6-Homeland Security Request Form.pdf

The document is a Homeland Security Request for Data form from the Salt Lake City Corporation's Department of Public Utilities, located at 1530 South West Temple in Salt Lake City, Utah. The form is designed for requesting specific utility infrastructure data, with the current request focused on sewer system information to be provided in digital format. The form emphasizes that the data will be used solely for planning purposes, with all locations considered approximate, and the information will not be distributed to other parties and will be destroyed after the stated purpose is completed.

The form contains checkboxes for specifying the type of utility data requested, including water, sewer, storm sewer, and street lighting systems. In this instance, the requester has marked "Sewer" and "Digital" as the preferred data type. The form requires multiple signatures, including those from the customer, Public Utilities agents, and a director, deputy director, or GIS IT administrator, though these lines are currently blank. The document is marked with a file reference number 05152003 DRV and a file path indicating it is stored in the Homeland Security folder.