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Little Canada Fire Dept. 3i7) <br />INCIDENT REPORT <br />Incident No. ��yy Day: M T W <br />Time of Alarm c'� I 'CAP Arrival Time c--),1 U 9 <br />T F. S S Date <br />Time Returned <br />Type of Incident: <br />11 - Building Fire <br />13 - Cooking Fire <br />21 - Mobile Home Fire <br />31 - Vehicle Fire <br />43 - Grass Fire <br />54 - Dumpster /crash Fire <br />221 - Natural Gas Leak <br />311 - Medical Assist. <br />352 - Vehicle Extrication <br />353 - Elevator Extrication <br />411 - Flammable Liquid Spill /Leak <br />444 - Power Line Down <br />Action Taken: <br />11 - Extinguishment <br />23 - Extrication <br />43 - Hazardous Materials Spill Control <br />51 - Ventilate <br />Mutual Aid: Received From <br />Use of Property _ !, <br />Address of Alarm /5 Z C--0 7) <br />Occupant's Name <br />Owner's Name <br />Owners Address <br />445 - Arcing. Shorted Electical Equipment <br />531 - Smoke /Odor Removal <br />561 - Unauthorized Burning <br />571 - Mutual Aid Cover Station <br />631 - Autorized Burning <br />651 - Smoke Scare <br />714 - Malicious False Alarm <br />733 - Smoke Detector Malfunction <br />735 - Alarm System Malfunction <br />743 - Unintentional System Activation <br />63 - Restore Fire Alarm System <br />73 - Provide Manpower <br />86 - Investigate Only <br />91 - Standby /Move up to another Fire Station <br />Kz <br />Given To <br />Ignition Cause <br />ra e3 <br />No. Responding_ 60 Equipment Responding 7l <br />12, i13 <br />00 <br />1 <br />17 <br />hie <br />Zip <br />Phone <br />Phone <br />Zip <br />73S- <br />Hydrant Used <br />O Yes O No <br />33 <br />Anderson, Derek (-1 <br />Bacigalupo, Todc-b <br />-Barrett, Pat <br />Boss, Jim 1 -14ri_ <br />1n <br />',r Boss. Rick Li 9 <br />O Boss Tim r� <br />,Boss, Todd 27 <br />"DeBace, Jeff4 <br />Evgen, Mark <br />Fawcett, John ZO <br />/Fitzgerald, Jacl'/C, <br />X( Frison, Dave <br />kfrison, Kurt 1 <br />Gornick, Tom <br />O Graczyk, Mark — <br />O Graczyk, Randy_ <br />O Gustafson, Jim <br />ter-Hartman, Jason C ) <br />Est. Loss c Johnson, Gar CC/Z.. <br />O Jones, Larry _ <br />STRUCTURE FIRE <br />Type of Structure What Burned <br />Fire Spread Beyond Area Where Started <br />Smoke Spread Beyond Room of Origin <br />Extent of Flame, Smoke and Water Damage <br />Extinguishing Agent <br />Detector Performance: <br />- In area of fire origin and operated <br />2 - Not in area of fire origin and operated <br />3 - In area of fire origin and did not operate <br />Quantity <br />4 - Not In area of origin - did not operate <br />5 - In area of fire origin - fire too small <br />8 - No detectors present <br />Performance of Sprinklers <br />VEHICLE FIRE <br />Year Make & Model <br />tic. No. V.I.N. <br />Driver's Name Phone <br />Street Address City State Zip <br />Police Branch in Charge <br />District No, <br />Officer's Name Badge No (if Highway Patrol) <br />Rem 7 <br />ci3ar r <br />9 <br />/312t 9 <br />Officer in Charg�Wlr <br />0 . " -4 T eking Report Of Different From Officer in Charge) <br />Keenan. Kevin <br />,C keenan, Pat <br />4SC. Keffeler, Ted <br />O Leibel, Bob <br />eibel, Dan 7 <br />Morelan, Jim <br />O Morelan, Steve <br />,abean, Jim �' <br />Schuster, Steve C <br />.miley, Don <br />Steinert, Kevin <br />O Strohbeen, Nick_ <br />-(a Suchy, Bill `7r7' <br />(Vitale, Joe 67 <br />0 <br />0 <br />0 <br />0 <br />250 12/54 <br />