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Home My WebLink About1010 Murray 59NFIRS-1 Basic 40060 CA 05 04 2021 Fire Station 2 (FS2) 21-02051 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 1010 MURRAY Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 412-Gas leak (natural gas or LPG) 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 05 04 2021 11:20 Arrival 05 04 2021 11:28 Controlled Last Unit Cleared 05 04 2021 16:22 Shifts and Alarms A FZ2 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value A B C D E1 E2 E3 Page 1 of 6 Actions Taken 53-Evacuate area Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 3 7 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: 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 6 Remarks: Truck 2 arrived on scene and found the Gas Co working on a gas leak. Truck 2 requested additional units and Engine 3 and Battalion 1 were dispatched. Upon arrival I was briefed by Truck 2 crew Captain Gutierrez and I agree with his narrative in this report. I assumed command from Truck 2 and continued to isolate and deny entry into the hazard area. The cafeteria of the hospital was evacuated and the gas co worked on mitigating the hazard. The incident was turned back over to Captain Gutierrez on Truck 2 after it was deemed safe to do so. BC Hais Authorization 41550 Hais, Ray Fire Battalion Chief 06/02/2021 Officer In Charge ID Signature Position or Rank Assignment Date 41550 Hais, Ray Fire Battalion Chief 06/02/2021 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 6 NFIRS-9 Apparatus or Resources 40060 CA 05 04 2021 Fire Station 2 (FS2) 21-02051 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC1 Type:92-Chief officer car Dispatch:05/04/2021 11:36 Arrival:05/04/2021 11:38 Clear: Sent 1 Suppression EMS Other 81-Incident command ID:E3 Type:11-Engine Dispatch:05/04/2021 11:36 Arrival:05/04/2021 11:44 Clear: Sent 3 Suppression EMS Other 53-Evacuate area ID:T2 Type:12-Truck or aerial Dispatch:05/04/2021 11:20 Arrival:05/04/2021 11:28 Clear:05/04/2021 16:22 Sent 3 Suppression EMS Other 53-Evacuate area A Page 4 of 6 NFIRS-10 Personnel 40060 CA 05 04 2021 Fire Station 2 (FS2) 21-02051 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC1 Type:92-Chief officer car Dispatch:05/04/2021 11:36 Arrival:05/04/2021 11:38 Clear: Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 41550 Hais, Ray Battalion Chief ID:E3 Type:11-Engine Dispatch:05/04/2021 11:36 Arrival:05/04/2021 11:44 Clear: Sent 3 Suppression EMS Other 53-Evacuate area Personnel ID Name Rank Role Attend Actions Taken 61000 Marshall, David Captain 54183 King, John Engineer 73110 Reiss, Devin Firefighter ID:T2 Type:12-Truck or aerial Dispatch:05/04/2021 11:20 Arrival:05/04/2021 11:28 Clear:05/04/2021 16:22 Sent 3 Suppression EMS Other 53-Evacuate area Personnel ID Name Rank Role Attend Actions Taken 40667 Gutierrez, Armando Captain 70995 Pratt, Jason Engineer 52001 Joy, Cullen Firefighter A Page 5 of 6 NFIRS-1S Supplemental 40060 CA 05 04 2021 Fire Station 2 (FS2) 21-02051 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Truck 2 arrived on scene and found the Gas Co working on a gas leak. Truck 2 requested additional units and Engine 3 and Battalion 1 were dispatched. Upon arrival I was briefed by Truck 2 crew Captain Gutierrez and I agree with his narrative in this report. I assumed command from Truck 2 and continued to isolate and deny entry into the hazard area. The cafeteria of the hospital was evacuated and the gas co worked on mitigating the hazard. The incident was turned back over to Captain Gutierrez on Truck 2 after it was deemed safe to do so. BC Hais Additional Narrative (#1 of 1 ): T2 arrived to find Gas Co and Building rep from SVH outside cafeteria area stating they were getting readings of 60% gas leaked from ground. T2 request 1 additional unit and BC1. T2 ordered an evacuation of all cafeteria staff, kitchen and cafeteria area. T2 make contact with SVH COO Eleze to nofity her of the potential of needing to evacuate the hospital if the situation escalated. T2 coordinated with Gas Co Rep, Tyler to ensure we secured an area that was appropriate for the current status of the gas leak. T2 initiate isolation of the immediate area and assigned E3 to assist block the secondary access point. Upon arrival of BC1, command was transferred and he assumed Murray IC. T2 assigned Div Alpha and isolated and denied area to hot zone. Command given back to T2 after hazard was mitigated; T2 stood by until readings were below LEL and Gas % levels for the evacuated areas to be populated, per Gas Co rep Rhy's determination per their policy. COO Eleze notified of the lifted evacuation order. T2 turned scene back over to SVH and Gas Co. A Page 6 of 6