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frank-wilkinson — Part 01
Page 15
15 / 36
Filler
Incendiary
1.
Explosive
a.
Gasoline
a.
Low explosive
b.
Pyrotechnics/fireworks
1.
Black powder
C.
Propane,butane,etc,
2.
Smokeless powder
d.
Other inflammable solid
3.
Match heads
e.
Other flammable liquid
Pyrotechnics/fireworks
Unknown
Other (specify
b.
High explosive
1.
Dynamite
2
Primers/boosters
3.
ANFO
4.
Detonating cord
5.
2-part explosive
6
TNT
7.
C-4
8.
Other (specify)
C.
Unknown
F.
External Container
G.
Placement of Device (complete for structures
H. Delivery of Device
1.
ube/pipe
omitting residential property)
1. Mailed/shipped
2.
Bottle
1. In secured area
2.
Placed
3.
Box
2.
3.
4.
Bag
Specify location
projected
5.
Can
6.
Other (specifv)
Damage
0
Personal injury (total number of persons)
distribute total to items below:
a. firemen
d.police
b.
intended victims
e.
subjects
C.
innocent bystanders
f.
others (specify)
Deaths (total number of persons)
distribute total to items below:
fireman
d.
police
intended victims
e.
subjects
C.
innocent bystanders
f.
others (specify)
Amount of property damaged $
3.
; distribute total to items below:
a.
to intended target
b.
to surrounding area $
J.
Nature of Target (check applicable item)
Aircraft
17.
Industrial building
Airport
18.
Military facility
Automobile
National Guard facility
Other vehicle
12228
ROTC or Reserve facility
Other transportation
Selective Service
Apartment house
Newspaper
Church
23.
Office building
Commercial building
Open area
9.
Communications facility
25.
Other Law Enforcement
Radio
C.
Telephone
Building
a.
TV
Other
b.
Vehicle
b.
d.
10.
Construction sites or equipment
C.
Other
12.
Courthouse
26.
Person
FBI
Postal facility or equipment
13.
Fire department
Private residence
14.
Government property
30.
Other private property
a
Federal
Local
Public utilities
b.
State
Other power facilities
15.
Hotel or motel
Recreational facilities
16.
Hospital or medical facility
School facility
Theater
99.
Other (specify)
2-
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