+-------------------+---+-------+---+------------+------------------+---+
| **SAFETY, HEALTH  |   |       |   | **Date:**  | **Location Name  |   |
| AND ENVIRONMENTAL |   |       |   | October,   | and Address:**   |   |
| MANAGEMENT        |   |       |   | 2003       |                  |   |
| COMMITTEE**       |   |       |   |            | **USDA REE ARS   |   |
|                   |   |       |   |            | MWA**            |   |
| **INSTRUCTIONS:** |   |       |   |            |                  |   |
|                   |   |       |   |            | Soil Drainage    |   |
| 1\. Post a copy   |   |       |   |            | Research Unit    |   |
| in a prominent    |   |       |   |            |                  |   |
| place for         |   |       |   |            | 590 Woody Hayes  |   |
| employees'        |   |       |   |            | Drive            |   |
| information by    |   |       |   |            |                  |   |
| October 15 each   |   |       |   |            | Columbus, OH     |   |
| year.             |   |       |   |            | 43210            |   |
|                   |   |       |   |            |                  |   |
| 2\. Send a copy   |   |       |   |            |                  |   |
| to the MWA SHEM   |   |       |   |            |                  |   |
| Office, 1815 N.   |   |       |   |            |                  |   |
| University,       |   |       |   |            |                  |   |
| Peoria, Illinois  |   |       |   |            |                  |   |
| 61604-3999.       |   |       |   |            |                  |   |
|                   |   |       |   |            |                  |   |
| 3\. Send a copy   |   |       |   |            |                  |   |
| to SHEMB, 5601    |   |       |   |            |                  |   |
| Sunnyside Avenue, |   |       |   |            |                  |   |
| MS 5127           |   |       |   |            |                  |   |
| Beltsville, MD    |   |       |   |            |                  |   |
| 20705-5127.       |   |       |   |            |                  |   |
|                   |   |       |   |            |                  |   |
| 4\. Provide       |   |       |   |            |                  |   |
| updated copies as |   |       |   |            |                  |   |
| changes in        |   |       |   |            |                  |   |
| appointments or   |   |       |   |            |                  |   |
| membership occur. |   |       |   |            |                  |   |
+-------------------+---+-------+---+------------+------------------+---+
|                   |   |       |   | **Number   |                  |   |
|                   |   |       |   | of         |                  |   |
|                   |   |       |   | p          |                  |   |
|                   |   |       |   | ermanent** |                  |   |
|                   |   |       |   |            |                  |   |
|                   |   |       |   | *          |                  |   |
|                   |   |       |   | *full-time |                  |   |
|                   |   |       |   | employees  |                  |   |
|                   |   |       |   | at         |                  |   |
|                   |   |       |   | l          |                  |   |
|                   |   |       |   | ocation:** |                  |   |
|                   |   |       |   | 9          |                  |   |
+-------------------+---+-------+---+------------+------------------+---+
|                   |   |       |   | **Field    |                  |   |
|                   |   |       |   | Federal    |                  |   |
|                   |   |       |   | Safety &   |                  |   |
|                   |   |       |   | Health     |                  |   |
|                   |   |       |   | Council    |                  |   |
|                   |   |       |   | mem        |                  |   |
|                   |   |       |   | bership?** |                  |   |
|                   |   |       |   | Yes        |                  |   |
+-------------------+---+-------+---+------------+------------------+---+
| **COMMITTEE       |   |       |   |            |                  |   |
| MEMBERS /         |   |       |   |            |                  |   |
| REPRESENTATIVES** |   |       |   |            |                  |   |
+-------------------+---+-------+---+------------+------------------+---+
| **Name**          | * | **Ph  | * |            | **Office         |   |
|                   | * | one** | * |            | Address**        |   |
|                   | U |       | J |            |                  |   |
|                   | n |       | o |            |                  |   |
|                   | i |       | b |            |                  |   |
|                   | t |       | S |            |                  |   |
|                   | * |       | e |            |                  |   |
|                   | * |       | r |            |                  |   |
|                   |   |       | i |            |                  |   |
|                   |   |       | e |            |                  |   |
|                   |   |       | s |            |                  |   |
|                   |   |       | a |            |                  |   |
|                   |   |       | n |            |                  |   |
|                   |   |       | d |            |                  |   |
|                   |   |       | T |            |                  |   |
|                   |   |       | i |            |                  |   |
|                   |   |       | t |            |                  |   |
|                   |   |       | l |            |                  |   |
|                   |   |       | e |            |                  |   |
|                   |   |       | * |            |                  |   |
|                   |   |       | * |            |                  |   |
+-------------------+---+-------+---+------------+------------------+---+
| Ginny Roberts     | S | \(    | G |            | Same as above    |   |
| **Chair**         | D | 614\) | S |            | Room 126         |   |
|                   | R | 292   | - |            |                  |   |
|                   | U | -9172 | 0 |            |                  |   |
|                   |   |       | 4 |            |                  |   |
|                   |   |       | 0 |            |                  |   |
|                   |   |       | 4 |            |                  |   |
|                   |   |       |   |            |                  |   |
|                   |   |       | B |            |                  |   |
|                   |   |       | i |            |                  |   |
|                   |   |       | o |            |                  |   |
|                   |   |       | l |            |                  |   |
|                   |   |       | S |            |                  |   |
|                   |   |       | c |            |                  |   |
|                   |   |       | i |            |                  |   |
|                   |   |       | L |            |                  |   |
|                   |   |       | a |            |                  |   |
|                   |   |       | b |            |                  |   |
|                   |   |       | T |            |                  |   |
|                   |   |       | e |            |                  |   |
|                   |   |       | c |            |                  |   |
|                   |   |       | h |            |                  |   |
|                   |   |       | n |            |                  |   |
|                   |   |       | c |            |                  |   |
|                   |   |       | n |            |                  |   |
+-------------------+---+-------+---+------------+------------------+---+
| Eric Zwierschke   | S | \(    | G |            | Same as above    |   |
| **Member**        | D | 614\) | S |            | Room 229         |   |
|                   | R | 292   | - |            |                  |   |
|                   | U | -9806 | 0 |            |                  |   |
|                   |   |       | 8 |            |                  |   |
|                   |   |       | 9 |            |                  |   |
|                   |   |       | 0 |            |                  |   |
|                   |   |       |   |            |                  |   |
|                   |   |       | A |            |                  |   |
|                   |   |       | g |            |                  |   |
|                   |   |       | r |            |                  |   |
|                   |   |       | i |            |                  |   |
|                   |   |       | c |            |                  |   |
|                   |   |       | u |            |                  |   |
|                   |   |       | l |            |                  |   |
|                   |   |       | t |            |                  |   |
|                   |   |       | u |            |                  |   |
|                   |   |       | r |            |                  |   |
|                   |   |       | a |            |                  |   |
|                   |   |       | l |            |                  |   |
|                   |   |       | E |            |                  |   |
|                   |   |       | n |            |                  |   |
|                   |   |       | g |            |                  |   |
|                   |   |       | i |            |                  |   |
|                   |   |       | n |            |                  |   |
|                   |   |       | e |            |                  |   |
|                   |   |       | e |            |                  |   |
|                   |   |       | r |            |                  |   |
+-------------------+---+-------+---+------------+------------------+---+
| Dedra Woner       | S | \(    | G |            | Same as above    |   |
| **Member**        | D | 614\) | S |            | Room 136         |   |
|                   | R | 292   | S |            |                  |   |
|                   | U | -9806 | - |            |                  |   |
|                   |   |       | 0 |            |                  |   |
|                   |   |       | 4 |            |                  |   |
|                   |   |       | 0 |            |                  |   |
|                   |   |       | 4 |            |                  |   |
|                   |   |       |   |            |                  |   |
|                   |   |       | A |            |                  |   |
|                   |   |       | g |            |                  |   |
|                   |   |       | r |            |                  |   |
|                   |   |       | i |            |                  |   |
|                   |   |       | c |            |                  |   |
|                   |   |       | u |            |                  |   |
|                   |   |       | l |            |                  |   |
|                   |   |       | t |            |                  |   |
|                   |   |       | u |            |                  |   |
|                   |   |       | r |            |                  |   |
|                   |   |       | a |            |                  |   |
|                   |   |       | l |            |                  |   |
|                   |   |       | S |            |                  |   |
|                   |   |       | c |            |                  |   |
|                   |   |       | i |            |                  |   |
|                   |   |       | R |            |                  |   |
|                   |   |       | e |            |                  |   |
|                   |   |       | s |            |                  |   |
|                   |   |       | T |            |                  |   |
|                   |   |       | e |            |                  |   |
|                   |   |       | c |            |                  |   |
|                   |   |       | h |            |                  |   |
|                   |   |       | n |            |                  |   |
|                   |   |       | c |            |                  |   |
|                   |   |       | n |            |                  |   |
+-------------------+---+-------+---+------------+------------------+---+
| Lee Luckeydoo     | S | \(    | G |            | Same as above    |   |
| **Member**        | D | 614\) | S |            | Room 207         |   |
|                   | R | 292   | - |            |                  |   |
|                   | U | -9806 | 0 |            |                  |   |
|                   |   |       | 4 |            |                  |   |
|                   |   |       | 0 |            |                  |   |
|                   |   |       | 8 |            |                  |   |
|                   |   |       |   |            |                  |   |
|                   |   |       | E |            |                  |   |
|                   |   |       | c |            |                  |   |
|                   |   |       | o |            |                  |   |
|                   |   |       | l |            |                  |   |
|                   |   |       | o |            |                  |   |
|                   |   |       | g |            |                  |   |
|                   |   |       | i |            |                  |   |
|                   |   |       | s |            |                  |   |
|                   |   |       | t |            |                  |   |
+-------------------+---+-------+---+------------+------------------+---+
| Ann Houser        | S | \(    | G |            | Same as above    |   |
| **Member**        | D | 614\) | S |            | Room 234         |   |
|                   | R | 292   | - |            |                  |   |
|                   | U | -9806 | 0 |            |                  |   |
|                   |   |       | 3 |            |                  |   |
|                   |   |       | 1 |            |                  |   |
|                   |   |       | 8 |            |                  |   |
|                   |   |       |   |            |                  |   |
|                   |   |       | S |            |                  |   |
|                   |   |       | e |            |                  |   |
|                   |   |       | c |            |                  |   |
|                   |   |       | r |            |                  |   |
|                   |   |       | e |            |                  |   |
|                   |   |       | t |            |                  |   |
|                   |   |       | a |            |                  |   |
|                   |   |       | r |            |                  |   |
|                   |   |       | y |            |                  |   |
+-------------------+---+-------+---+------------+------------------+---+
|                   |   |       |   |            |                  |   |
+-------------------+---+-------+---+------------+------------------+---+
| **SUBMITTING      |   | *     |   |            | **COOPERATOR OR  |   |
| OFFICIAL:**       |   | *CONT |   |            | UNIVERSITY       |   |
|                   |   | ACT** |   |            | SAFETY OFFICE    |   |
| (Name, title, and |   | (Name |   |            | SERVICING        |   |
| mailing address)  |   | and   |   |            | LOCATION**       |   |
|                   |   | t     |   |            |                  |   |
| Ginny Roberts     |   | itle) |   |            | (Name, title,    |   |
|                   |   |       |   |            | mailing address, |   |
| Bio Sci Lab Tech  |   | Ginny |   |            | and phone        |   |
|                   |   | Ro    |   |            | number)          |   |
| 590 Woody Hayes   |   | berts |   |            |                  |   |
| Drive             |   |       |   |            | **John Bishop**  |   |
|                   |   | Bio   |   |            |                  |   |
| Columbus, Oh      |   | Sci   |   |            | Health and       |   |
| 43210             |   | Lab   |   |            | Safety           |   |
|                   |   | tech  |   |            | Specialist       |   |
|                   |   |       |   |            |                  |   |
|                   |   | \- -  |   |            | 590 woody Hayes  |   |
|                   |   | - - - |   |            | Drive            |   |
|                   |   |  - -  |   |            |                  |   |
|                   |   | - - - |   |            | Columbus, OH     |   |
|                   |   |  - -  |   |            | 43210            |   |
|                   |   | - - - |   |            |                  |   |
|                   |   |  - -  |   |            | \(614\) 292-0677 |   |
|                   |   | - - - |   |            |                  |   |
|                   |   |  - -  |   |            |                  |   |
|                   |   | - - - |   |            |                  |   |
|                   |   |  - -  |   |            |                  |   |
|                   |   | - - - |   |            |                  |   |
|                   |   | -     |   |            |                  |   |
|                   |   |       |   |            |                  |   |
|                   |   | Phone |   |            |                  |   |
|                   |   | \#    |   |            |                  |   |
|                   |   | (614) |   |            |                  |   |
|                   |   | 29    |   |            |                  |   |
|                   |   | 2-172 |   |            |                  |   |
|                   |   |       |   |            |                  |   |
|                   |   | Fax   |   |            |                  |   |
|                   |   | \#    |   |            |                  |   |
|                   |   | (614) |   |            |                  |   |
|                   |   | 292   |   |            |                  |   |
|                   |   | -9448 |   |            |                  |   |
+-------------------+---+-------+---+------------+------------------+---+

Form ARS-309 (Aug 81) Revised MWA (Sept 02)