Atch 3 15-1068C_AF332.pdf

LOG ID#: 844224 I BASE CIVIL ENGINEER WORK REQUEST I Form Approved 0MB No. 0704�0188

Public reporting burden for this collection of information is estimated to average .3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this co!!ection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports. 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project 0704-0188, Washington DC 20503. Please DO NOT RETURN your form to either of these addresses. Send your completed form to HQ AFESC!DEMG.

SECTION I - TO BE COMPLETED BY REQUESTER

1. FROM (Organization) 2.0FFICE 3. DATE OF REQUEST 4. WORK ORDER NO. (For BCE Use)

30 CES SYMBOL May 29, 2014 46080

5. NAME AND PHONE OF REQUESTER 6. REQUIRED COMPLETION DATE 7. BUILDING FACILITY OR STREET ADDRESS Heslop, Richard Civ WHERE WORK IS TO BE ACCOMPLISHED 805-606-2079 AETC Campus, Multiple facilities

8. DESCRIPTION OF WORK TO BE ACCOMPLISHED (Include Sketch of Plan, when appropriate) �he AETC campus consists of 11 buildings in the vicinity of Facility# 8173. Install an MNS in 11 buildings that will be compatible with the future base-wide MNS. The MNS systems in each of the buildings need to be interconnected. Each building will have a local panel capable of activating the MNS for that �uilding. Three of these locations will be able to activate all 11 TRG campus buildings MNS systems.

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9. BRIEF JUSTIFICATION FOR WORK TO BE ACCOMPLl�HeD The purpose of mass notification is to protect life by indicating the existence of an emergency situation and instruction people of the necessary and appropriate response and action. The new MNS systems to be installed are to be eventually connected to the future basewide MNS system.

10. DONATED RESOURCES

Route to GEN for programming.

I FUNDS I LABOR MATERIAL

11. NAME OF REQUESTER 12. GRADE OF REQUESTER

Heslop, Richard Civ

14. COORDINATION

... see attached for Coordination Comments.

SECTION II - FOR BASE CIVIL ENGINEER USE

15. WORK ORDER (Place a 'X' in the appropriate box.)

I IN-SERVICE I SELF-HELP IX I CONTRACT

16. DIRECT SCHEDULED WORK (Place an 'X' in the appropriate box.)

I EMERGENCY I URGENT I ROUTINE

17. SELF-HELP (Place an 'X' in the appropriate box.)

CONTRACT BY REQUESTER

13. SIGNATURE OF REQUESTER

1150926277

I SABER

I SELF-HELP I I MIC

1)(1 NONE

I BRIEFING REQUIRED I ADEQUATE COORDINATION I I INSPECTION REQUIRED

SECTION Ill - COMPLETE ONLY IF WORK IS TO BE ACCOMPLISHED BY WORK ORDER

18. WORK CLASS 19. PRIORITY 20. ESTIMATED HOURS 21. ESTIMATED FUNDED COST 22. ESTIMATED TOTAL COST

23. THERE IS NO NEED FOR AN

I I ENVIRONMENTAL ASSESSMENT (AFR 19-2)

27. REMARKS

$XXXX

24. WRITTEN ASSESSMENT (IS BEINGIHAS,

l[X

2s.

I BEEN)PROCESSED . APPROVED

WRRB 22 Jan 2015, Chaired by Ms. Laura Miz ... APPROVED for PROJECT accomplishment.

SECTION IV -APPROVING AUTHORITY

28. NAME AND GRADE 29. SIGNATURE

Miz, Laura GS-13 1155372849

AF IMT 332, 19910101, V4 PREVIOUS EDITION IS OBSOLETE.

. DISAPPROVED

30. DATE

Jan 23, 2015

XUMU 15-1068C

Attachment 3