INFRARED AIRCRAFT SCANNER ORDER (Revised March 2004)

**Incident/Project#: FireCode#: A#**

<table>
<colgroup>
<col style="width: 18%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 5%" />
<col style="width: 10%" />
<col style="width: 5%" />
<col style="width: 8%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 10%" />
<col style="width: 26%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="2">Incident Name:</td>
<td colspan="5"></td>
<td colspan="4">Date/Time:</td>
</tr>
<tr class="even">
<td colspan="2">Ordering Unit:</td>
<td colspan="5"></td>
<td colspan="3">Telephone #:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Local Dispatch:</td>
<td colspan="5"></td>
<td colspan="3">Telephone #:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">GACC:</td>
<td colspan="5"></td>
<td colspan="3">Telephone #:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">National IR Coord:</td>
<td colspan="5"></td>
<td colspan="3">Telephone #:</td>
<td>(208) 387-5381</td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="3">FAX #</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="3">Cell #</td>
<td>(208) 859-4475</td>
</tr>
<tr class="even">
<td colspan="2">Regional IR Coord:</td>
<td colspan="5"></td>
<td colspan="3">Telephone #:</td>
<td>( )</td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="3">FAX #:</td>
<td>( )</td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="3">Cell #</td>
<td>( )</td>
</tr>
<tr class="odd">
<td colspan="3">IR Interpreter Ordered:</td>
<td colspan="2"> YES</td>
<td colspan="2">NO</td>
<td colspan="3">Telephone #</td>
<td>( )</td>
</tr>
<tr class="even">
<td colspan="3">IR Interpreter Assigned:</td>
<td colspan="4"></td>
<td colspan="3" rowspan="3"><p>Cell #</p>
<p>Motel #</p>
<p>FAX #</p></td>
<td rowspan="3"><p>( )</p>
<p>( )</p>
<p>( )</p></td>
</tr>
<tr class="odd">
<td colspan="3">Location: Motel</td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="3">Office or ICP</td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="7">SITL Name and Location:</td>
<td colspan="3">Telephone #:</td>
<td>( )</td>
</tr>
<tr class="even">
<td colspan="4">Incident Elevation (AVG):</td>
<td colspan="4">Feet MSL</td>
<td colspan="3">Approximate Size: Acres</td>
</tr>
<tr class="odd">
<td colspan="4">Weather Over The Incident:</td>
<td colspan="7"></td>
</tr>
<tr class="even">
<td>Delivery Point:</td>
<td colspan="6"><h2 id="section"></h2></td>
<td colspan="4">Alt. Delivery Pt:</td>
</tr>
<tr class="odd">
<td colspan="3">Delivery type:</td>
<td colspan="3"> Land Aircraft</td>
<td colspan="3"> Air Drop</td>
<td colspan="2"> Scanned file (give email address or ftp site in box
below)</td>
</tr>
<tr class="even">
<td colspan="3">Delivery time:</td>
<td colspan="8"></td>
</tr>
<tr class="odd">
<td colspan="3">Delivery point weather:</td>
<td colspan="8"></td>
</tr>
</tbody>
</table>

Radio Frequencies

  ----------------------- ------------- --------- ------------- -----------
  Local admin. Unit       Tx: Mhz       Tone:     Rx: Mhz       Tone:

  Alternative Freq        Tx: Mhz       Tone:     Rx: Mhz       Tone:

  Air Tactical Group      Tx: Mhz       Tone:     Rx: Mhz       Tone:
  Supervisor                                                    
  ----------------------- ------------- --------- ------------- -----------

**Incident Location from 2 VORs: (Degrees) (nautical miles)**

  ---------- ---------------- -------------- -------------- --------------- -------------
  **VOR:**                    **Azimuth:**                  **Distance:**   

  **VOR:**   []{.mark}        **Azimuth:**   []{.mark}      **Distance:**   
  ---------- ---------------- -------------- -------------- --------------- -------------

[**Mission Objective and Description**:]{.underline}

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LATITUDE/LONGITUDE INFORMATION NEEDED FOR EACH MISSION

  ----------- ----- ----- --------- -- ------- ---------- ------ -----------------------------------------
  **Mapping                                                      
  Block**                                                        

  NORTH                                        north             ![](media/image1.png){width="1.34375in"
                                                                 height="0.8333333333333334in"}

  SOUTH                                                          

                                       west               east   

  EAST                                                           

  WEST                                         south             
  ----------- ----- ----- --------- -- ------- ---------- ------ -----------------------------------------