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Alio� . <br />.I �, <br />J <br />BI' <br />�'dA�E�C��� ; k;i� :� �� p�'� FiiiE IP��IuE�1T �EPORT , V`, _ <br />CITY OF [VERETT FIRE DEPARTMENT FIRS 1 <br />INGIDENT NO. <br />� <br />2. PRESSURE RUPTURE <br />2= <br />O 1 � � .I�nOunnm�nl <br />1-y t '- Putu� On��. <br />U¢ 71, In.ohYH�... only <br /><f- . � t n.mo.. Nnua <br />FI%ED PROPERTY USE (Occupeni <br />� S i ,� L�� <br />CORHECT ADORESS (Up �o m�Rim <br />D q� <br />�(v � 0 L�— <br />CCUPANi NAME � <br />e „ ; L� ssorL — <br />� WNEP N,�ME . . <br />F i,zi:'D�,vi�P _ <br />METHO OF ALARM <br />1 ' �Ip�on� On�tl � i �. R� <br />G 19 i L P mb ��brm �Y�bm�m 6 1� Na <br />/ . . L � <br />NO. FIRE SEPVICE PERSONNEL <br />H RESPONDED <br />NUMBER OF INJURIES Cumplela <br />I 20 <br />FIPE SEHVILE <br />COMPLE% <br />J AflEA OF FIRE OFIGINC / <br />K <br />GR2lar P <br />FOHM OF HEAT IGNIT1011 <br />� , v.��.�-e2r�_r'�v, <br />E%� � IA.].� <br />3. RESCUE <br />1 ❑ delete <br />2 ❑ che.n9� <br />IIAYOPIYEEN SOT�msday �AURM11—�AE �MFR'Al71ME TWEINSEPVICE <br />�OSmWar 7O1 sJar 60rn�aY _1�_1LL1�LL.L_LL •�'1 <br />xo�doiway a weane:dny 7osammay <br />I.�_'���I 5. SER. CALL !.� I 7. FALSE �'.:',, �� i� <br />4. HAZ. COND. I� 6. GOOD INTENT <br />F <br />�. e. OTHER ' � ��� � � <br />. AID I <br />'� SI�nE Ey J:� F�II in Mm� uD � � �] RBt�d N`d <br />: Stlr�Oe 9 i. Nol c�HftlnA 2❑ fjIvBn �Y <br />.' Emup �e0 0! 1 UnE�ieem�mCiNoi �<poiled ,�'�r �j'NIA <br />�. IGNIiION FACTOfl � <br />n. e,�' i4il i� u,v.de.-�eelv�l�V ec� ,�� <br />i o1.21�a1 � � .. . . � � . 21P COUE � � CENSUB TRA�T <br />'� J� �� cU c� l- l .`�r' � � �� (� �— <br />. � (�n51. FIPST, M�J � �TELEPHONE �� .PO M or APL �. <br />%.`:' 3�/ 7 - `�o3ca' <br />15T, FIPSi. M�) ADORESS . � .� TFLFPMONE.. � <br />s � o� � 3�� s, w< �-�z - 9 SS` Z: <br />'— finEOEMArvD SMIFT . NO. ALAHMS '� <br />� �Vau pntl muncp�l pum �On�l � ZONE �; . �f 1---- � <br />I 9��. N 1 luu^,e0 ' 1 <br />um �.c'a o I u a u �� a o� nol �.4on.a 1� I 9 7�u— ' 1 � I I <br />• 19n1 i �.I'V j_ <br />��� NO ENGINES � NO. AEPIAL API'AflATUS � NO. OTMER VBNICLES . <br />� RESPONDED . �.,I HESPONDED I HESPONDED � <br />i . J i0 <br />.. � .I OTHER �. 4 <br />�.��I MOOILE <br />��� : ---, <br />I <br />�4 i7i <br />� TYPE OF MATEPIAL IGNITE <br />FIRE SERVICE <br />/A <br />fHOD OF ' � ���wdy <br />INGUISMMENT P O Me�s ahilt alda 5�� <br />9 fJ Porie�le ealinpuieher 6 YPro�ronnecll�osnRrydienl drall <br />❑ 1 Ssll a�linpul��ed � p p��omelic exl, ayslam 7 O Hentl�leid hoanihydienl dial� el <br />'EL OP FIRE OPIGM ���sae lavel io 9 II. 6 Cl Over 70 leat . I <br />. P � 10 l0 19 leel 7 C7 OE�etla In IlipAl <br />9 � 20 lo P9 lael e G BaWw O�ound lavel 1 <br />� � 90 lo �9 leel 9 O Nol cleeeilied abova � <br />S O 5010 70 leal 0 I_l llntleleim�ned <br />I !L/I �I OTHEfl �. ��.... <br />Iromphb l�n� 5) � . <br />if�l ii <br />IComohU Lin� TI ...,. . <br />f�'L /,ifn/�.��7�/1.5 <br />B O Mealet et�eam duvice <br />3 (] Nol c�etl <br />Nl1MBE OF STORIES CONSTFUCIIUN TYPL <br />1 �I fh� �e�blMn E O UnpmbcbE orEin�ry <br />1 1 Jory. � O 5 lo E Uotlo.. ) O 15 lo IB staiu. 2 O NuvY t mEer T O P[nlecbE woo0 h�m� �.. <br />N J(1 P�otecteE non�umLmliEle B flWnp�obc�ed woo0 Inm� <br />] O 3�miY� 5 O � l0 12 �lorio. E O SO �lotle� oi mw�. � O UnD�obcbC noncombu��iEb B Ll Hol cl�uili�J �Om� <br />] LJ ] lo ��lonn. E l7 �] lo t� ilo�iu. 0 fJ NomLa ol Slo�iu unEalnmineJ oi nel npon�E i I.� 5 O PioiecbC aamuY 0 O Und1eoom�a E a nol -- <br />� SPflINKLEP PERFOf1M�NGE <br />E%TENT OF UAMAGE OETECTOR PENFORMANGE � <br />Fl�m� 5ma�� . <br />�❑ Oel. In mom oi �peu ol liu oiipimoD��� <br />� eo�uo.a m m. oei.�� oi o��m� 1❑ � � n T❑ U�t. nol ln �m. oi �V�ce ol In� oii0��'a0��� 1 OEGui0menloDeWaJ <br />p COu1m�010 p�rl ol �pom Oi uu ol oiipin 2 � � n I' � �❑ 0�1 In �m. o� �p�ce al o�101n.0u1 Op�L 70EYul0�nenll��ould�aveODe�tletl—tlidn0� <br />] Conhn�E la �oam ol aipin J❑ � n �. � p D�i, nol in �m. o� �pece el o�iylmnol oper. 90Ea��Omenipres�nt.Gmlaofmanloop�r. <br />� Lo�l n�a lo IM I u ubE ccmp. ol mi0�� �❑ � � u e uafi��n��nnl Pmwnl <br />! Conl N0 lo Iloor ol pi0�� 5❑ 5 C] I 5❑ Oel. nol In rm, ar �p�cc ol lib oi pb � <br />0 E LonLn�010 �buclw� ol o�pn E ��� 6��/ EVI liu Ino �mNl lo ap��. .. BOIIolclavJieJ ,. <br />) E.unG�E E� on0 �butlm� ol o�i0�� 1❑ 1 U h'j ODUnUaieimineCornol�eponeC � " <br />I B FJ Na E�IRIon P�e�enl /� /'�'� <br />0 U+O�lumm�amo� r�0otl�a 0❑ 0❑ f p❑ Nel cl�uihN X. <br />p No E�m�O� all�n ty0� 114A1 <br />