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Home My WebLink AboutFire Department Incident Report 23-02102NFIRS-1 Basic 40060 CA 04 06 2023 Fire Station 4 (FS4) 23-02102 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 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 600-Good intent call, other 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 04 06 2023 19:17 Arrival 04 06 2023 19:23 Controlled Last Unit Cleared 04 06 2023 19:32 Shifts and Alarms A NA FZ4 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value A B C D E1 E2 E3 Page 1 of 7 Actions Taken 86-Investigate Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 3 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:$ Contents:$ Pre-Incident Values: Optional None Property:$ 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: 400-Residential, other 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 7 Remarks: E4 responded code 3 to dispatched area for a report of a smell of gas outside. E4 arrived in the area with no smell of gas odor. E4 investigated neighboring area and residence with negative findings. E4 was UTL and cleared scene then returned to station without incident. Authorization 73250 Renner, David Fire Captain 04/06/2023 Officer In Charge ID Signature Position or Rank Assignment Date 73250 Renner, David Fire Captain 04/06/2023 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 7 NFIRS-9 Apparatus or Resources 40060 CA 04 06 2023 Fire Station 4 (FS4) 23-02102 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:04/06/2023 19:17 Arrival:04/06/2023 19:23 Clear:04/06/2023 19:32 Sent 3 Suppression EMS Other A Page 4 of 7 NFIRS-10 Personnel 40060 CA 04 06 2023 Fire Station 4 (FS4) 23-02102 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:04/06/2023 19:17 Arrival:04/06/2023 19:23 Clear:04/06/2023 19:32 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 73250 Renner, David Captain 92310 Williams, Nathan Engineer 99162 Kraemer, Luke Firefighter A Page 5 of 7 NFIRS-1S Supplemental 40060 CA 04 06 2023 Fire Station 4 (FS4) 23-02102 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 responded code 3 to dispatched area for a report of a smell of gas outside. E4 arrived in the area with no smell of gas odor. E4 investigated neighboring area and residence with negative findings. E4 was UTL and cleared scene then returned to station without incident. A Page 6 of 7 911 Call Received Time: 04/06/2023 19:14:12 Time Dispatched:04/06/2023 19:17:29 First Unit Arrived At Scene: 04/06/2023 19:23:57 Response Mode To Scene: Code 3 Aid Given or Received: None Incident Type:600-Good intent call, other Incident Street Number: 11050 Incident Street Name: LOS OSOS TRT Header Total Response Time Exceeded Question Answer Notes This form is required any time a code 3 incident total response time that is not mutual or automatic aid exceeds 7 minutes. Please check the times in the worksheet header and verify that they are correct, and answer all questions below. If incorrect times were input (ie. you forgot to hit ARRVD on the MDC) you must update both the NFIRS time tab for the first arriving unit overall times, as well as the apparatus power tool time for the individual unit. Both are measured. The first unit arrived at scene is what is measured for travel time. Was the call processing time greater than 60 seconds? (time 911 received vs. dispatched time) Yes Was the travel time (dispatched to first unit arrived) of the first arriving unit greater than 4 minutes? Yes Did you verify that all apparatus time and incident times were correct, and that any MDC button errors or dispatch errors were fixed? Yes Which time standards were exceeded?Call Processing Time (60 seconds or less);Travel Time (4 minutes or less) What additional reasons, if any, caused the total response time to be exceeded (ie. weather delay, mechanical issue, etc.) Drive time Page 7 of 7