HomeMy WebLinkAbout46 Prado_RedactedNFIRS-1 Basic
40060 CA 06 04 2021 Fire Station
4 (FS4)
21-02577 0
FDID State Month Day Year Station Number Exposure
Location Type
Census tract:
Street Address
Intersection
In Front Of
Rear Of
Adjacent To
Directions
US National Grid
46 PRADO
Number Prefix Street or Highway Street Type Suffix
San Luis Obispo CA 93401
Apt./Suite/Room City State Zip Code
Cross Street
Incident Type
151-Outside rubbish, trash or waste fire
Aid Given Or Received
1 Mutual Aid Received
2 Auto. Aid Received
3 Mutual Aid Given
4 Auto. Aid Given
5 Other Aid Given
None
Their FDID Their
State
Their Incident Number
Dates and Times
Alarm 06 04 2021 01:58
Arrival 06 04 2021 02:05
Controlled 06 04 2021 02:30
Last Unit
Cleared
06 04 2021 04:05
Shifts and Alarms
A NA FZ4
Shift or
Platoon
Alarms District
Special Studies
9244 4 - Unknown
ID#Value
A
B
C
D
E1 E2
E3
Page 1 of 10
Actions Taken
11-Extinguishment by fire service
personnel
Primary Action Taken
Resources
Apparatus or Personnel Module is used.
Apparatus Personnel
Suppression 7 16
EMS 0 0
Other 0 0
Resource counts include aid received
resources.
Estimated Dollar Losses and Values
Losses:Required for all fires if
known. Optional for all
non-fires.
None
Property:$ 0
Contents:$
Pre-Incident Values: Optional None
Property:$ 0
Contents:$
Completed Modules
2 - Fire
3 - Structure Fire
4 - Civilian Fire Cas.
5 - Fire Service Cas.
6 - EMS
7 - HazMat
8 - Wildland Fire
9 - Apparatus
10 - Personnel
11 - Arson
Casualties None
Deaths Injuries
Fire
Service
0 0
Civilian 0 0
Detector
Required for Confined Fires
1 - Detector Alerted Occupants
2 - Detector Did Not Alert Them
3 - Unknown
Hazardous Materials Release
1 - Natural Gas
2 - Propane Gas
3 - Gasoline
4 - Kerosene
5 - Diesel Fuel / Fuel Oil
6 - Household Solvents
7 - Motor Oil
8 - Paint
0 - Other
None
Mixed Use Property
Not Mixed
10 - Assembly Use
20 - Education Use
33 - Medical Use
40 - Residential Use
51 - Row Of Stores
53 - Enclosed Mall
58 - Business and
Residential
59 - Office Use
60 - Industrial Use
63 - Military Use
65 - Farm Use
00 - Other Mixed Use
Property Use None
Structures
131 Church, Place of Worship
161 Restaurant or Cafeteria
162 Bar/Tavern or Nightclub
213 Elementary School, Kindegarten
215 High School, Junior High
241 College, Adult Education
311 Nursing Home
331 Hospital
341 Clinic, Clinic-Type Infirmary
342 Doctor/Dentist Office
361 Prison or Jail, Not Juvenile
419 1- or 2-Family Dwelling
429 MultiFamily Dwelling
439 Rooming/Boarding House
449 Commerical Hotel or Motel
459 Residential, Board and Care
464 Dormitory/Barracks
519 Food and Beverage Sales
539 Household Goods, Sales, Repairs
571 Gas or Service Station
579 Motor Vehicle/Boat Sales/Repairs
599 Business Office
615 Electric-Generating Plant
629 Laboratory/Science Laboratory
700 Manufacturing Plant
819 Livestock/Poultry Storage (Barn)
882 Non-Residential Parking Garage
891 Warehouse
Outside
124 Playground or Park
655 Crops or Orchard
669 Forest (Timberland)
807 Outdoor Storage Area
919 Dump or Sanitary Landfill
931 Open Land or Field
936 Vacant Lot
938 Graded/Cared for Plot of Land
946 Lake, River, Stream
951 Railroad Right-of-Way
960 Other Street
961 Highway/Divided Highway
962 Residential Street/Driveway
981 Construction Site
984 Industrial Plant Yard
Property Use:
Description
Look up and enter a Property Use code and
description only if you have NOT checked a
Property Use box.
Owner
Local Option Person/Entity Type Business Name (if applicable)Phone Number
Mr., Ms., Mrs.First Name MI Last Name Suffix
Number Prefix Street or Highway Street Type Suffix
Post Office Box Apt./Suite/Room City
State Zip Code
F G1 G2
H1
H2
H3 I
J
K2
Page 2 of 10
Remarks:
E4
Assigned Fire attack on hot zone (left flank)
-FF4 stretched pre-connected 100' length hose to L flank of fire. Vehicle threat and flame impingement from rubbish/ brush
fire caused van to catch fire drivers side.
E4 foam application
E4 Assigned Div A
-- Objective L and R flank perimeter control with resources on scene and halt forward progress. Progress stopped and flanks
controlled.
-- Interior mop up with all personnel on scene utilizing.
--All hot spots identified and cooled.
E4, T2 and T1 assigned to division. E4 released all companies. E4 investigate with FP Marshall Maggio. Undetermined at this
time.
Authorization
38890 Gonzalez, Steven Fire Captain 06/04/2021
Officer In Charge ID Signature Position or Rank Assignment Date
38890 Gonzalez, Steven Fire Captain 06/04/2021
Member Making Report
ID
Signature Position or Rank Assignment Date
L
M
Page 3 of 10
NFIRS-2 Fire
40060 CA 06 04 2021 Fire Station
4 (FS4)
21-02577 0
FDID State Month Day Year Station Number Exposure
Property Details
B1 Not Residential
Estimated number of residential living units in the building
of origin whether or not all units became involved
B2 Buildings Not Involved
Number of buildings involved
B3 None Less than 1 acre
Acres burned (outside fires)
On-Site Materials
Or Products
On-Site Materials
Storage Use
Ignition
D1
Area of Fire Origin
D2
Heat Source
D3
Item First Ignited
D4
Type of Material First Ignited
Cause of Ignition
1 - Intentional
2 - Unintentional
3 - Failure of Equipment or Heat
Source
4 - Act of Nature
5 - Cause Under Investigation
U - Cause Undetermined After
Investigation
Factors Contributing to Ignition
Human Factors Contributing to
Ignition
Check all applicable boxes
None
1 - Asleep
2 - Possibly impaired by alcohol or
drugs
3 - Unattended person
4 - Possibly Mentally Disabled
5 - Physically Disabled
6 - Multiple Persons Involved
7 - Age Was A Factor
Estimated Age of
Person Involved
Male Female
Equipment Involved In Ignition
None
Equipment Involved
Brand
Model
Serial #
Year
Equipment Power Source
Equipment Power Source
Equipment Portability
1 - Portable
2 - Stationary
Portable equipment normally can be moved by one or two
persons.
Fire Suppression Factors
A
B C
D E1
E2
E3
F1 F2
F3
G
Page 4 of 10
Mobile Property Involved
1 - Not involved in ignition, but burned
2 - Involved in ignition, but did not burn
3 - Involved in ignition and burned
None
Mobile Property Type and Make
Mobile Property Type
Mobile Property Make
Local Use
Pre-Fire Plan Available
Arson Report Attached
Police Report Attached
Coroner Report Attached
Other Reports Attached
Mobile Property Model Year
State License Plate Number VIN
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
H1 H2
Page 5 of 10
NFIRS-9 Apparatus or Resources
40060 CA 06 04 2021 Fire Station
4 (FS4)
21-02577 0
FDID State Month Day Year Station Number Exposure
B
Apparatus/Resource Dates/Times Sent
Number
of People Apparatus Use Actions Taken
ID:BC2
Type:92-Chief officer car
Dispatch:06/04/2021 01:58
Arrival:06/04/2021 02:05
Clear:
Sent 1 Suppression
EMS
Other
81-Incident command
ID:CHIEF2
Type:92-Chief officer car
Dispatch:
Arrival:06/04/2021 02:28
Clear:
Sent 1 Suppression
EMS
Other
92-Standby
ID:E3
Type:11-Engine
Dispatch:06/04/2021 01:58
Arrival:06/04/2021 02:10
Clear:
Sent 3 Suppression
EMS
Other
12-Salvage & overhaul
ID:E4
Type:11-Engine
Dispatch:06/04/2021 01:58
Arrival:06/04/2021 02:07
Clear:06/04/2021 04:05
Sent 3 Suppression
EMS
Other
10-Fire control or extinguishment, other
ID:PRV20
Type:00-Other apparatus/resource
Dispatch:
Arrival:06/04/2021 02:33
Clear:06/04/2021 04:05
Sent 1 Suppression
EMS
Other
86-Investigate
ID:T1
Type:12-Truck or aerial
Dispatch:06/04/2021 01:58
Arrival:06/04/2021 02:05
Clear:
Sent 4 Suppression
EMS
Other
12-Salvage & overhaul
ID:T2
Type:12-Truck or aerial
Dispatch:06/04/2021 01:58
Arrival:06/04/2021 02:06
Clear:
Sent 3 Suppression
EMS
Other
11-Extinguishment by fire service personnel
A
Page 6 of 10
NFIRS-10 Personnel
40060 CA 06 04 2021 Fire Station
4 (FS4)
21-02577 0
FDID State Month Day Year Station Number Exposure
B
Apparatus/Resource Dates/Times Sent
Number
of People Apparatus Use Actions Taken
ID:BC2
Type:92-Chief officer car
Dispatch:06/04/2021 01:58
Arrival:06/04/2021 02:05
Clear:
Sent 1 Suppression
EMS
Other
81-Incident command
Personnel ID Name Rank Role Attend Actions Taken
35110 Fox II, Samuel Battalion
Chief
ID:CHIEF2
Type:92-Chief officer car
Dispatch:
Arrival:06/04/2021 02:28
Clear:
Sent 1 Suppression
EMS
Other
92-Standby
Personnel ID Name Rank Role Attend Actions Taken
Alforque, Michael
ID:E3
Type:11-Engine
Dispatch:06/04/2021 01:58
Arrival:06/04/2021 02:10
Clear:
Sent 3 Suppression
EMS
Other
12-Salvage & overhaul
Personnel ID Name Rank Role Attend Actions Taken
54190 King, Michael Captain
54183 King, John Engineer
66265 Nason, William Firefighter
ID:E4
Type:11-Engine
Dispatch:06/04/2021 01:58
Arrival:06/04/2021 02:07
Clear:06/04/2021 04:05
Sent 3 Suppression
EMS
Other
10-Fire control or extinguishment, other
Personnel ID Name Rank Role Attend Actions Taken
38890 Gonzalez, Steven Captain
70100 Polkow, Matthew Engineer
92892 Woods, Mitchell Firefighter
ID:PRV20
Type:00-Other apparatus/resource
Dispatch:
Arrival:06/04/2021 02:33
Clear:06/04/2021 04:05
Sent 1 Suppression
EMS
Other
86-Investigate
Personnel ID Name Rank Role Attend Actions Taken
maggio, roger
ID:T1
Type:12-Truck or aerial
Dispatch:06/04/2021 01:58
Arrival:06/04/2021 02:05
Sent 4 Suppression
EMS
Other
12-Salvage & overhaul
A
Page 7 of 10
Clear:
Personnel ID Name Rank Role Attend Actions Taken
62800 MacDonald, John Captain
73250 Renner, David Engineer
61580 Mason, Ryan Engineer
50826 Johnston, Kenneth Firefighter
ID:T2
Type:12-Truck or aerial
Dispatch:06/04/2021 01:58
Arrival:06/04/2021 02:06
Clear:
Sent 3 Suppression
EMS
Other
11-Extinguishment by fire service personnel
Personnel ID Name Rank Role Attend Actions Taken
40667 Gutierrez, Armando Captain
60045 Lokkart, Eric Engineer
52001 Joy, Cullen Firefighter
Page 8 of 10
NFIRS-1S Supplemental
40060 CA 06 04 2021 Fire Station
4 (FS4)
21-02577 0
FDID State Month Day Year Station Number Exposure
Primary Narrative:
E4
Assigned Fire attack on hot zone (left flank)
-FF4 stretched pre-connected 100' length hose to L flank of fire. Vehicle threat and flame impingement from rubbish/ brush
fire caused van to catch fire drivers side.
E4 foam application
E4 Assigned Div A
-- Objective L and R flank perimeter control with resources on scene and halt forward progress. Progress stopped and flanks
controlled.
-- Interior mop up with all personnel on scene utilizing.
--All hot spots identified and cooled.
E4, T2 and T1 assigned to division. E4 released all companies. E4 investigate with FP Marshall Maggio. Undetermined at this
time.
Additional Narrative (#1 of 5 ):
BC2 C3 with first alarm to reports of possible structure fire, BC2 arrived at scene and established Prado IC and found a large
commercial structure with a vegetation burning on the charlie side of the structure, fire was approximately 1/4 in size burning
in brush, trees, and refuse with moderate rate of spread, area appeared to be a hoarding site and was filled with large
amounts of trash, refuse, and disabled/abandonded vehicles, small driveway limited apparatus access, working incident
declared, truck 1 and 2 staged on street with personnel assigned to walk in, E4 brought in to scene to pump fire, E21 assigned
warter supply, E4 was assigned Div A w/ T2 assigned to assist, T1 was assigned Div Z, and E3 was assigned patrol for ember cast
on the Alpha flank, PD assigned evacuations of area and homeless persons camping throughout the area, T2 reported hazard
of firefighter falling approximately 10 feet into ditch, non-injured, hazard reported to all crews with radio acknowledgement
received, all crews required to wear SCBA due to smoke and fuel types, fire knocked down and overhauled, light and air unit
requested to scene, Fire Marshall requested for investigation, DC given city coverage, E3 was released for Code 11, Cal Fire
Code 11 engine cancelled, scene turned over to E4 and FM, BC2 avail.
S. Fox
BC2
A
Page 9 of 10
Additional Narrative (#2 of 5 ):
Fire Origin and Cause Report
Rodger Maggio, IAAI-CFI
June 4, 2021
Property: Approximate 2 acre parcel with 2 Single Family dwellings used for storage of combustible waste material.
Conditions: 54 degrees F, 90% rH, winds S at 3 mph (at time of dispatch).
On Friday, June 4, 2021 at approximately 02:18 AM, I received a phone call from San Luis Obispo Fire Dispatch requesting that I
respond to a 2nd alarm fire at 46 Prado (parcel includes 46, 48, 50, and 52 Prado) in San Luis Obispo. I arrived approximately 10
minutes later and made access to the fire at the end of a narrow paved driveway. At the end of the pavement the driveway
transitioned to dirt and led to an area with piles of stored combustible waste and storage, where I investigated a previous fire
in December 2020.
At the end of the driveway I encountered the firefighters overhauling an approximate 50 x 50 foot area of vegetation and
debris. I checked in with Battalion Chief Sammy FOX before initiating my scene examination.
The burn area was bordered on the south by a trash enclosure, to the west by the driveway, to the north by a Honda mini van
and eucalyptus tree, and to the east by a creek and ravine. On the south end I observed a free standing barbeque grill that
had fallen over and was next to a breached chain link fence that separated the property from the creek bank to the east.
Against the fence were several large tractor tires that were scorched, but not consumed by the fire. There were numerous
cut, charred logs in the burn area. On the north side the eucalyptus tree had burn scars that extended 30-40 feet up the bole
with large branches that over hung the burn area exhibiting significant charring. Just south of the tree there appeared to be
the remains of a 6 x 5 foot fiberglass camper shell that was completely consumed. To the west of the fiberglass debris was an
2003 Honda Odyssey mini-van . The van was aligned west-east with the front facing west. The vehicle burn
damage was more severe from rear to front with complete passenger compartment involvement. It appears that a fire came
from the south east based on the burn indicators. During my investigation, the horn sounded, so most likely the vehicle was
operational prior to the fire. The engine compartment was unaffected. Approximately 3 feet south of the van I observed the
remains of an upholstered chair which consisted of the metal springs and the wood arm rests. Moving further south were
other items that were more completely consumed such as a vehicle wheel that only had a remnant of the tire on a
protected part of the rim.
It is my opinion based on my observation and training that this fire originated in an area approximately 8 to 10 feet south of
the van and moved symetrically out from that area spreading through heavy tree litter and debris. As there were no
accidental ignition sources in the origin area and the temperature was too low and humidity to high for cigarette ignition, it is
my opinion that the fire was human caused. Possibly causes are recklessly kindled campfire, overturned barbeque, or
intentional act. The name of a person of interest related to the van was forwarded to the police department for follow up
interview. Until such time as more information becomes available, the cause of this fire is undetermined.
Additional Narrative (#3 of 5 ):
T1 responded to above location with fist alarm. T1 arrived at scene and staged in the street due to no access for the truck.
T1 personnel geared up and walked to the fire area. Initially T1 crew assisted with securing a water supply from E4 with E21.
T1 was assigned div. Z. T1 crew then made are way back to E4 and pulled a cross lay. FF1 and Capt. 1 began extinguishing fire
while operator 1 and ladder 1 used the circular saw to cut through fencing to make access to other parts of the fire. E21's
crew was assigned to T1 to assist with cutting line around the zebra side of the fire towards the creek. Once that area of the
fire was extinguished and a line was cut from the driveway to the creek area. T1 crew assisted with overhaul of the fire area.
T1 was then released by IC. T1 crew gathered used SCBA bottles form E4 and T2 and replaced them with fresh bottles then
cleared.
Additional Narrative (#4 of 5 ):
E-3 was assigned to Division Alpha to search for embers cast from the fire to the other exposures on the property, after
completing that assignment, E-3 was reassigned to assist E-4 and T-1 personnel with mop up and overhaul of the fire area. E-3
was released by IC and assigned to code 11 at station 1.
Captain Mike King
Additional Narrative (#5 of 5 ):
T2 arrived and assigned to pull line off E4. T2 pulled 1 3/4 line crosslay to the Alpha side of the fire and engaged in fire attack.
T2 knocked fire down, while wearing full PPE. T2 FF had a fall down embankment after ground sluffed off and FF2 fell approx 10
feet into creek bottom. FF2 reported no injuries and priority traffic made to IC to notify all units of hazard on Charlie side. T2
capt stood by to ensure no one went near edge until hazard tape could be used to mark area. T2 rehabbed equipment and
assisted E4 getting back into service.
Page 10 of 10