Southwest Louisiana Mutual Aid Association
P.O. Box 367 Lake Charles, Louisiana 706002-3067
Phone (337) 721-3800 FAX 437-3583
APPLICATION FOR MEMBERSHIP
You must go to the last page
(Data Entry)
to record your data.
If this is not done
your data will not be recorded.
Emergency Information Data
Fire Water Supply
If facility located on navigable waterway are fire boat headers available?
Types of systems on tankage: Check all appropriate.
Largest chemical storage tank:
Method of extinguishment:
Check appropriate item.
Application rate for product and method of extinguishment: (rate per NFPA 11)
(application rate/ft2 area)
Types and amounts of agents available for Mutual Aid:
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Amount of personnel available for mutual aid response.
Number of personnel holding EMS certifications available for response?
Other Equipment
Data Entry
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2. Update your data.
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