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Sarpy County Nebraska

SARPY COUNTY E-911 COMMUNICATIONS
Emergency Business Contact Information

Please Fax 402-593-5916 or Mail 1210 Golden Gate Drive, Papillion, NE 68046 Attn: Marilyn Gable

Information Date: __________________

Business Name:  __________________________________   Hours: ____________

Street Address:  __________________________________   Phone: ____________

Owner/Manager:  _________________________________   Phone: ____________

#1 Emergency Contact:  ___________________________   Phone: ____________

#2 Emergency Contact:  ___________________________   Phone: ____________

#3 Emergency Contact:  ___________________________   Phone: ____________

Alarm Company:  ________________________________   Phone: ____________

Occupants After Hours: __________________________________________________

Toxic Chemicals/Explosives: ______________________________________________

Fire Hydrant Location: ___________________________________________________

Electrical Panel Location: _________________________________________________

Gas Meter Location:  ____________________________________________________

Sprinkler Hook-up Location: ______________________________________________

Standpipe Hook-up Location: _____________________________________________

Best Route: ___________________________________________________________

Remarks:  ____________________________________________________________

********************911 USE ONLY********************

Police Grid: _______         Fire Grid:  _______          Reporting Grid:  _______

Entered into CAD by:  __________________             Date:  _______________