMOC
None
Highlander Compound; LSA
Highlander
None
None
Endurance; JAG North; Qayyarah
West; Regulars
None
COP 160K; Qasr Amil
None
None
None
None
None
Bab Al Mouadam
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
Packhorse
None
None
None
None
None
None
None
None
None
None
Al Rastymia; Al Rusamiyah; Camp
Cuervo; Dakota; Muleskinner
None
JSS Sabataj

A-10

APPENDIX A: LIST OF CONTINGENCY BASES
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Sadiyah
Safwan Hill
Sagrah
Sahl Sinjare
Salie
Salman Pak
Sandi
Saqlawiyah
Scania
Scimitar
Scorpion North
Scunion
Sedgwick
Shaheed Sufan
Shaibah Log Base
Shanghai
Sharqat
Shatt Al Arab Hotel
Sheik Amir
Sheik Hamad Village
Shield
Shocker
Shuhada
Shulla
Sifer
Silver
Sinjar Retrans
Smitty

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Snake Pit
Solidarity
South
South Angels
Spartan
Spear
Speicher

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Stable
Stack House
Stadium Al Amarah
Stark
Steel
Steelback
Stoddard
Stone - IZ
Sugar Shack
Sulaminiyah Residence
Summerall

10/22/13
None
None
None
None
None
None
None
None
None
None
None
None
None
Al Sin AA
Camp Hutch; Steelback
None
None
SAAH
None
None
Provider; Volunteer
None
None
None
None
None
None
As Samawa; Camp Samawah;
Relay Point 19
None
Camp Ruhlen
None
None
None
None
Al Sahra; Iron Castle; Sycamore;
Tikrit Air Base
None
None
None
None
None
None
None
None
None
None
FOB Lancer; K2

A-11

APPENDIX A: LIST OF CONTINGENCY BASES
Iraq
Iraq
Iraq
Iraq

Summers
Suse
Sykes
Taji

Iraq
Iraq
Iraq
Iraq

Taji Echo Area
Talon
Tannumah
Taqqadum

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Tarmiyah
Tharallah
Thawra I
Thaylat
Thunder
Timberwolf
Tinderbox
Torch
Trebil
Ubaydi
Um Quasr
Union I
Union II
Union III
Ur
Uvanni
VBC Area IV
VBC Cropper
VBC Liberty
VBC Seitz
VBC Slayer

Iraq
Iraq

VBC Striker
VBC Victory

Iraq

VBC West BIAP

Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Vanguard
Viking
Wadi Al Khirr New Afld
Wahid Bridge
Wahida
Wallah
War Eagle
Warhorse
Warrior - IZ
Warrior Keep

10/22/13
None
None
Fulda; Munsan; Tall Afar
Al Tadji; Camp Cooke; Tomahawk
Village
None
None
None
Ridgeway; Taqaddum; Taqqaddum
None
None
None
None
Thunder Dome
None
None
None
None
None
Umm Qsar
None
None
None
COP 329
PB Uvanni; Patrol Base Uvanni
None
None
Blackjack; North Victory
Log Base Seitz
Abu Ghurayb Presidential Ground;
Camp Deutsch
None
Camp Brooklyn; South Victory;
Victory MNC-1
Dublin; JMMT on Camp West Biap;
MEDCOM; Muthana; Sather; West
Bagdad International Airport
None
None
None
Wahid MJB
None
None
None
None
Bayonet; Kirkurk; Main
None

A-12

APPENDIX A: LIST OF CONTINGENCY BASES
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq
Iraq

Washash
Wessam
Whiskey 1
White Falcon
Whitehorse
Wilson - IZ
Wolf
Zafaraniya
Zahra
Zaytun
Zeimer
Zubadiyah Bridge
Zukhaykha
Zulu

10/22/13
None
None
None
None
None
Arrow
None
None
None
Irbil
None
Zubadiyah MJB
None
None

A-13

APPENDIX A: LIST OF CONTINGENCY BASES

Country

Base Name

Other Names Used

Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan

302
7171
00_PB
2 (2-8)
2 TCP
4 Corners
4 TCP
5_OP
5th ABP Compound
87 PB
92 PB
95_OP
Ab Band
ABP HQ
Achabeti
ACS-2
Adraskan
Ahman Khan AP
Ainsworth
Airborne
Al Maasak
Alamo_PB
Alcatraz
Alizi
Almas
Altoona
Amboy
Amir
Amir Agha
Amoo
ANP Hill
ANP Hill
ANP Station
AP Haji Ramuddin II
AP Kolk
AP Makuan
AP Pa'in Kelay
Ape Marcie
Arghandab DCP
Arghandab OCCB
Arian
Aries 2
Ashoque
Atal

OP 302
PB 7171

5TH ABP
Banadar

Gam Ser

Emarat
Camp Airborne

PB Almas

PB Amoo
OP Hil

PB Ape-Marcie

PB Aries 2

10/22/13

Location /
Province
Helmand
Helmand
Helmand
Helmand
Helmand
Ghazni
Helmand
Helmand
Paktika
Helmand
Helmand
Helmand
Ghazni
Helmand
Helmand
Kandahar
Herat
Kandahar
Kandahar
Wardak
Kandahar
Helmand
Helmand
Unkown
Helmand
Unkown
Helmand
Helmand
Helmand
Helmand
Helmand
Maiwand
Helmand
Kandahar
Kandahar
Kandahar
maiwand
Helmand
Kandahar
Kandahar
Ghazni
Helmand
Zabul
Helmand

A-14

APPENDIX A: LIST OF CONTINGENCY BASES
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan

Atal Yak
Athens
Atlantic City
Azimijan Kariz AP
Aziz
Aziz Ullah
Babaghday
Bad Pakh
Badger
Baghtu
Bagram
BAK DC
Bakhar
Banadar
Bande Sarde
Bandini
Barcha
Bariolai
Barrows
Basha
Baylough
Beatley
Beirut
Bishop
Blackbird
Blue OP
Boldak
Boris
Bostick
Bouresches
Bowri Tanah
Bowri Tanah Ap
Bridge 3
Bullard
Bulldog

Afghanistan

Buman Demil

Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan

Burmohammad
Bury
Camden
Camel
Carolina
Cemetary Tower
Center
Chak DC
Chakaw
Chamkani
Chergotah

OP Athens

BAF
BAK
PB Bakhar

PB Bandini
PB Barcha
OP Bariolai
PB Barrows

PB Beatley
PB Beirut
PB Bishop

FOB Naray

Dorafshan, Tarin
Kowt
PB Bury
PB Camel

PB Center

10/22/13
Helmand
Helmand
Helmand
Kandahar
Helmand
Kandahar
Unkown
Laghman
Helmand
Kandahar
Parwan
Khowst
Helmand
Helmand
Ghazni
Helmand
Helmand
Helmand
Helmand
Kandahar
Kandahar
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Paktika
Kunar
Helmand
Khowst
Unkown
Helmand
Zabul
Nangarhar
Uruzgan
Zharay
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Wardak
Helmand
Paktya
Khowst

A-15

Chosin
Comanche
Compton
Coutu
Cowboy
CP 11
CP 2.5
CP 4
CP 72
CP 7-4
CP-1
Criss
Cuba
Curry
Dakota
Daman Distric HQs
Dand Patan
Dangar
Darvishan
Darvishan KHK District
Dasht
Dashtu
Daytona
De Young
Deh Dadi I
Deh Karez
Deh Qobad
Deh Qobad
Dehanna Pass
Dehemozong
Dehli
Dehli Police HQ
Delaram DC

Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan

Delaram I
Delaram II
Deleram AUP
Delmar
Delorean
Demaiwand
Demaiwand AP
Detroit
Deysie
Didgori
Divlak
Diwar
Donahue
Doost

JCOP Sherzad

Checkpoint 2.5
Nawa Valley
Checkpoint 1

Gomal, Bandar

Camp Dand Patan

Delaram District
Center
Delaram 1
Delaram 2

Camp Delorean

10/22/13
Helmand
Nangarhar
Helmand
Helmand
Kandahar
Helmand
Kunar
Helmand
Kandahar
Kandahar
Helmand
Helmand
Helmand
Paktika
Helmand
Kandahar
Pakitya
Helmand
Helmand
Kandahar
Helmand
Kandahar
Helmand
Helmand
Balkh
Helmand
Kandahar
Zharay
Helmand
Helmand
Helmand
Helmand
Nimorz
Nimorz
Nimorz
Helmand
Helmand
Unkown
Maiwand
Unkown
Unkown
Khowst
Helmand
Helmand
Unkown
Helmand
Helmand

A-16

Dre Wazaran
Dukin
Duluth
Durani
Durzay
Dwyer
EBK
Edinburgh
Eiffel
Empire
Enguri
Ensenada
Eredvi
Ertoba
Faheem
Faizal
Faslodeen
Fathollah
Fern Gulley
Fiddlers Greeen
Fires
Flint Kaserne
Florida
Folad
Frontenac
Garbuz
Garcia
Garda
Gardez
Gardez RTC
Garrett
Gators
Georgetown
Georgia
Gereshk
Geronimo
Gettysburgh
Ghariban
Ghazni
Ghundy Ghar
Ghundy Ghar
Giro
Glavey
Gorgan
Gowragi
Grand Rapids
Greer
Griffin

Camp Durani
Camp Dwyer
Ebrahem Kheyl

RTC Gardez

10/22/13
Helmand
Farah
Helmand
Wardak
Helmand
Helmand
Logar
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Kandahar
Helmand
Helmand
Helmand
Nangarhar
Helmand
Kandahar
Kandahar
Khowst
Nangarhar
Wardak
Paktiya
Paktiya
Helmand
Helmand
Helmand
Helmand
Kandahar
Helmand
Helmand
Kandahar
Ghazni
Zharay
Kandahar
Ghazni
Helmand
Kandahar
Helmand
Helmand
Helmand
Helmand

A-17

Grosse Point
Gumbatty
Gumbatty Tower
Habib
Hadrian
Haji Achmed
Haji Achmed
Haji Alilua
Haji Nizmadeen
Haji Ramuddin
Haji Ramuddin II
Hand
Hanjar
Hanjar Do
Hanjar Yak
Hanson
Harris
Hasan Abad
Herm
Hernandez
Herrera
Hill
Himal
Honaker-Miracle
Honeycutt
Howz-E-Madad
Howz-E-Madad
Hue City
Husey
Huskers(SW)
Imam Sahib (S)
Inchon
Infante
Inkerman
Jaghato
Jaker
Jalrez
Jangealia
Januup
Jawkari
Jersey
Johnson
Johnston
Judge
Jug Room
Kabob
Kadalo Drab
Kakaran

OP Haji Achmed
PB Haji Achmed

Haji Ramuddin 2

Weikel, Yaka Tut

OP Hill

Huskers

Samsher

CP 13-2

10/22/13
Helmand
Helmand
Helmand
Helmand
Urzugan
Helmand
Helmand
Unkown
Helmand
Kandahar
Kandahar
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Unkown
Helmand
Jaji
Helmand
Schaepe
Kunar
Helmand
Kandahar
Kandahar
Helmand
Unkown
Helmand
Kandahar
Helmand
Kandahar
Helmand
Wardak
Helmand
Wardak
Helmand
Helmand
Kandahar
Helmand
Helmand
Kandahar
Helmand
Helmand
Helmand
Helmand
Unkown

A-18

Kalagush
Kandahar AF
Kandalay
Karimdad
Kdle
Kelly
Kems
Kessler
Khak-E Safed
Khalil
Khan Neshin Castle
Khayor Khot Castle
Khers
Kherwar
Kheyrabad
Khiyal Zmeka
Khojibad
Khyber
Kimmel
KKC Super FOB
Kochynay Prong
Kolk
Kordala Drap
Kostay CP
Kostay PB
Kowall
KT-4
Kuhak
Kuhl
Kunjak
Kunjik
Kupak
Kushamond
Lagman
Lakaray
Lakeside
Lakhokhel
Laki
Lam
Lamba Dand
Lambert
Landay
Lane
Lashkar Gar
Leatherneck
Leimbach
Levy
Lion

10/22/13
Nuristan

Sarkari Bagh

KKC

Camp Kolk

COP Koshtay

Pacemaker

Kandahar
Wardak
Helmand
Helmand
Helmand
Kandahar
Unkown
Helmand
Helmand
Paktika
Helmand
Logar
Helmand
Helmand
Helmand
Unkown
Helmand
Paktika
Nawa
Zharay
Helmand
Helmand
Helmand
Kandahar
Helmand
Kandahar
Helmand
Helmand
Helmand
Unkown
Paktika
Zabul
Kandahar
Helmand
Zabul
Helmand
Kandahar
Helmand
Helmand
Helmand
Kandahar
Helmand
Helmand
Farah
Helmand
Panjshir

A-19

Long beach
Lowell
Luke
Luy Jolah
Luy Kulay
Luy Tsolar
Maboob
Mace
Macthab
Mahafiz
Maher
Makuan
Manassas
Margah
Marjah
Marler
Maryland
Masaw
Mashal
Masood
Mata Khan
Mateen
Mateen Yak
Matun Hill
May
Maywand
McElhaney
Mehraj
Meis
Michigan
Miri
Mizan
Momenkhan
Monar
Monitor
Montana
Monti
Moose
Morales-Frazier
Mubarez
Muller
Munoz
Musa Qal'ah
Musazai
Mushan
Mustang
Najil
Nalgham

JCOP Masaw

OCC-P

Ward

Najeel

10/22/13
Helmand
Nuristan
Kandahar
Helmand
Helmand
Unkown
Helmand
Konar
Kandahar
Helmand
Helmand
Kandahar
Helmand
Paktika
Helmand
Helmand
Helmand
Unkown
Unkown
Helmand
Paktika
Helmand
Helmand
Khowst
Helmand
Helmand
Helmand
Helmand
Helmand
Kunar
Ghazni
Zabul
Helmand
Helmand
Jowzjan
Helmand
Konar
Helmand
Kapisa
Helmand
Helmand
Paktika
Helmand
Unkown
Kandahar
Kunar
Laghman
Zharay

A-20

Nangalam Base
Narizah
Nejat
Nerkh
New Jersey
New York
Nolay
Nolen
Normandy
North
Norzai
Now Ruzi
Now Zad
Old PHQ
OP 102
OP 20
OP 22
OP 288
OP 288 Over watch
OP 34
OP 37
OP 40
OP 41
OP-971
Orbi
Orgun-E
Ouelette
Pace
Pacemaker
Padlek
Pa'in Kelay
Palace
Palacio
Panda Ridge
Pasaw
Paserlay
Pashmul South
Pashmul South AP
Pay Banadar
Paygal
Payne
PB 13
PB 19
PB 6
PB 7
Penich
Pennsylvania
Pickard

Nangalam

Blackhawk

North PB

Oqab

10/22/13
Kunar
Khowst
Kandahar
Wardak
Helmand
Helmand
Helmand
Kandahar
Helmand
Helmand
Helmand
Kandahar
Helmand
Kandahar
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Kandahar
Helmand
Paktika
Helmand
Ghazni
Kandahar
Helmand
Unkown
Kandahar
Helmand
Helmand
Farah
Helmand
Kandahar
Kandahar
Helmand
Helmand
Helmand
Zabul
Zabul
Helmand
Zabul
Kunar
Helmand
Helmand

A-21

Pinjadoo
Pirtle King
Pittman
Pleiku
Price
Prov.Res. QRF
PSS-3
PSS-7
Pul
Pul a Sayad
Push Tebah
Pushtaysark
Pusht-e Rod
Qal e Naw
Qal e Now PB
Qarabagh DC
Qargha
Qarib
Qual-I Now OP
Quara Baugh
Qurta
Rahman Kheyl
Rankel
Rashay
Reading
Red Leg
Regi Topa
Reilly
Ricketts
Roadhouse
Robat Sangi
Robinson
Rogers
Rostum
Ruhd
Sabari
Sabit Qadam
Sabulughay

Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan

Saburi
Sacramento
Saenz
Saiedabdulkhalil
Saipan
Sakari Karez
Salaam Bazaar
Salerno
Salim
Salor Lara

Provincial Reserve
Police Substation 3
Police Substation 7
Pul
Pul-a-Sayad

PRDC
Camp Qal'eh-ye naw
Qal e Now
Pace

Qual-I Now(GBOSS)

COP Red Leg

Mountain Top

Ramrod, Maiwand

10/22/13
Helmand
Konar
Kandahar
Helmand
Helmand
Kandahar
Kandahar
Kandahar
Kandahar
Parwan
Unkown
Parwan
Farah
Badghis
Helmand
Ghazni
Unkown
Unkown
Helmand
Ghazni
Unkown
Paktiya
Helmand
Helmand
Helmand
Unkown
Helmand
Helmand
Unkown
Logar
Unkown
Helmand
Helmand
Zharay
Helmand
Khowst
Helmand
Kandahar
Helmand
Helmand
Helmand
Helmand
Helmand
Kandahar
Helmand
Khowst
Kandahar
Helmand

A-22

San Jose
Sanchez
Sangin Badar
Sangin Fulod
Sangsar
Savannah
Schoolhouse
Seattle
Senjaray
Sham Shad
Shamalan
Shamsher Char
Shamsher Sey
Shanfield
Sharana
Sharkstooth
Sharp
Sheklay Kahor
Shewan Garrison

Shindand
Shir Ghazay
Shoja
Shouz
Shrine
Shukvani
Sian Choy
Sian Choy AP
Simmons
Smart
Sockalosky
Sofla
Sopar Dostan
South Boston
South Station
Sparrow Hawk East
Sparrow Hawk West
Spera
Sperwan Ghar
Spin Ghar
SRE Kala
Stansbury
Styx
Sultan Kheyl
Summerville
Sweeney
Taber
Tabilia

Shamshad

MIAN Poshtay
Sheklay Kahor
Camp Shewan
Garrison
Thomas

PB Ben, Ben

Carwile, Sol Tankhel

10/22/13
Helmand
Wardak
Helmand
Helmand
Zharay
Helmand
Helmand
Helmand
Kandahar
Helmand
Helmand
Helmand
Helmand
Helmand
Paktika
Helmand
Helmand
Helmand
Farah
Herat
Helmand
Kandahar
Herat
Helmand
Helmand
Kandahar
Kandahar
Kandahar
Zabul
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Helmand
Unkown
Kandahar
Helmand
Helmand
Kandahar
Helmand
Wardak
Helmand
Zabul
Uruzgan
Helmand

A-23

Tagab
Taghaz
Talibjan
Talukan
Tangi
Tar
Tarin Kowt
Tarnak
Terezayi
Theinhart
Tijuana
Tillman
Timothy Johnson
Togueh Substation
Toor Ghar
Torbert
Torkham
Transformer
Troy
Tuffin
Turbett
Tynes
Typhoon 3
Typhoon 4
Typhoon 5
Usman
Vegas
VHA
Virginia
Wakil Wazir
Walakan
Wali
Walton
Ware
Warrior
Watson
Wazi Khwa
Weaver
West Bridge
White
White 10
Whitehouse
Wilderness
Wilson(SW)
Wishtan
Wolfpack
Wolverine
Wood

Robinson

Lawara

Char Bagh

Charlie 77

Tellier
Wilson

10/22/13
Kapisa
Helmand
Helmand
Kandahar
Wardak
Helmand
Kandahar
Kandahar
Khowst
Kandahar
Helmand
Paktika
Kandahar
Helmand
Helmand
Helmand
Nangarhar
Helmand
Helmand
Helmand
Helmand
Kandahar
Helmand
Helmand
Helmand
Helmand
Helmand
Kandahar
Helmand
Helmand
Kandahar
Helmand
Uruzgan
Kandahar
Ghazni
Helmand
Paktika
Kandahar
Helmand
Helmand
Helmand
Helmand
Paktiya
Helmand
Helmand
Helmand
Kandahar
Helmand

A-24

APPENDIX A: LIST OF CONTINGENCY BASES
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan
Afghanistan

Wrightsmen
Yahya Kheyl
Yazzie
Yosef Kheyl
Zaehringer
Zangabad
Zeebrugee
Zerok
Zhari Dasht
Zharif Kel
Zormat

Camp Yosef Kheyl

Camp Zerok

10/22/13
Helmand
Paktika
Helmand
Paktika
Helmand
Kandahar
Helmand
Paktika
Zharay
Kandahar
Paktiya

A-25

File Type	application/pdf
File Title	Director, Post 9/11 Era Environmental Health Program
Subject	Airborne Hazards and Open Burn Pit Registry
Author	Paul Ciminera, MD MPH
File Modified	2013-10-22
File Created	2013-10-22