11329 2ND AVE SE 2024-11-07 - Laserfiche WebLink

{ ti411 ` Incident # 2019-00003838 A I 31M041 IWA I LJ 02 12019 I I 7 I I 00035741 1 000 I Ei Delete ❑ NBasic * /L� FDID State 7"S Incident Date Station Incident Number -.A-. Exposure * o No Activity B Location Type` ' 0 Check this box to indicate that the address for this Incident is provided on the Wildland fire Census Tract I I-L—.1 Module in Section B,"ARernative Location Specification,'Use only for wildland fires, 'Street address ❑ Intersection I 11329 I I I I2ND I I AVE I SE ❑ In front of Number/Milepost Prefix Street or Highway Street Type Suffix ❑ Rear of I I IEVERETT I WA I 98208 1.1 I ❑ Adjacent to AptJSuite/Room City State ZIP Code ❑ Directions ❑ U.S.National Grid C ross Street Directions or National Grid,as applicable I C Incident Type '' E1 Dates and Times Midnight is0000 E2 Shifts and Alarms 1531 I ISmoke or odor removal I Month Day Year Hour Min Local Option Incident Type Check boxes if ALARM always required t I ( 1 (10 3 ( dates neare sAtathe 03 02 2019 0025 Li Li p Aid Given or Received* lif None same as Alarm Alarm ( I I I I I I Shill or Alarms District Date. Platoon ARRIVAL required unless canceled or did not anise 1 0 Mutual aid received El Arrival*I 1 I I I I I 0040 I E3 Special Studies 2 0 Auto.aid received L I____I' Local option 3 0 Mutual aid given Their FDID ❑ CONTROLLED ,except tor+Midland L�J fr� State 4 0 Auto.aid given Controlled I I I 5 0 Other aid given I I [•7 Last Unit LAST UNIT CLEARED,required except for vekSandfires Special Special Their Incident Number Cleared I I I I I 11 0112 I Study IDe Study Value Number F Actions Taken Gi Resources * G2 Estimated Dollar Losses and Values Investigate fire out �,�(Check this box and skip this block if an Required for all fires if known. 18 71 Ion arrival I '-'Apparatus or Personnel Module is used. LOSSES: opal for non-rues. None Primary Action Taken(1) Property $ I I U U ❑ Apparatus Personnel L__J I I Suppression I I I I Contents $ 1 I•I I,L—I 0 Additional Action Taken(2) EMS I II I PRE-INCIDENT VALUE:optional t_I I I Other I 11 I Property $ 1 1,1 I.I_ I ❑ Additional Action Taken(3) ❑Check box if resource counts include aid Contents $ I (,I_ I,I_ I ❑ received resources. Completed Modules H1*Casualties El None H3 Hazardous Materials Release ONone ( Mixed Use ❑ Not mixed ❑Fire-2 Deaths Injuries ❑ Property Structure Fire-3 t0 ❑Assembly use � Fire 1 ❑Natural gas:slow leak,no evacuation or HazMat actions ❑ ❑Civilian Fire Cas.-4 Service I I I I 2 El Propane gas:<21-lb tank(as in home BBQ gill) 20 Mediation use 33 Ei Medical use ❑Fire Service Cas.-5 3 ❑Gasoline:vehicle fuel tank or portable container 40 Q Residential use Civilian 4 St Row of stores ❑EMS-6 ❑Kerosene:fuel burning equipment or portable storage ❑HazMat-7 Detector 5 0 Diesel fuel/fuel oil:vehicle fuel tank or portable storage 53 Enclosed mall 58 ❑Business&residential Wildland Fire-8 2 Required for confined fees. 6 0 Household solvents:home/office spill,cleanup only 59 Du Office use Apparatus-9 t 7 ❑Motor oil:from engine or portable container 60 6 Industrial use Detector alerted oclwparus 8 ❑Paint:from paint cans totaling<55 gallons 63 ❑Military use Persorut8l-10 2 Detector did not alert them D ['Other:special HazMat actions required or spill>55 gal 65 ❑Farm use 0 Arson-11 U Unkrrown (Please complete the HazMat form.) 00 0 Other mixed use 1 Property Use , 0 None 341 ElClinic,clinic-type infirmary 539 0 Household goods,sales,repairs Structures 342 ❑Doctor/Dentist office 571 0 Gas or service station 131 0 Church,place of worship 361 ❑Prison or jail,not juvenile 579 0 Motor vehicle/boat sales/repairs 161 0 Restaurant or cafeteria 419 ®1-or 2-family dwelling 599 0 Business office 162 0 BarlTavem or nightclub 429 0 Multifamily dwelling 615 0 Electric-generating plant 213 0 Elementary school,kindergarten 439 ❑Rooming/Boarding house 629 0 Laboratory/Science laboratory 215 ❑High school,junior high 449 ❑Commercial hotel or motel 700 0 Manufacturing plant 241 El College,adult education 459 ❑Residential,board and care 819❑Livestock/Poultry storage(barn) 311 0 Nursing home 464 0 Dormitory/Barracks 882❑Non-residential parking garage 331 ❑Hospital 519 0 Food and beverage sales 891 ❑Warehouse Outside 936 0 Vacant lot 981 ❑ Construction site 124 0 Playground or park 938 0 Graded/Cared for plot of land 984 0 Industrial plant yard 655 ❑ Crops or orchard 946 ❑ Lake,river,stream 669 0 Forest(timberland) 951 0 Railroad right-of-way Lookup and enter a Property Use and (� Property Use I I $07 El Outdoor storage area 960 0 Other street description only it you Code 919❑ Dump or sanitary landfill 961 0 Highway/Divided highway ProrepetNtyy Use bochecle.a 931 0 Open land or field 962 0 Residential street/driveway Propeny Use Description NFIRS-1 Revision 01/01/05 2. k Printed 13:09 03/04/2019