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Train Derailment Exercise 1976
t. O BRAZOS H i M COUNTY JAKE CANGLOSE COUNTY O O FFICE OF JAMES PRESSWOOD DIRECTOR CIVIL D EFENSE & EMERGENCY PLANNING TEXAS ANN UNIVERSITY DIRECTOR E. E. BURNS GEORGE L. HUEBNER COUNTY DEPUTY DIRECTOR COUNTY COURTHOUSE COLLEGE STATION DIRECTOR J. LOUIS ODLE BRYAN, TEXAS 77801 NORTH BARDELL ARYAN DIRECTOR November 8, 1976 COLLEGE STATION DEPUTY DIRECTOR College Station EMERGENCY EXERCISE PRELIMINARY GUIDELINES PROFILE College Station: Train Derail ment. EOC: College Station P.D. Command & Control: City of College Station Officials Mutual Aid & Asst: Brazos County, Bryan, DPS (State) I. Situations: Explosions, Fires, Poisonous Gases, Traffic Disruptions, Injuries - Possible evacuations. 1. Fire: Fire suppressions, danger assesments, rescue, etc. - aid: railroad officials - Bryan, TAMU, State (DPS), surrounding areas. 2. Public Works - Engineering: Barricades, debris clearances, power, gas, water signs: etc. Aid: Bryan, Brazos Countz Co., Telephone Co., Highway Dept. DPS (State) 3. Police: On site command post., Traffic control, evacuation, cordons, „ I i 11 1 etc. - Aid: arazos County, Bryan, DPS, N.G., Area law enforcement. 4. Public Information: Emergency News Committee (Radio - T.V. - Press). 5. Damage Assesments: City, County, State. 6. Public Schools & City: Tornado Warning & Internal Drills. 7. All Other Emergency Services & C.D. Units: If possible - plan internal alerting exercise etc. BRAZOS 1 k� 0 COUNTY • o • JAKECANGLOSE OFFICE OF JAMES PRESSWOOD COUNTY DIRECTOR AND CHAIR NAN TEXAS AO M UNIVERSITY DIRECTOR E.E. BURNS CIVIL DEFENSE & EMERGENCY PLANNING GEORGE L. HUEBNER COUNTY DEPUTY DIRECTOR COUNTY COURTHOUSE COLLEGE STATION DIRECTOR J. LOUIS ODLE BRYAN.TEXAS 77801 NORTH BARDELL BRYAN DIRECTOR November 8, 1976 COLLEGE STATION DEPUTY DIRECTOR Bryan EMERGENCY EXERCISE PRELIMINARY GUIDELINES PROFILE Bryan: Mass Casualty, Tornado Warning and Strike EOC: Tornado Bryan P.D. - Mass Casualty: On Site Command & Control: City of Bryan Officials, Mutual Aid & Asst.: Brazos County, College Sta., DPS (State) - Surrounding Areas. I. Situations: Disruptions - Public Utilities - Water, Gas, power, Telephone, Injuries, Property Destruction & Warnings issued - Public Information - Fires - Traffic. 1. Fire: Fire suppression - rescue: aid: County College Station, DPS(State) - TAMU - Surrounding Counties. 2. Police: Field C.P. - Conhnunications, Traffic - Cordon - C.P. - Aid: County - College Station - Area Law Officer - DPS (State), N.G. 3. Public Works - Engineering: Power, Water, Gas, Debris Clearance, Barricades, Signs, etc. Aid: County Commissioners, College Station, State Highway Dept., State (DPS), Surrounding Areas, Gas Co., Telephone Co. 4. Damage Assesment: City, County - State 5. Public Information: Emergency News Committee (Press - Radio - T.V.) 6. Food - Shelter - Public Health: Red Cross - County Health Unit. 7. Tornado Warning: Warning & weather forecast. Aid: Radio - T.V. Warnings - (Sirens, M.S.S. and Fixed) Bryan & C.S. & TAMU 8. Public School Systems: Tornado warning drills - internal fan -out. 9. Mass Casualty - Cordon - Bryan P.D. Onsite EOC: Fire Dept., Ambulance service, schools and hospitals. EMS Coordinator. 10. All Other Emergency Services & C.D. Units: Should plan "Fan- Outs" & internal exercises if possible. 0) CU 0 I. 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Telephone Name Address (including zip Numb Representing J. W. Menefee Bryan, Texas 823 -0971 Street Supervisor Charles T. Collins Bryan, Texas 823 -0971 Auto Maint. Supt. Roy A. Ross Rt. 5, Box 81A -Bryan 822 -0510 Recreation Supt. Brian C. Cox 305 Dunn, Bryan 846 -8129 Supervisor - Water Dist - Water Collect Jack L. Cornish 1310 Garden Ln.,Bryan 823 -8422 Director of Public Work J. Charles Gentry 1107 E. 30th, Bryan 822 -3940 Inspector- Eng.Dept. Charles W. Phelps Box 1000 822 -9418 Asst. Chief of Police B. G. Maddox Box 1000 lt it Lt. - Police Joe Ellisor Box 1000 11 i' Chief of Police Howard W. Hill Box 1000 Capt. - Police Herman Rice 2207 Wilhelm 822 -0459 Captain Hubert Nelson - 703 E. 32nd, Bryan 779 -3247 Dir. Planning & Traffic W. Melvin Davis 1508 Henry 822 -6378 Supt. Bldg. Maint. Louis W. Gaston Rt. 3,Box 188L 823 -5202 Traffic Safety Coord. Bruce Chandler Rt. 3, Box 131 -Bryan 823 -4974 Building Supt. Orville Housden Bryan, Texas 77801 779 -7421 Water Supt E. C. McLarty Bryan, Texas 77801 779 -5441 Director, of Maint. & Operation School Lou Odle Bryan, Texas 77801 823 -0071 City Manager John Benton DCPA Reg. V Program Specialist Ben ;•'ormeli Bryan, 77801 822 -7373 C.D. Admin. Officer Jack Ard P. 0. Box 1000 823 -0071 Mgr., Utilities Chuck Harrison DCPA Reg. V -1- . 171 z . / Course /1 / zt4.; a City ? - Date _ ROSTER Name Address (includin; , q'" Title , / .,a,f,( 0 p, iji_.aAlf,c) i . , „v,vai 6itr-Au; •- g23 a./4--)i:-0,4-0.16,- 6, iticli_ - cf ) 4 6 / 4 _, 1 5 9,2,2-05 h / 7Y77D/ '' , t 4 r.1 C : co 3 o 5 D iA i - i r q &fib - \ Q S'?�g v t s o l U0 R ` � - DVS . - I' as Jo * - e r Cb cJac,ce L • CO k s 4. / .4 l b . rc4,•, Z - Z3- '14 2 }, ` o PK.(i Gtc 1f17 r'IGS S - rs w. / 77F of I /r { y c p/A L Z1/2' 6 -. 6 - /t/7 . - ." / //07 ,'. 3o 774 j g22 - 39 V42 i,'5 c 7 E. o 6PT, a 40 1 e.) 4.1- Aele AA" i t B G A-Db©X 8o K / © v it ---7. - POL1cE -0*- , T o 1Q { _ i a - ..a 'VeA-It_a/t.■ i.,._<__,- .' A_ISoyi 203 e. 3),,O 0 — 5 .."-/7. . r il ill 1 ,- . Xi/1i q ka cc., v f, Al 147.0 e� C1'5 !! 1-/Pl 1 5..z.,(:,.,;.,7,-.6. U . l j 1..0,)V w..GAs' 0") Rr 3 Bc t8SL. 823 -S.ZO2 ramc. sacely Cod c� c/i �:JruGe ` I Cr .v rr pi- 3 /j„X /3/ -e s 1:1 3 `i y %z/ /✓7u,/ .,y SK"� — , - 2 J 9'l' , 79 S"�/ / D, rr-c- r /' '" �+"R r • , J ._,.x ', U' ( V Y _ _.,,, '-` i `• " •.n�.., 8 1 0 .. • �.. -{ - 1111.11 L , r_ , . . , - -jtg :4 / ' 61.' ')e-Pa a- Tr . e A e )v • .5-dc-e- _ ..Q,,k_ GO 671446? . (-1(41,J(. c(A_k_ .' o B N_ .„1/4.. 1/4.. t 1 ^' ` 44. " J • I Course S - City Date: 1 / — its =26 9 AIL. ROSTER Name l iko --- ;'' Address (includi p, / ' • Title - A .• I / 4 ?2e_ i , 6 - a - - - Wa X ' —1 -7" ___ . .....5-io-e&/;(1 - c•-i-1. 8/ ) 1 i ; ,....._,., ..,_ ,,, ,,,,,/ , 7 ,..„,„. i,c„.„___ ,,,..„,,,,,, , , , •__.. .....„..,,,. (-/ -- —- ' 21 , 4"4 C...00 3°5- 'I'tkA114 81 i zei )0.±,til — tidc. cA)eit si. C i---MR t E5 GPTIZ If // 07 "---. 307-#4" 1,Lpt.nArt-•a-0-1, , B. Gin A Dpox P.O. 804 1000 822.- 940( L - PoucE. all , L 5 -.0a-/IJS ZZ•e 2- >1 hLa-",1_-./ g Z 3- 09 7/ atao )11.0,,,,d Str4 6 , --ze -- 6 ,-.A. • v 2 y•—•Z') 72-) -2-c-c.a.,- frz / as- kF/A vi z—vs-70 • ,-, „ a _,, 1\°Y 4 461 kc 4/f2/2A;AC _ 4 / >/,,,,/ . 2 0 o ? / ,...fiv-r--k... L. C,-.....2.1. /3 ,!,' ni.„,--, bl(a ez3- ti• - 1.-`a.- ), e :,., h 'R.411€ (: e /1 i ( A N 1 4 1 ) -, 1/5 1/ 1 4t,ii /1't-e21,11€6=52 " 39/3 17-2 e - .___),.. • L--.) c,),_ gio (a 11 e--4 c--.22.... 7 5" 3 i 1 1 r e . 1(44 /15 ( A16--- ------(-- .7 -----r-r--- 4 '0 (..0As4' E.4 A gz_-Groz.. Lo t Ta-0.-C ?7'-3»-/ P14, /VI I. \ Oi --- 7442-11/cYt_ Doiv ?/LCx_ 3 .„,,_ • Brvan COURSE -- Simulators II_ CITY Date: 11-10-76 ROSTER Time: 9:00 - 11::00 A.T", Telephone Name Address (including zip) Numb Representing John Benton DCPA Reg. V Program Specialist H. W. Menefee Street Dept. 823 -0971 Street Supervisor Brian C. Cox 305 Dunn, Bryan 846 -8129 Water -Waste Water Sup. J. Charles Gentry 1107 E. 30th 822 -3940 Inspector -Eng. Dept. B. G. Maddox P. O. Box 1000 822 -9411 Lt. - Police Charles Collins 2202 McHaney 823 -0971 Auto Maint.,Supt. Orville Housden 1801 E. 18th St,Bryan 779 -2174 Water prod. Supt. Roy A. Ross 2t r 5an, , )?‘.(0.T801 822 -0510 Recreation Supt, Howard M. Hid P. O. Box 1000,Bryan 822 -9418 Captain W.B. (Brace) Chandler P. 0. Box 1000,Bryan 822 -0071 Bldg. Supt. Jack L. Cornish 1310 Garden Ln.,Bryan 823 -8422 Director of Public Wks. Joe C. Ellisor P.O. Box 1000 822 -9418 Chief of Police Charles W. Phelps P.O. Box 1000 822 -9418 Asst. Chief of Police Gene E. Knowles 11 11 , 822 -9418 Lt. - Police Robert Blinka 3913 Elaine,Bryan 823 -8656 Capt. Fire Jim W. Van 4100 Malvern 822 -7531 Fire Dept. Raymond Janac Bryan Fire 822 -7531. Fire Chief Louis TT. Gaston Bryan 823 -5202 Traffic - Safety Hubert Nelson Bryan 779 -3247 Planning Traffic & Inspection Louis Odle Bryan, Texas 77801 823 -0071 Bryan City Mgr. Jack Ard P. 0. Box 1000 8230071 Mgr., Utilities Melvin Davis 1508 Henry 822 -6378 Supt. Bldg. Maint. Chuck Harrison DCPA Reg. V John Benton 11 11 V Ben Wormeli Bryan, Texas 77801 822 -7373 C.D/ Admin. Officer -1- Bryan COURSE: Simulators III_ CITY - Date: 11-11-76 ROSTER Time 9 :00 - 11 :00 A.M. Telephone Name Address (including zip) Numb Representing H. W. Menefee City of Bryan 822 -0971 ,Street Supervisor Jayn Williams City of Bryan 823 -0971 Parks & Recreation,Dir. E. C. McLarty Bryan Public Schools 779 -5441 Director Maintenance & Operations Louis W. Gaston City of Bryan 823 -0071 Traffic Safety Coord. Charles Collins City of Bryan 823 -0971 Auto Maint. Supt. Jack L.aCornish 1310 Garden Ln,Bryan 823 -8422 Director of Public Wks. Orville Housden 3104 Tenn, Bryan 822 -3107 Water Prod Supt. C. W. Bell Boa 91F2, College Stz.,693 -0488 Disaster Analysis James Presswood TAMU 845 -2132 Safety & Health Officer Charles W. Phelps City of Bryan 822 -9418 Asst. Chief of Police W. Melvin Davis 1508 Henry,77801 822 -6378 Supt. Bldg. Maint. B. G. Maddox P.O. Box 1000 822 -9411 Lt. -Bryan Police J. Charles Gentry 1107 E. 30th 822 -3940 Inspector -Eng. Dept. Brian C. Cox 305 Dunn 846 -8129 Supervisor Water Dist. Joe C. Ellisor P.O. Box 1000 822 -9418 Chief of Police Howard W. Hill P. 0. Box 1000 822 -9418 Captain Gene Knowles P. 0. Box 1000 822 -9418 Police - Lt. B. J. Byword State Dept. of Hwys. & 822 -0151 Dist. Maint. Engr. Public Transportation Bill Thornal 2904 First St.,Bryan 822 -2522 Owner/Mid- Tex.Ambulance .J. 11. Rape 2801 Franciscan Dr. 822 -3776 Disaster Chairman Bryan,Tex. Ext. 506 St. Joseph Hospital Lane Yetherbee 201 E. 27th, Bryan 822 -1634 Service Supervisor Lone Star Gas Co. Jim Van 801 N. Bryan, Bryan 822 -7531 Fire Dept. Raymond R. Janac City of Bryan 693 -1670 Fire Dept. Leldon Massey City of Bryan 822 -3212 Fire Dept. -1- COURSE: _Simulators - III - Bryan CITY Date: 11 -11- 76 ROSTER Tame: 9:00 - 1:1:00 A.M. 1 Telephone Name Address (including Zip+ Numb Representing Bruce Chandler City of Bryan 823 -0071 :Inspection Louis Odle City of Bryan 823 -0071 City Manager Tom Bryner City of Bryan 823 -0071 Adm. Analyst Charles Harrison DCPA Region V ¶ Training Specialist John Benton DCPA Region V Program Specialist Ben 1 ormeli Bryan, Texas 77801 822 -7373 C.D. Admin. Officer -2- . -- - � �,. ✓ Cit 1 / ,��, . Al„ i y G am-- - ' . / R Date: /f '�/-- 7� ROSTER - `" Name Address (including 2T0 9-71-e-r Title 0 , On ' , ,, a . . c.... i , /- ■__ ( g-,)g-orm -Z? , . r ,Q. . 3 e , , .-7-,:,,...-- ,87,,,,,,, id 77!-- s„:_,t, ,,, ,„ - , - ;/ , ,,(),..14,6;,/_,L,..) ; L oo,s W . i rr).- 3 CL 1 �3 �Y .� p2 -c201 t Tom- ice , t CESt.Q. Lh q & s 081.L7P C..1-- o &Y � i --b ? 71 )rhza . {'Emi - 5j \A-2,_x.,€_. „,, h /310 G a,D4.i e . n . , ( 3 ` , , , _ 8Z3 -8 9z?- D i r e 4 ,�,�ii,;_ N' °r C�� /©J 7'r.y N. '/?/'J'' pz -3 0 7 c,,q rn_ R ,/ F D s 4/ I ard we ,z c..s: - 13 -0 of Ass f /14/04-57.5 , ,,,,, ./.2,..„/ //57/11 a ji 5 - 2/39 --,-- 1-4 4 `kfeed i . 4 V f .,,teka > e%€ fe-- s22-Tya .64-A-7:-,/,y7(eze ; d, / vi Cft „,3? D„,vr7 / 5O ! t-elk > , 17 g, , 7.. -e. 3 7g „J 7 if 2,-4 ,'t'l,„,- -t, 2 G./44006x p. O.8•D K/ o 0 0 8 2..2. -9'g n 17', --- el:OWL) &X./C-- Cyig,2tcs E.1T�Y 1/0 7 30 -741 8.22-- Pi sp 7 — tic. DEi If+rl C . Cod 3 ©5 l -( g4t� -8121 S c Ez_\)kv . - w � c i�z � \sT. )..., a (.- l 1• Tvk. 08. i eo • Vv vi C0 t \ec • 61s. -itilr ,„,_ 1° 6--.,_____ g4 e--&--4Q4 .2 ;V.-6e vt elei, ®c7 g-.2 ' S-11-f/1 i f It 14/ J 5 7 P/ 4 - &. /c ff art: 0fyx # BZZ� -vlsl IP/,3 / ;k > 1�. 7/ i1JbACwiis, Fe c /47c9,e,V e-- 4 ate 57 J%, 6 Y.AiV 8 ov a. JAi 7 C ar'i. M. Qia9s- 2--b4 \ 7:"t4('-'5"6"V)" 9 -371 D vs- { v _,,,,N.) , tq.-4 .-53 6 ‹. \>m u> L 00/ C 0'7, ''ID. /G y z- :-, .)..4."---- Oa,- siO/ tvgAr_ , v , , ,,,, ‘._,:-;.,-,/,..„6, Ober- i G-Za, 0-( / ct1. Co?, 3 7 ,O /. j �." �✓ - '���'ze Lt -? a � 0.? ;02 t.'"'{,(.,F�C �� ,+ b4v1. e g r fin ea- e t a i /4 _ We t 4 ;. \viitivx W e-1 J\ ( A ) P) . I Emergency News Service Planning Crlimfty / COURSE: Tornado and Exercise Bryan - -_- C7CTY College Station& TAMU TAMU, Radar Room - 0&M Bldg. Date: 11-12 -.1976 1: 00 to 2 : 00PM. ROSTER Time: Telephone Name Address (including zip Number Representing Vance Moyer A&M Tornado Warning Charles Harrison DCPA Reg. V Training Specialist David Lindsey The Eagle City Editor Joe Trowbridge Texas Dept. Public Safety 846 -3731 Comm. Supr. 0. L. Luther University Police 845 -2346 Police Chief Joe C. Ellisor Bryan Police 822 -9418 Chief of Police Tom Bryner Bryan City Mgr.'s Off. - Adm. Analyst James Presswood TAMU 845 -2152 - C.D. Director John Adams KBTX - TV - Program Director KBTX (representing Ullman McMullen Dorothy Heine Phy. Pint (TAMU Comm) 845 -4311 Ch. Opr. Marvin E. Byrd. Col lege Station 846 -8864 Chief of Police Elrey B. Ash 11 College Station 846 -2515 City Engineer J` Louis Odle Bryan 823 -0071 City Manager North Bardell College Station 846 -8868 City Manager Raymond R. Janac Bryan 693 -1670 Fire Chief Sam Jones WTAW 846 -7788 Music Director Joe R. J.anac TAMU (Dept. Met.) 845-6016 Met. Engineer C4, Brenton TAMU (Dept. Met.) 845 -6429 Pract. Met. Tom Comstock TAMU 845 -4952 RACES Officer David Cheek TAMU 845 -5611 CAP Operations Off. Dan Acrec KTA.M /KOPA 822 -2511 Sta. Mgr. Judy Donaldson KTAM/KORA tF News Director Job:u W. Gray County C.D. Staff 845 -5611 Deputy County Comm.Off. 'Mark A. Holcomb KAMU - TV 845 -1526 News Director Choya. Walling Bryan Eagle 693 -4252 Photo John Benton DCPA Reg. V Denton Charles Harrison Dr Vance Moyer Meteorology Dept. Jake Cangiose Charles Brenton Ben Wormeli -1- Bryan. COT,JRSE: - Mass Casualty Planning CITY City Hall, .��.__._.. Council Room w )ate: 11 -15 -1976 ROSTER ...........Tine; 1,30 P.1®" . i Telephone Name Address (including zip. Numb Representing C. U. Bell Box 9162, C. S. 693 -0488 grazos . Co.Demage Assm. Joanne Kopczynski 1301 Memorial, Bryan 823 -7561 Bryan Hospital, Business Mgr. Toni Nowlin 3006 E. 29th St.,Bryan 822 -7421 Director EMS Carolyn Hall 207 W. 29th, Bryan 822 -2157 Director, Red Cross Raymond R. Janac 801 N. Bryan. St. 693 -1670 Fire Dept. Jim W. Van 801 N. Bryan St. . 822 -7531 Fire Dept. Howard W. Hill P. O. Box 1000 822 -9418 Capt.,Police Dept. Jim Rape 2801 Franciscan Di. 822 -3776 Disaster Chairman Ext. 506 St. Joseph Hospital Terry Butler (RN) 1308 Tirm, C.S. 846 - -9168 Director of Nursi :-ig, Bryan Hospital Anne Holmes (RN) 4103 Carter Creek,B 846 -5872 Inservice Director, Bryan Hospital Charles W. Phelps P. O. Box 1000 822 -9418 Police Dept. David Laird 1305 Memorial Drive 822-1347 Adm.Bryan Hospital Frank Pipes 406 W. 28th St. 822 -7326 Business Manager, Brazos Valley Mental Health E. C. McCarty 2200 Villa Maria, B. 779 -5441 1 Director of 0perationE } & Maintenance Bryan Public Schools Mary Arnold 117 Millers Lane 693 -2452 Director, Hospital Sex entr. al Brazos Valley , Vental Health Center Bill Thornal 2904 First St.,Bryan 822 -2522 Mid -Tex Ambulance -1- Cours ✓ a 2/1.t,k; , / City TAA // ic &defri' 4,k. Date : iI — 1').- (n ~ 1 k - ICJ\ ROSTER Name A ddress . r �'� _ _ (including z ,: ; �'r Title 2 ! 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Chief of Police Tom Brymer P. 0. Box 1000 City Hall Adm. Analyst Tom Comstock 1700 Dominik College Station RACES OFFICER John W. Gray 601 Luther 845 -5611 County C.D. Comm. Staff Terry D. Allison 1401 FM 2818 #21 College Syation 693 -1562 Pres. TAWJ Radio Repeater Assn. Charles Harrison Region V, Denton John Benton Region V, Denton Ben WWlorreli 4300 Milam 822-7373 C.D. Adm. & Pers. Off. -1- • Y2ryal COURSE: - Mass Casualty Planning CITY City Hall, _ Council Room Date: 11 -15 -1976 ROSTER Time 1:30 P.11.. Telephone Name Address (including zip Numb Representing C. W. Bell Box 9162, C. S. 693 -0488 Brazos Co.Damage Assm. Joanne Kopczynski 1301 T-Femorial, Bryan 823-7561 Bryan Hospital, Business Ngr. Toni Nowlin 3006 . 29th St.,Bryan 822 -7421 Director ENS Carolyn Hall 207 W. 29th, Bryan 822 -2157 . Director, Red Cross Raymond R. Janac 801 N. Bryan. St. 693- -1670 Fire Dept. Jim W. Van 801 N. Bryan St. 822 -7531 Fire Dept. Howard W. Hill P. 0. Box 1000 822 -9418 Capt.,Police Dept. Jim Rape 2801 Franciscan Dr. 822 -3776 Disaster Chairman Ext. 506 St. Joseph Hospital Terry Butler (RN) 1308 Tirm, C.S. 846- -9168 Director of Nursing, Bryan Hospital Anne Holmes (RN) 4103 Carter Creek,B 846 -5872 Tnservice Director, Bryan Hospital Charles W. Phelps P. 0. Box 1000 822 -9418 Police Dept. David Laird 1305 Memorial Drive 822 -1347 Adm.Bryan Hospital Frank Pipes 406 W. 28th St. 822 -7326 . Business Manager, Brazos Valley Mental Health E. C. McLarty 2200 Villa Maria, B. 779 -5441 , Director of Operations & Maintenance Bryan Public Schools Mary Arnold 117 Millers Lane 693 -2452 Director, Hospital Ser Central Brazos Valley Mental Health Center Bill Thornal 2904 First St.,Bryan 822 -2522 Mid -Tex Ambulance -1- • r �-" � p Course 5 %//Jt Cit ;,`,' ¢` :,✓ Date:`' VS / 7)/76 -- l / c NA 1 ROSTER Name Address (including z 4a,,, Title (. Willi- Arf/e;L e.5. 6 / 5 " ° O f 5/0 6. hamo,e 4/././ixa, s. ,_Thjr 9,5i- . 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