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FIRE REPORT CA*A1 1\ CIM \I C-- re Frew Kassa Homch-5 he r r: I J od (atnan -7 31(7)(Adt WOK] NC ; 7sc J 1) /! S - 2E 995 9 L4408S26T6 XliJ 13r83SW1 dH WHZZ:OT SLOZ 80 884 A 1114 DD only ❑ sr sae -1 , 04317, ICJ 1..g I I� I 2011 1 pan 111 - 0000093 1 1 0001 ChL.t. sole * State* rnaldsnt oats * Station Incident Man m..v. Seta * Yvo.ara * Na Antbley Loc&tios* ❑ stsi t in y awn 1 1can s lea mu sct w o only to• aloof its My eso.ut rr.x 1 1 — I J OBtfaet address 1 661 kin eta ' looc aANma mterseattea I S �-t_ . u "won r Atwater Kigali eemst type meter Ole Plane is 1 IHR06Df�1Y Omer of I I I>J 1275os 1 I ()Adjacent let. /Nit. /bon City State Alp Cods to ❑maaetiane Croat float u dlttatlens, .. applicable C Incident Type * g1 Date 6 limes Midnight se 0000 $2 Shift 6 Alarms 1111 1 (Building lire 1 Cat naa a month Drp year ar Mtn lee lda.l option �clhne rm dote. •a the a p .Ye •. *1•C• Ala allows r!pvdred EI IS 11,2 I D Aid Given or Received* ° i '' Liam * LA OS I 20111113:21:381 Shift or Alain. biatrlrt Platoon 1 Dfln «.. aid received aeetn1L raptrod, aalsrs aa.o.l.d or did not .ale 1 I ® Arrival* LoN Lan 20111113:30:44 2 ®aatewtia aid Zees, m./r pD m note etat• 03117111314.10 slain/id ul.r0 Optional, swept tow slain/id tile. Special Studies 3 ❑wesel eta given 4 ❑Antomatio aid given 1 1 ❑Centrelled L-J L—I 1 11 1 Local Opeloo 3 pother aid given lble Met Mt Cla n. required resat tot rdtdlam tins ____ I 1 lnold.a Na.bt Last grit ` �w g Sal ❑� ® maws 1 011 ail 20111116:17 :13 I Ot udy I W rt ad/ nJw I' Actions taken ♦ Gil Resources * )22 astdsmted Dollar Le 6 values ® Clink tbis boa and flap Chia LD1118: anal tar all tiro. it %aeon. Optional Inchon 11 m m arm. t.tu. ar t non firm. oe. 111 1 ISatipgaishment by firs 1 ...e.mn.i to primly Metier, Taken (1) apparatus Peasanel property $1 1,1 0001,1 0001 ❑ Suppression 000411 00121 Contents $1 1 r 1 00 0001 0 112 1 le°1.age & overhaul I 0601 Additional .tee Taken sal 00011 1 1 pas- slpcfom vM c AI: (*tl L-1 1 1 °thar l 1 1— 1 Praparer $1 1,1 00 0001 ❑ bdtttmrl brim Taken Ill ❑ t aaid notonlma, Cente°ta $1 1.1 00 0001 0 Compl No Al *Casmltisa❑sone 83 Hazardous Materials Release XMixed Use Psap.rt? ®pies -f Deaths lay:mien 3) ❑ewe INIStrestnms -3 Taw 1 11 1 1 ❑sstorel Gas:.ta l..a, a acs a war seen .,st .won 2 a4wati ❑Civil P iro Cos. -a 2 ❑propene gas: al a. an as eland Vali 33 l mdi e al use Pin ❑ Pi ears, cat . -s annuli 11 1 3 ❑Gasol raw: Sa tae tan a p rods• aatrtaa 40 n use ®M -6 4 ❑rareseaa: as Mai name a aaaa patio anal.. 51 fl ow of stases 1$2 Detects: 58 Inclosed a esa anal ❑ east at -7 means rm Costal rim. 5 Dana luel/tesl oil:•.ld• awl tab a add• Iflldland rise -B 1 s.bsa..l..ad .mama 6 ❑aweeheld sol vents:..at ta a413., nap asp 39 afries nn ® Appsretos -9 7 ❑iaator oil: as sna —.seas co aka II ladsstrial use ® a ass Personnel -10 2❑e.t•aa did cleat ikon 8 Dpeint: ran „ma an. ..a.ua m mums 65 Ms use ❑Issue -1l UDam eb hi ba 0 00er: Soc cam none aqua a pat s s as., 00 o mixed one .1_5 .e0.10 .k. I S tae. f Property Ilse* Structure° 341bcliase,alsnic type Infirmary 3390 Household geado,salss,repatrs 3420Deeter/deatiat office 379 ❑lbtnr vehiol°/boat sales/repair 131 ❑Church, plat of worship 3610priaan or jail, not juvenile 571 Oen O ° er service station 161 ❑ wstatwant es cafeteria 419 1811 -or !- fmaily dwelling 599 ❑ Bneinaem otfsw L62 ❑ear /yevs•w or nightetab 4290a1talti- featly duelling 615 Daleetria generating plant 113 Dalawrtery whorl or kisdasgaetan 439 0asamtag /bearding hour 629 0 lmboratet:y /.ounce lob 115 sigh school sr jeasor high 449 camereisl betel or metal 700 lstatlaetusdag plant 141 Qcellege, adult eereatiea 459 D peeiSantial, board and ease 019 Dl eateak/poultry aterags(bern) 111 Drs feeility ter the aged 464 DDe:sitery/berraaks 062 ❑flee -sate steal perking garage 131 Dwspieal 519 Dread and beverage sales 091 p Wareheeee Outside 9S6 ❑gsoant let 981 0 cannstruetien alto 124 ❑riercrewd or pack 930 DOradad/eare for plot of land 904 ❑ l°dnatrial plant yard 155 Often or asehard 946 Drabs, fiver, steer 169 ro D rast (timberland) 951 ilread sight way t of t end mar . prepw ty ea. m 9m w em .ir L` 107 ®Cutdeer eternal area 960 ottier street Property 1419 1 )19 Damp or eanitsry lendfs7l 961 Ortiessrldivided highway 131 popes land or field 962 pwsidannal straet/dtsvwmy I1 or 2 lomilY dsra131nq I e Arnett County 04317 01/29/2011 11- 0000093 a aged Lbb08826t6 Xdd 13C2138141 dH W1:126 :0i 'TOE 80 Red 1C 1 Paraon/1Sntity Iavolvod 1 1 1919 1 -1770 1-10021 . Load aptan Neatness suns Cif ggtlaabls) Area Cods Phone Mahn sect mu ear if Le Iiefft 11 1 II u sk ke ett 1 U rat Uses same address as Suffix Am Units! sti lthe three 1 7< OCk 8111dn 1 etty the .a de I tpl u line a •adducts kLN p rw u sl at•uY treat Pilo Suffix 1 1 1 !BROADWAY Poet Oulu Sox tee• /taste /t••e City tHLJ 127505 1 1 Bata sip Code Dame people involvadf Cheat this ben and attach Supplmental sons perms - 19) as necessary K2 Owner 0 m' onwi this na •up I 1 1 1 — The sew of this section. tool Option au•1nm nm Ll1 dpplloatlsl Area Coda Pans Dauber 1 I I L I 1 1 1 2 �i 4 box !f Mr As., an. Pitt Pon e; Law same ea Mx sada lneldeat laatien. 1 I I 1 1 1 dd i"tC .pll G :Muse •use •ut•r Pre Strut et Highway typo v lion. 1 et Olflre Pox S•/evits /Po I I City State up Code L mks Loo] &puce [01/29/2011 16:16:55 : pool : ALAWSON] COMMAND TERMINATED [01/29/2011 16:06:34 : pool : ALAWSON] RED CROSS ON SCENE [01/29/2011 14:30:27 : poal : ALAWSON] RED CROSS ADVISED [01/29/2011 14:27:52 : po81 : ALAWSON] RED CROSS PAGED [01/29/2011 14:24:45 : pool : ALAWSON] DIST 12 REQUEST RED CROSS [01/29/2011 14:19:11 : po81 ALAWSON) 9D5 I [01/29/2011 14:12:12 : poa4 : MWOOD] 1143 RELEASED BY COMMAND [01/29/2011 13:42:11 : pool : ALAWSON] FIRE OUT AT THIS TIME [01/29/2011 13:41:12 : posl : ALAWSON] Authorisation 1129890 1 ( Currin, Tony 11DTC 1 1 1 011 31 1 20111 Position w rank Assignment hearth nay Year Offlonr in thane so Signatan :n4 01129890 1 (Curran, Tony 1 IDTC I 1 I L_22.1 1J 1_12111 • *Moe Unbar wring report :C Signature or sank batg.maet Muth nay you n carom. ;nett County 04317 01/29/2011 11- 0000093 e aged Lb00892616 XUA 13C2[3SB1 dH W[122:01 1102 80 Wad NN DD YYYY 1.11—Mal U U Lagi 1 2011 I set 11 11- 0000093 1 1 o00 I Candela mt9 * Stan.* Metdeet Date * Batton Malden Munn * gnome * Warrauti Nsrseti4o: [01/29/2011 16:16:55 : post : ALAWSON] COMMAND TERMINATED (01/29/2011 16:D6:34 : posl : ALAWSON] RED CROSS ON SCENE [01/29/2011 14:30:27 : posl : ALAWSON] RED CROSS ADVISED [01/29/2011 14 :27:52 : posl : ALAWSON] RED CROSS PAGED [01/29/2011 14:24:45 : post : ALAWSON] DIST 12 REQUEST RED CROSS [01/29/2011 14:19:11 : post : ALAWSON] 905 I [01/29/2011 14:12:12 : pos4 : MW00D] 1143 RELEASED BY COMMAND (01/29/2011 13:42:11 : post : ALAWSON] FIRE OUT AT THIS TIME [01/29/2011 13:41:12 : posl : ALAWSON) FM4 ADVISED RE COPIES AND SAME WILL BE AHWILE (D1/29/2011 13:40:48 : posl : ALAWSON] 1200 REQUEST FM [01/29/2011 13:40:37 : poal : ALAWSON] 1200 I7C (01/29/2011 13:34:34 : posl : ALAWSON] SOUTH RIVER ADVISED [01/29/2011 13:30:14 : pos4 : MWOOD] * *Appended Information from duplicate call: Caller Name : JAMERSON, RICHARD, Phone : 919- 352-2198,Complaint : FIRE RES STR Apt /Suite : , Flr /Bldg : Narrative : Cross streets: MCNEILL MILL RD // ALI X Coordinate: - 079.028477 ALI Y Coordinate: 035.435628 * *End of Appended Information. (D1/29/2011 13 :29:57 : poal : ALAWSON] MOBILE HOME FULLY INVOLED [01/29/2011 13:29:15 : poet : ALAWSON] PROGRESS ENERGY ADVISED SAME IS NOT THEIRS [01/29/2011 13:25:24 : post : ALAWSON) :MCC County 04377 01/29/2011 11- 0000093 aged LfrfOB52G1s XF]d 13CMBSU1 dH WU22:0T 1102 80 Qa4 MM DD YYYY 04 It U LJ Lflj I 4011 [ I 871 I 1 11- 0000093 1 1 000 1 °mp°" 70ID * State * Incident Seto * 9t•tlm MUMS eater * ealaaatt * W*stMtin Warratibe: 1143 STANDING BY [01/29/2011 13:25:07 : pos4 : MOOD] * *Appended Information from duplicate call: Caller Name : PETTY, TYRONE. Phone : 919 - 895- 9689,Complaint : FIRE RES STR Apt /Suite : , Flr /Bldg : Narrative : Cross streets: MCNEILL MILL RD // Cross streets: ROSSER PITTMAN RD / /DEAD END ALI X Coordinate: - 079.028692 ALI Y Coordinate: 035.436090 • *End of Appended Information. [01/29/2011 13:25:00 : pool : ALAWSON] 1221 STANDING BY ADDTIONAL (01/29/2011 13:24:24 : posl ALAWSONI 1202 ENR [01/29/2011 13:24:16 : pool : ALAWSONI 1212 ENR TO STATION [1/29/2011 13:23:53 : pos2 : RMCARDLE1606] * *Appended Information from duplicate call: Caller Name : ALLTEL WIRELESS, Phone : 910 - 890- 0963,Complaint : FIRE RES STR Apt /Suite : , Flr /Bldg : Narrative : Cross streets: MCNEILL MILL RD // ALI X Coordinate: - 079.026932 ALI Y Coordinate: 035.435199 * *End of Appended Information. [01/29/2011 13122:21 : pos4 : MWOOD] LEE CO ADV REF STAT5 [01/29/2011 13:20:51 : pos4 : MOOD] Cross streets: MCNEILL MILL RD // ALI X Coordinate: - 079.028306 ALI Y Coordinate: 035.435779 NO LIFE HAZARDS AUTH CALLER diet 12 fire was dispatched to a residential structure fire. diet 12 fire responded w/1244,21,42,82. 1244 arrived on scene,assumed fire attack,pulled 2 1 3/4 lines, 1221 arrived setup manpower. structure was fully involved when we arrived on scene. 1200 ic. fm on call was dispatched,red cross was also dispatched. cause of the fire is under investigation. 1200 cleared all m/a units and dist 12 units and personal. assignment complete. matt County 04317 01/29,2011 11- 0000093 g aged Lbb06S2616 XHd 13CL3SW1 dH WHZE:OT 1102 BO clad . sees • • MM DD YYYY • lEitelats - . 049 7 1 1 0 I in 1 20111 1 11211 MI-0000093 1 1 0001 g WSW -1 Pero * inn* loci deOutlet nt Data * etlet incident Meurer rn ue nee * ltyo.un * le activity B. Property Details C on -Site Materials❑ son• aging it non men any nw ttlent .nouns of coroeml.I.ueutrl•1, mercy or ar PrOdOOtO eprlceltonl products or nHrlele on Me •repent. Inetdet or not they boas Lmeleed tinter up to three codes. Cheek one 01 or mina boom e entered. b for each codd. BI 1 00011 rn tl eeeihstl.l i M Bulk .towage or warehousing Minn or rn Thinsond lwnal llrinq unite la 1 I I 1 2 Pine suing es ssaatseturlag :wading of warn whether en on all unite an .materiel I 3 Packaged goads for eels none 4aaelwd • 4 Pepsin er service 1 sulk storage or warehousing 32 1 0011 Qsaildiegs not ineelvnd L 11 1 2 Processing or menuteatarinq Mmbn of building. involved On L 421 3 Packaged goads for oslo 4 Pepsis or service 87 I I ❑stem 1 1 2 Psn.eeeing or mswarsctasiaq f Eulk storage or teaseh.a.Saq Scree burned burned L H (outside fires) 02.01111 PAM OM ease ca - site materiel 111 3 d d b sale 4 D Ignition - Cause or Ignition pJn s Pastore Ei. Damn bos a tun as es m9meeps were. telbaeiag to !coition " My to seethe • math all applicable base 1 tat sti aeal 1 gene 1 a.ie Dl & o . J ir lOmda *Sdnad 2 ❑adntepisoaaS 2 ❑veestbly swami sr 3 Orates se palest es beet secret alasbal e. tugs 4 Sot of rotate 9 ❑mattasded pews D2519 1 lvnd.t.laained 1 ! What seise iapep4higetia. 4 ❑fs.lby mental disabled meet Wane * 5 0 news wdetmleed attar inwetigetion esrateally Usable& ' - - -° J1 tors Contributing so Ignition D3 pp I taraS 6 ❑Marl. *Mena i°'°1'ed Item pint ignited* 1 ❑_ t d N feO � 1 p � m 1�}�t� ^���� I vy Vona 7 ❑ag' ••• • Lector of GSM Estimated ego of lector cenetibotlne T o lVnitlsn 11) t ' 1 soma devolved L.J D4 1� n1. J % r1e1 magnfma any it seat W L 1 1 1 [irit L lemeed cede 2. 00 n a70 renter tanaltotlne 1b /mitten 111 1 ❑n a* 2 ❑ emale l Equipment Involved In Ignition fl equipment Power G Fire Suppression Pastors Omepe 2t egalee was e set laws ad,akip m o ge I-----J I e Ester up to three eedee. ❑ l peas 1 —J 1 1 eptp ant Post aostce eguipWd Involved g3EL1uipment Portability 1---1 1 1 PSN •.gpreasioo teeter 111 hand 1 1 1 ❑PortabL eadei I 1 2 ❑etatlanary rife � I nloe tutor (21 1 1 Portable egttip•.st normally can be serial e 1 payed by one pat..ae is designed is 1 1 1 I 1 1 be use In mlltiple locations, and nn euppteaslen factor Isl leer require' no tools to install. Use al Mobile Property Involved Eb Mobile Property Typo 4 Maka Leeal -ors plan livailabl. ❑ 1_—__H I son w m ma lateetla so meated 1a pis oseen me be band gee m peso . Cleat involved in lgOlt:t.n, lot bussed Mobile prnetty the mw setae Seism o reeeletl la Sgaitaoo, bat OA net beta Ceram Pelise report attached 17 m.el.ed !a agat4les eta bees. L-1 I 1 0 Weil* property ear coronsr report attsohed 111 Qother reports steadied bile prepetty model 1 Veer I I uI I Limon Mate Maass arena VIt mob's prate - aavaeies O1/14/09 rn.tt County 04317 01/29/2011 11- 0000093 g aged L1408S26T6 XHH 13CM3SH1 dH WHE2:01 TIDE 80 gad Zi Structure Type* It Building Statue* IS Building* Id lean floor give* 37713 -1 to Papa en le towhee 991.101a. eta Knight BtrYOtate • pebta./mailt tbastso 01•1000 co amt et tale Rs Oanat as deaf ea pen Pisa 1' Minion* Building 1 ❑ tender eaettaatiea of the brava ether 2 ❑rentable /song stratum flag Occupied 4 eporattaq 5 ❑ open stratum 3 angle, net routinely and I 0011 U , i___f , I 324 4 ❑ Aar supported aseatore 4 ❑ Vase aloe smwtnm r ee Se w .— petal aeaan sin 5 ❑teat s ❑neaat ea seamed OR apw pla tform 6 ❑vaart .ed aawwna 6 1---I . ❑ b . 9 • pine/ 6 0 Bedergreand atractCte Lett taw) ❑lS demolished 00naeatine stratums a.9. pecan O Oahe grove ) 4o i lk to 014 0 ❑ Other tap or saunters tt CI °oaat'°a°aa J1 airs Origin* J5 Number of Stories K Material Contributing Most Damaged By name To Flame Spread OD ❑Selo" erode mast tLa OS so pert or the ht#aet story ❑ rhea if to Vero seemed Skip 'ra lire origin w o aa a e1 1 e. tint ignited Section 1. �, 1 ' amber et aerie e/ else hats. II to MN Slam domoal I ' J2 Fire Spread* 1 1 xea.r r .e.w e/ a aea I 1 I I 1 Dana' to afoot et origin I na b alt film thongs) gal Ito °attributing met to cam .pte.d 2 ❑Cantina to rem of Magna amigo at Meta ./ ban east , 3 ❑Cam" to floor el eagle — 110 to TO far seat I . I I I 4 ®merimed to bmildsq of anon faro ,met of eet evievtan9 f ir, 0 0 w ry <to ae.. stns a Asper e/ sus 5 seems email* of engin 1 001 01 to an els ant G1 presence of Detector° * 1.3 Detector power supply 1s5 Detector 52fectivenecs tow eras of the fine t9equarod u dssaetar eparaaes N Drone peasant trap to 1 ❑ setter, only l tee omop t 000tpan! spouse Neaten a 2 ❑ Bad wire only ❑afar te, s a 1 ❑peasant 3 ❑ping ed 2 QOcapeita failed to respond 4 ❑ Benham with battery 3 ❑'those tare 00 escupants u a Undetermined 5 ❑ Plug as with battery 4 ❑ sailed to alert osapante 6 ❑ 0 00odetarsined L2 Detector Typo 7 ❑tmlayls detectors a pacer supplies 1.6 Detector Failure Reason 1 ❑eau D 00thex wgaired if detector tailed to operate 2 Dent 0 ❑ Ilothitmatinad 1 avower failure, shutoff or disconnect 9 ❑Combawtim stoke - heat 1,4 Detector Operation 2 ❑I installation or placement 4 ❑ eprsnklar, water flow detection 1 ❑ rise eau small 3 ❑aHman to activate 4 ❑ hank of maintenance, ineltwaa aleaaanq 5 paean Nen 1 typo present 2 ❑Operated 5 Dutton missing ox dintomtaeeed (0ovaaen seat= amt 6 ❑Battery discharged sr dead 0 pother 3 ❑traced to operate 0 Dither 0 ❑0ndeeeamteed o ❑am evens Let 0 ❑tee red a paaaaaa of Automatic BxtingULi mast System * a(3 tataaatto axttngaiibeant )145 automata extangniatlment Be ❑NOxa Proses! Bootee opesatam System Wailers Amason t.yud if nn on att a wiped sow aao,tstl if teat.• fella Canasta rant 1 ❑present of Beatles s 1 ❑Cpateted a effective (00 to Ili l UP System shut off 2 00pareted a eat affective sat 12 type of eunt vattenst set System * Orin too small to activate 2 ❑Not enough agent diocesan/ad aKn n m n aie if fie* this dnignod won of lea 4 ❑waled to o co. a NM ❑�aM discharged hut did 1 ❑ Net pipe opetabl•es not each faa 2 ❑r pips sprinkler 0 ❑Otlar ay 4 ❑Igr type of system 3 ❑ ethos system U ❑trse.termiaed 5 ❑ tire not an este protected 4 ❑Dry atiaoaml systan 1164 sister of Opriakler 6 ❑e,stm aeeponmts amnged 5 Ones notes saada Operating 7 ❑Leah of mesntan 6 Dialogue type _ mlm amen rstareantien 7 ❑Ctisoon 4toxit l & notes > it sperm opemLd 0 ❑ Other 0 Dither spacial beard system I_ D ❑Dndattsaiaad 11 f uedstandreed _ e`m�s ae apraalder swede opantit0 iplDS -1 Parisian 01/14/09 .matt County 01311 01/29/2011 11- 0000093 L aged L4408S26T6 XUA 13Ch3SH1 dH WHEZ:OT TIOZ BO clad 1 . 1 05311 I 1J 1 X 11 29 1 0111 1 ST1 1 1 11- 0000093 1 1 0003 1:1,... Apparatus o ram * s tate * laaitl•nt Data * statism Sealant rlmaa! * ape.ne * ❑ ttaam a seetaer 3'Apparatus or * Date and Times Bent Number Use Actions Taken Baammee Cheat if ..aa as aim data OP * ayy�astp�aanta t LWlsi e El Month Dar Tear Dour Inn PBOp10 in a vm• a w TD 11221 I Dispatch ® LJL a 1 20111 113:24 1 ®suppreselaa u U Arrival ❑ L_ . L_ 20111 113: 1 0 i_ Om L_I L_1 Ina 11 maw ❑ LAL 2911 20111 116:17 1 pother TO 11242 1 Dispatni ❑ I 31 21 1 20111 113:22 1 ®9appsaselaa U u arrival ® LA us' 20111 113:37 1 0 1 24 ON= U L Inn i 15 L 11 L Clear ❑ 2� 1 20111 116: 1 pother J m 11244 1 Disputab ❑ L JJI 2911 20111113:22 1 ®9appressian I_I Li Arrival an LA Lax! 20111 113:30 1 0 1 31 Dam L_1 L1 asp` 14 Clear ❑ L 1J 29 1 20111 116:17 1 pother J m 11256 1 neaten ® Lill Lag 1 20111 113: 26 1 ❑ampre.etee L__1 LJ Arrival ® (gLai 20111 113:34 1 Q 1 21 Dr U U asp 76 Clear p L_3I 1 20111(14:13 I pother to 11262 I moss ❑ 1_ 1Ll1 201 u.na_j ®sapsammim U u arrival ®1 1 1I?J i 20111 113:51 1 p 1 21 Dim U U TN* 1 1 case ❑ 1J 29 I 20111 116:17 I �1= 6 Diaptah CI L_JL_l I L__. —I wprerelae � L._1 L1 J re =m• U 3 assa" ❑UUL.J 1 1❑ L�1 ❑ p9ter L_l u ❑UL_..I1.—__I L---1 j] m 1 1 Disratab ❑ L I 1 1 ❑iappraesien L_J Li arrival ❑LJUL__I L__ ❑ _J L_J DIMS u u ell* 1 ogee= ❑ L_JU _ L 1 1 1 pother m 1 1 Dtapetab ❑ UU L 1 1___-1 1 ..., LJ U Pal 0UL_11--I I ❑ 11 OM u u 2 0 0 1 1 Clea ❑UL_JJ — pother L L1 pother >a 1 I Mena ❑ L_J U l—J L_.I ❑s U L1 arrival ❑L_IUI 11 ❑. 1__.J OM I__.1 U 27,6 I I claw ❑ul.— IL_._l L— I pother !ype of Apparatus or Besour0ss Oramtd Fire Suppression Nerine Bqulltasft More apparatus? 11 Supine e1 Fireboat with pep Use Additional 12 Truck as aerial 32 Seat, Fie pump Sheets 13 Quiet 50 wastes apparatus, other 14 Tooker a paspar acrbsnation Support Equipment 16 Brush truck 61 Breathing apparatus support Other 17 Der aircraft Rescue and Firefighting) 6 2 a S�t sa use 'nit oa Mobile a®aos pest 10 Oseend fire suppression, arbor 92 Chief officer car Heavy Ground Equipment 60 suppose sppasatos, other 23 HasSat unit 21 Dam es plow Medical i Seams 04 type 1 hand eras 22 treater 71 ammo unit 06 Type 2 band tree 24 Tanker or toads 72 Urban Dearab 6 seams unit 09 Privately Owned vehicle 20 Heavy egniipmeat, ether 77 Nish eagle rescue unit 00 Other apparatus /raaeurce aircraft 7a atS unit 41 aircraft: fired vies tanker 76 apt unit Mt UU retie Undetermined 42 Balitanker 70 asdieal and Swam unit,other 43 Helicopter 40 aircraft, other rf195-0 Revision 11/17/90 04317 01/29/2011 11- 0000091 . mutt County 8 aged Lbb08Sa616 XHd 13C?13S1i1 dH WHEE :Ot 'TOE 80 qa3 L MM DD YYYY aromas - 10 . •04317 U L-1.1 Lail L-21111..1 I 01 1 1 11- 0000003 1 1 0001 Seine I maraomai stm * state* almd.et Data * st.tlas mme.et Mater * manna * pcb.ega 1 Apparatna or * Date and Times Seat Number Use motions Taken nesoutte Chao& Ll at as alarm mw 18 1 OP * C.ae& ew bee Cot astb gr.'s.," sedans s t• meta t. at and aepp Pa • Ate Mid W. t! N. apd .tel p.ra0 M1. CM amass 1Latad bales Math Day Teas Rat=a /site famdan• m 11221 I OispaCah ®L 11 L21 I 20111 113:24 1 &ant ®s q triton U U arrival 01__g11.231 20111 13:37 u 1 31 p>Dm L-1 L, n» cis ®JS 1 1 1 cs 1 power Personnel Mane Dank or Attend Action Action Aotlon Action ID Grade 0 Taken Taken Taken Taken '2 5040 Williams, James (12) P'C X 25370 Dove, Doug CP X 28930 Webb, Keith P7 X m 11242 I 010p•De O L-18 29 I 20111 113: 1 Sent ®atlppseaalae U U AnSval ®L 11I?$ I 20111 113:37 1 0 1 21 ors U U Tires 1 1 dear ®1 11 291 20111 116:17 1 power Personnel. mama Dank or Att.od Action Action Action Action ID Oracle 0 Taken Taken Taken Taken 39208 Taylor, Jason DC X 29890 Currin, Tony DTC X ID 11244 I Marna El 1li?11 20111113:22 I Bent ®„ ..,,a U U aaival ® L ill 2 g I 20111 113:30 1 0 1 31 ova U U gm. 12. czssr HA 219 I 20111 116:17 1 per Dank or Attend Action Action Action Action Personnel »lame ID Grads 13 Taken Taken Taken Taken 28274 Stewart, Joseph CP X 28821 Dean, John (121 PPE X 28979 Denkins, Jason LT X mrsae -10 Reviews 11/17 /4e 04311 01/29/2011 11- 0000093 :nett Comity 6 aged L000892616 XFJ3 13E838H1 dH WHba :OT TTOZ 80 Wel MM DD YYYY 0431.7 U L__21 LEMJ 1 20121 I aT1 1 1 11- 0000003 1 1 0001 ❑w.t. h all , ;° Soro * State* Ina!dant oats * Station I..ta.nt Th n * s.0000to * ❑CMnq. 3 Apparatus or * Date and Times gent Mother One Actions Taken ReS00rce Dank it as aa allies eats © 01 4r Duet as boa Paz: u.t op to M .atl.n. a.9.r.t.a to l0.tct. tar h ac k .p9 .nt.. 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Mlw Month nay Ahoy a09ie%{are inal J m 11256 I Dlapatah ®LJ 29 2011 DAL:iui_J gent Qsampree.lae L_.1 LJ erriv.i ®LA si 20111 113:34 1 ® 1 21 MOM Type 1 1 war ®L z1L?JI 20111114:13 1 pother L.J L_1 Personnel Name sank or Attend Action Action Action Action ID Grade 13 Taken Taken Taken Taken .23D63 Fish, Sherri LT X .23995 Bristow, Daniel LT X 1 to 11202 I D&apetah ❑ L?1L?2 20111 113:22 1 sant ®9 Jppae..sen L-1 L_1 sauna Type 160 1 war ®L A sp 201 I 1 L 21 Dom r L_I LJ ®L� CI Personnel Name Rook or Attend Action Action Action Action ID Grade © Taken Taken Taken Taken .25549 Lucas, Eric FP X .26691 Morrison, Michael SO X 1 m 1 I Di petah ❑L .JL JI 1 L —_1 � QstYyeeeaien L_1 L_1 Mmrival ❑LJL --1I 1 1�. 1 ❑ 1 c 2 33.1 I Can ❑ uL L_1—_11 Donor L.J LJ Personnel Name Rank or Ate Action Action Action Action ID arade © Taken Taken Taken Taken 0 0 0 0 0 97129-10 9ovi.len 11/17/90 nett county 04317 01/29/2011 11- 0000091 OT aged LbfooGaetB XWd 13C213SHl dH WHb2 :01 1102 BO Med I 04311. I Sj LlJ 12211 2011 11 ST1 I 1 11 -0000093 1 000 ► Assidandlug ' V020 stele incident veto Station Iaatdent meet mamma enita/Peraomtel 7iat • Notify Time .Znrouto Time Arrival Time Cleared Time I 221 Rescue Pumper 13:24:54 13:31:04 13137:38 16:17:07 Staff ID \Staff Name Activity Rank Position Role I 125040 Williams, James (12) C Fire at Scene Fire Chief Other 125370 " Dove, Doug fire at Scene Captain Other 128930 Webb, Keith Fire at Scene Firefighter Other 242 Pumper /Tanker 13:22:59 13:31:04 13:37:38 16:17:13 Staff ID \Staff Name Activity Rank Position Role 129288 Taylor, Jason Fire at Scene Deputy Chia Other 129890 Currie, Tony Tire at Soon Diatriet Ch Other 244 Pumper /Tanker 13:22:59 13:29:05 13:30 :44 16:17:04 Staff ID \Staff Name Activity Rank Position Role I 128279 Stewart, Jooapb Tire at Scene Captain Other 128821 Dean, John (12) Fire at Scene Firefighter Other 120979 Dentine, Jason Fire at Scene Lieutenant Other 256 Ambulance 13:26:35 13:28:30 13:34:07 14:13:44 Staff ID \Staff Name Activity Rank Position Role 123063 Fish, Sherri P Medical at Scene Lieutenant Basic 123995 Briatoe, Daniel Medical at Scene Lieutenant Basic '.82 Service Truck 13:22:59 13:45:26 13:51:44 16:17:10 Staff ID \Staff Name Activity Rank Position Role 125549 Luoae, Trio Fire at Scene Firefighter Other 126691 Morrison, Michael 2 Fire at Scene Safety Offi Other 'nett County Page 1 04317 01/29/2011 11- 0000093 IT aged Lbb08SZ6T6 >(Hd 13ta381:11 dH Wsba :ot TIDE 80 gad MM .... DD YYYY I 1 04317 1 f �I (1$f L j arl i 11- 0000093 1 000 1 Ie9OI ' FIND * stets * inelMOt Oats * oration inow.nt $ fl * u n n * 1ex9Ot1M tali IDVStatt aamo Unit Activity Position lank PaySol ass arsPd Pte 25040 Williams, James 1221 FX -BT Fire at FC 2.87 2.87 0.00 25370 Dove, Doug 1221 FX -BT Fire at CP 2.87 2.87 0.00 28930 Webb, Keith 1221 FX -BT Fire at FF 2.87 2.87 0.00 29288 Taylor, Jason 1242 FX -BT Fire at DC 2.90 2.90 0.00 29890 Currin, Tony 1242 FX -BT Fire at DTC 2.90 2.90 0.00 28274 Stewart, Joseph 1244 FX -BT Fire at CP 2.90 2.90 0.00 28821 Dean, John (12) 1244 FX -BT Fire at FFE 2.90 2.90 0.00 28979 Denkins, Jason 1244 FX -BT Fire at LT 2.90 2.90 0.00 23063 Fish, Sherri P 1256 MX -BT Medical at LT 0.79 0.19 0.00 23995 Bristow, Daniel 1256 MX -BT Medical at LT 0.79 0.79 0.00 25549 Lucas, Eric 1282 FX -BT Fire at FF 2.90 2.90 0.00 26691 Morrison, Michael 1282 FX -BT Fire at So 2.90 2.90 0.00 staff Participants: 12 Total Personnel Boars: 30.49 An . 'X' next to the unit denotes driver. matt County 00317 01!79/2011 11- 000009) at e2ed Lbb08g26T6 %Hd 13CM3SH1 dH WHb2:01 STUB 80 Cad MM DO YYYY { ®ma al6oia®aoc 04317 1 LJ Lid Lfl I 2011 I I sxi 1 1 11- 0000093 11 000 1 I g - u RIM State 3emaant Date ptatian Seelalnt taw arena volwwnt Involvam ant me: Typo: Owns: Occupant: akett Jeff ' 04317 01/39/3011 13- 0000093 matt County ET aged L4008S2SIG XFJd 13CM3S131 dH WHba:OT TTO2 80 .gad *1 DD YYYY mats maiden . { 06319 1 U La i x.321 1 1011 1 I Ma I I 11e 0000093 I 000 ( Res rioldm I I 11100 * State* Molar* 0at1 * Witte* mcWent Ramer * Wgowse * 01311 03/39/3011 11- 0000093 'nett County bT pled L4408S26T6 XHd 13C2135141 dH WWba :OT 1103 80 qpd