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N6247818R4035_ATTACHMENT_B.pdf

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***FOR OFFICIAL USE ONLY***

PMRF Photographic Authorization Request Form

Visitors may not use cameras or other image storage devices on PMRF or at PMRF remote sites without written photographic authorization. Photographic requests are submitted to the PMRF point-of-contact and should note the areas to be photographed. Photography inside PMRF Restricted Access requires additional approval from the manager of that area. Photography is prohibited in classified areas, such as Range Operations (Building 105 ROCC), without the approval of the appropriate Program Manager, Location Manager, and the PMRF Command Security Manager. All classified information shall be protected in accordance with the appropriate security regulations. Unauthorized photography equipment is subject to confiscation and unauthorized image storage media is subject to inspection and/or destruction.

The following information is required to obtain a photo permit:

Name of Photographer:

Photographer's Company Information:

PMRF Point of Contact:

Name:

Organization:

Position:

Phone Number:

E-mail:

Proposed Photographic Information:

Purpose of Photographs:

Date of Photograph Time of Photograph Location Media Type/Format

When complete submit to PMRF Program Manager for Review

Program Manager Approval:

Security Manager Approval:

Name of photographer:
Photographers Company Information:
Name:
Organization:
Position:
Phone Number:
Email:
Proposed photographic information: Existing conditions within the Grid Consolidation Project routing, except runway areas.
Purpose of photographs: Assist with P416 PMRF Grid Consolidation Project proposal development.
Date of photographRow1: 9 May 2018
Time of photographRow1: 1000 hrs -1200 hrs
LocationRow1: New elec distrib system routing, B112 exterior, Kinikini Ditch Crossing
Media TypeFormatRow1:
Date of photographRow2:
Time of photographRow2:
LocationRow2:
Media TypeFormatRow2:
Date of photographRow3:
Time of photographRow3:
LocationRow3:
Media TypeFormatRow3:
Date of photographRow4:
Time of photographRow4:
LocationRow4:
Media TypeFormatRow4:
Date of photographRow5:
Time of photographRow5:
LocationRow5:
Media TypeFormatRow5:

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