State

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Overview

State Contacts
Personnel Resources
Equipment
Resource Needs
Incident command Post
Landfill or Disposal Locations
Sheet1

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Sheet 1: State Contacts

	Provide the category, additional description, name, organization, and contact information for key contacts within your state that may be involved in a Fall HPAI outbreak response.
Category	Description	Last Name	First Name	Organization	Phone Number	Email	Street Address	City	State	Zip Code
Poultry Specialist	Poultry Pathologist	Doe	John	Egg University	(555)555-5555	john.doe@chickens.com	5555 Chicken Ln.	Des Moines	IA	50319

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Sheet 2: Personnel Resources

	List any personnel resources that would be available in a Fall HPAI response effort. Provide the human resource type, a description, who to contact to locate and/utilize this resource, and their contact information. Also provide resource availability information. If a person qualifies for multiple positions list them in the one were they are most competent.
Personnel Resource Type	Resource Description	Location by County	Point of Contact	Contact Title/Affiliation	Contact Phone Number	Contact Email	Total Number	Number that must be retained at any one time for other critical activities	For individuals number also Included as a Member of a Team listed on this Sheet	Number Available	Of those Available Number Potentially Available for Out of State Deployment
AHT	Animal Health Technicians within the state	Poultryland	Jane Doe	State Veterinarian	(555)555-5555	jane.doe@help.com	50	10	10	30	5
Foaming Team	4 AHT, 1 Supervisor trained on model XX Foamer	Poultryland	Jane Doe	State Veterinarian	(555)555-5555	jane.doe@help.com	2	0	0	2	1
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Sheet 3: Equipment

	Please add any equipment your state has that would be used for a Fall HPAI response. Include the name of the equipment, the location, the contact information for who has the equipment, and availability of the equipment.
Equipment	Description	Location County	Point of Contact	Contact Title/Affiliation	Contact Phone Number	Contact Email	Total Number	Number that must be retained at any one time for other critical activities	Number in need of repair	Number Available	Number Potentially Available for Out of State Deployment
Foaming Unit	Foaming unit model xx requiring X number of people to operate, adequate for houses up to 20,000 sq. ft.	Des Moines, IA	John Doe	Depop Manager - Foam USA	(555)555-5555	john.doe@foam.com	2	0	1	1	0
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Sheet 4: Resource Needs

	List any resources the state is lacking that would be necessary in a Fall HPAI response and provide contact information for the person who would manage this resource. Also indicate if the state would need APHIS assistance to get these resources during an outbreak.
Resource Needed	How many do you have?	How many more would you need in an outbreak?	Point of Contact	Contact Email	Contact Phone Number	In an outbreak would you want APHIS assistance to get this resource?
CO2 cart	0	3	John Doe	john.doe@help.com	(555)555-5555	No

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Sheet 5: Incident command Post

Have you identified potential locations for Incident Command Post site(s) in high poultry density areas in the event of a Fall HPAI outbreak? If YES, please provide the information for each location in this spreadsheet.

Location (Street Address, City, State, Zip Code)

Building Capacity for Personnel (#)

Number of Phones Available

Is Wi-Fi Available? (Y or N)

Amount of Storage/Warehouse Space (Sq. ft. and describe)

Parking Lot Space (estimate # of spaces)

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Sheet 6: Landfill or Disposal Locations

If you have agreements in place with landfills or other disposal sites such as incinerators concerning what materials they will accept, please provide the landfill or site name, location, and what materials they agreed to accept. Provide any additional comments on this facility if needed. NOTE: Information has been requested separately by our logistics section from some states regarding disposal facilities (incinerators, landfills, rendering facilities, etc.) If you have or are in the process of responding to that request you do not need to provide duplicate information in this spreadsheet.

Facility Type

Landfill or Facility Name

Landfill or Facility Location

Is an Agreement in place on what materials they will accept?

What type of agreement?

Will this landfill accept HPAI infected birds?

Will this landfill accept bedding, composted birds, manure, and other organic materials from a quarantined premises?

Will this landfill accept PPE and similar materials?

Will this landfill accept other non-organic materials from quarantined premises?

Have you recently confirmed that they will to take these materials in the event of a fall HPAI outbreak?

Tons per day that they will accept

Additional Comments

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Sheet 7: Sheet1

Contracts

Equipment

Human

Incident Management Team

Other

PPE

AHT

Response Team other than an IMT

Supplies

Cleaning

BUDGET ANALYST

Foaming Team

Local Official

Disinfectant

CONTRACT SPECIALIST

CO2 Depopulation Team

State Official

Other

DEPUTY FIN/ADMIN SEC CHIEF

AHT

Poultry Specialist

DEPUTY OPS SECTION CHIEF

VMO

Public Affairs

DEPUTY PLANNING SECTION…

Others trained to handle poultry

Public Health

DOC UNIT LEADER

Composting experts

Emergency Coordinator

Tyvek suits

CO2 Cart

EMRS SPECIALIST

Composting technicians

Industry

Hair bonnets

Whole House CO2 Unit

ENVIRON PROTECTION SPEC

heavy equipment operators

Composting Expert

Disposable gloves

Foaming Unit

EPIDEMIOLOGIST

Waste Management Expert

Disposable boot covers

Forklift

FINANCE/ADMIN SECTION CHIEF

Finance

Other

Disposable respirators

Trailer cargo

FINANCIAL/MANAGEMENT…

IT

Rubber Boots

Trailer command post

GENERAL INVESTIGATOR

Administrative

Safety Glasses

Trailer showers

GENERAL NAT RES…

Other

Goggles

Trailer other

GIS SPECIALIST

Disinfectant (One Stroke, Virkon, Tek-Trol)

loaders

GROUND SUPP UNIT LEADER

Large Trash Bags

roll off containers

GROUP SUPERVISOR

Small Trash Bags

roll off haulers

INCIDENT COMMANDER

Lysol disinfectant spray

incinerators

INVESTIG/ENFORCE SPEC

Yes

Hand Sanitizer

Vehicle that can pull trailers

IT SPECIALIST

No

Bucket

Composting Thermometers

LIAISON OFFICER

Brush

Power washer

LOGS SECTION CHIEF

Sprayer

Disinfectant Sprayers

MISC ADMIN/ASSIST

Cloth coveralls

Pumps for decon waste water

MISC ADMIN/PROGRAM SPEC

Lab coat

Containers for wastewater

MNMGT/PROGR CLERK/ASSIST

Hard Hat

Vehicle decon containment materials

OPERATIONS SECTION CHIEF

Smock/Aprons

Other

Other

Waterproof Clothing

PIO

Hearing Protection

PLANNING SECTION CHIEF

Duct/Chem Tape

RESOURCE UNIT LEADER

Tyvek Sleeves

SAFETY OFFICER

Quart and Gallon Freezer Bags

SAFETY TECH

Other

SECURITY SPEC

SUPPLY UNIT LEADER

VMO

Landfill

Incinerator

Renderer

Alkaline Digestor

Commercial composter

Other

Contract

MOU

MOA

Verbal Agreement

Other