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Appendix G - Records Damage Assessment Site Survey
- Surveyor
- Date
- Time
Location
- Floor Number
- Office/Unit
Type of Damage [check all that apply]
- Debris
- Mold/Mildew
- Mud
- Water, High (dripping wet)
- Water, Low (damp)
- Smoke
- Fire
- Sewage
- Insects
- Rodent
- Other
Type of Media [check all that apply]
- Paper
- Books
- Photographs
- Slides
- Videos/Audio Tapes
- Microfilm/Microfiche
- Oversized Materials [maps, posters]
- Glossy Paper [magazine stock]
- Computer Disks
- CD-ROMs
- Other
Additional Description of Damaged Materials [check all that apply]
- Vital Records [time critical, needed for continued function of Office/Unit]
- Type(s) of records/file names
- Volume in feet:
- Dates of records:
- Program Specific Records [ARs, permits, grants, contracts, enforcement records, etc.]
- Type(s) of records/file names
- Volume in feet:
- Dates of records:
- Confidential Records
- Type(s) of records/file names
- Volume in feet:
- Dates of records:
- "For official use only" Records
- Type(s) of records/file names
- Volume in feet:
- Dates of records:
- Housekeeping Records [time cards, leave slips, travel paperwork, etc..]
- Type(s) of records/file names
- Volume in feet:
- Dates of records:
- Non-Record Materials [technical reference, personal papers, etc.]
- Type(s) of records/file names
- Volume in feet:
- Dates of records:
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