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Home My WebLink About_PRR24079 GIS Response DataNFIRS-1 Basic 40060 CA 01 24 2020 Fire Station 3 (FS3) 20-00415 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 ORCUTT Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code TANK FARM Cross Street Incident Type 631-Authorized controlled burning 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 CALFIRE (40080) California Their FDID Their State Their Incident Number Dates and Times Alarm 01 24 2020 11:47 Arrival 01 24 2020 11:58 Controlled 01 24 2020 11:58 Last Unit Cleared 01 24 2020 12:12 Shifts and Alarms B FZ3C Shift or Platoon Alarms District Special Studies ID#Value A B C D E1 E2 E3 Page 1 of 6 Actions Taken 86-Investigate Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 4 10 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: 900-Outside or special property, 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 6 Remarks: B2 C3 with 1st alarm to reports of a control burn that was reportedly outof control and burning toward a structure, B2, E3 and E21 all arrived in the area and searched for source of like smoke in the air, all other units staged, B2 found what appeared to be a control burn at the end of an access road at 3970 Orcutt, representative of the property owen came out to the access gate and advise that there was no hazard and that they had a valid burn permit, this residence was located in the County jurisdiction, all units cancelled and released, B2 avail. Authorization 35110 Fox II, Samuel Battalion Chief 01/25/2020 Officer In Charge ID Signature Position or Rank Assignment Date 35110 Fox II, Samuel Battalion Chief 01/25/2020 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 6 NFIRS-9 Apparatus or Resources 40060 CA 01 24 2020 Fire Station 3 (FS3) 20-00415 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:01/24/2020 11:47 Arrival:01/24/2020 12:06 Clear:01/24/2020 12:12 Sent 1 Suppression EMS Other 86-Investigate ID:E3 Type:11-Engine Dispatch:01/24/2020 11:47 Arrival:01/24/2020 11:58 Clear:01/24/2020 12:11 Sent 3 Suppression EMS Other 00-Action taken, other ID:E4 Type:11-Engine Dispatch:01/24/2020 11:47 Arrival:01/24/2020 11:59 Clear: Sent 3 Suppression EMS Other 00-Action taken, other ID:T2 Type:12-Truck or aerial Dispatch:01/24/2020 11:47 Arrival:01/24/2020 11:59 Clear:01/24/2020 12:08 Sent 3 Suppression EMS Other 00-Action taken, other A Page 4 of 6 NFIRS-10 Personnel 40060 CA 01 24 2020 Fire Station 3 (FS3) 20-00415 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:01/24/2020 11:47 Arrival:01/24/2020 12:06 Clear:01/24/2020 12:12 Sent 1 Suppression EMS Other 86-Investigate Personnel ID Name Rank Role Attend Actions Taken 35110 Fox II, Samuel Battalion Chief ID:E3 Type:11-Engine Dispatch:01/24/2020 11:47 Arrival:01/24/2020 11:58 Clear:01/24/2020 12:11 Sent 3 Suppression EMS Other 00-Action taken, other Personnel ID Name Rank Role Attend Actions Taken 57385 Larson, Jody Captain 73110 Reiss, Devin Firefighter 14880 Baskin, Erik Engineer ID:E4 Type:11-Engine Dispatch:01/24/2020 11:47 Arrival:01/24/2020 11:59 Clear: Sent 3 Suppression EMS Other 00-Action taken, other Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Engineer 46955 Hoover, Nicholas Captain 57382 Larsen, Patrick Firefighter ID:T2 Type:12-Truck or aerial Dispatch:01/24/2020 11:47 Arrival:01/24/2020 11:59 Clear:01/24/2020 12:08 Sent 3 Suppression EMS Other 00-Action taken, other Personnel ID Name Rank Role Attend Actions Taken 50826 Johnston, Kenneth Firefighter 54183 King, John Engineer 44555 Hasch, Nathan Captain A Page 5 of 6 NFIRS-1S Supplemental 40060 CA 01 24 2020 Fire Station 3 (FS3) 20-00415 0 FDID State Month Day Year Station Number Exposure Primary Narrative: B2 C3 with 1st alarm to reports of a control burn that was reportedly outof control and burning toward a structure, B2, E3 and E21 all arrived in the area and searched for source of like smoke in the air, all other units staged, B2 found what appeared to be a control burn at the end of an access road at 3970 Orcutt, representative of the property owen came out to the access gate and advise that there was no hazard and that they had a valid burn permit, this residence was located in the County jurisdiction, all units cancelled and released, B2 avail. A Page 6 of 6 NFIRS-1 Basic 40060 CA 09 08 2020 Fire Station 4 (FS4) 20-04014 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 120 TANK FARM Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 131-Passenger vehicle 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 California Their FDID Their State Their Incident Number Dates and Times Alarm 09 08 2020 20:06 Arrival 09 08 2020 20:12 Controlled 09 08 2020 20:16 Last Unit Cleared 09 08 2020 20:39 Shifts and Alarms B 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 8 Actions Taken 11-Extinguishment by fire service personnel 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:$ 5,000.00 Contents:$ 300.00 Pre-Incident Values: Optional None Property:$ 5,000.00 Contents:$ 300.00 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: 965-Vehicle parking area 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 8 Remarks: Upon arrival E4 found vehicle fully envolved in parking lot with no exposures.; E4 personnel extinguished fire and requested tow for vehicle removal from the property. Authorization 88690 Vasquez, Mark Fire Captain 09/09/2020 Officer In Charge ID Signature Position or Rank Assignment Date 88690 Vasquez, Mark Fire Captain 09/09/2020 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 8 NFIRS-2 Fire 40060 CA 09 08 2020 Fire Station 4 (FS4) 20-04014 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 83-Engine area, running gear, wheel area Area of Fire Origin D2 Undetermined Heat Source D3 Undetermined 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 Undetermined Factor 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 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 8 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 11-Automobile, passenger car, ambulance, race car Mobile Property Type DO-Dodge Mobile Property Make Local Use Pre-Fire Plan Available Arson Report Attached Police Report Attached Coroner Report Attached Other Reports Attached Caravan Mobile Property Model Year State License Plate Number VIN _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ H1 H2 Page 5 of 8 NFIRS-9 Apparatus or Resources 40060 CA 09 08 2020 Fire Station 4 (FS4) 20-04014 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:09/08/2020 20:06 Arrival:09/08/2020 20:12 Clear:09/08/2020 20:39 Sent 3 Suppression EMS Other A Page 6 of 8 NFIRS-10 Personnel 40060 CA 09 08 2020 Fire Station 4 (FS4) 20-04014 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:09/08/2020 20:06 Arrival:09/08/2020 20:12 Clear:09/08/2020 20:39 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Engineer 14857 Barthel, Dustin Firefighter 88690 Vasquez, Mark Captain A Page 7 of 8 NFIRS-1S Supplemental 40060 CA 09 08 2020 Fire Station 4 (FS4) 20-04014 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Upon arrival E4 found vehicle fully envolved in parking lot with no exposures.; E4 personnel extinguished fire and requested tow for vehicle removal from the property. A Page 8 of 8 NFIRS-1 Basic 40060 CA 09 14 2020 Fire Station 3 (FS3) 20-04095 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 TANK FARM Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code SANTA FE Cross Street Incident Type 561-Unauthorized burning 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 California Their FDID Their State Their Incident Number Dates and Times Alarm 09 14 2020 07:18 Arrival 09 14 2020 07:27 Controlled 09 14 2020 07:30 Last Unit Cleared 09 14 2020 07:48 Shifts and Alarms A FZ3C 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 6 Actions Taken 11-Extinguishment by fire service personnel Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 4 11 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: Tank farm and Santa Fe for a small grass fire, approximately 10' by 10' near the creek and a transient camp. E-3 personnel extinguished the fire and cut a line around the burned area utilizing the reel line and hand tools. E-3 returned to quarters. Authorization 54190 King, Michael Fire Captain 09/14/2020 Officer In Charge ID Signature Position or Rank Assignment Date 54190 King, Michael Fire Captain 09/14/2020 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 6 NFIRS-9 Apparatus or Resources 40060 CA 09 14 2020 Fire Station 3 (FS3) 20-04095 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:09/14/2020 07:27 Arrival:09/14/2020 07:31 Clear:09/14/2020 07:48 Sent 1 Suppression EMS Other 81-Incident command ID:E3 Type:11-Engine Dispatch:09/14/2020 07:18 Arrival:09/14/2020 07:27 Clear:09/14/2020 07:45 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel ID:E4 Type:11-Engine Dispatch:09/14/2020 07:27 Arrival: Clear: Sent 3 Suppression EMS Other 93-Cancelled en route ID:T1 Type:12-Truck or aerial Dispatch:09/14/2020 07:27 Arrival: Clear: Sent 4 Suppression EMS Other 93-Cancelled en route A Page 4 of 6 NFIRS-10 Personnel 40060 CA 09 14 2020 Fire Station 3 (FS3) 20-04095 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:09/14/2020 07:27 Arrival:09/14/2020 07:31 Clear:09/14/2020 07:48 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:09/14/2020 07:18 Arrival:09/14/2020 07:27 Clear:09/14/2020 07:45 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel Personnel ID Name Rank Role Attend Actions Taken 54190 King, Michael Captain 54183 King, John Engineer 30791 Doolin, Luke Firefighter ID:E4 Type:11-Engine Dispatch:09/14/2020 07:27 Arrival: Clear: Sent 3 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 57385 Larson, Jody Captain 34590 Flatos, Alec Engineer 57382 Larsen, Patrick Firefighter ID:T1 Type:12-Truck or aerial Dispatch:09/14/2020 07:27 Arrival: Clear: Sent 4 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 50826 Johnston, Kenneth Firefighter 73250 Renner, David Engineer 14845 Barrett, Richard Engineer 92710 Witt, James Captain A Page 5 of 6 NFIRS-1S Supplemental 40060 CA 09 14 2020 Fire Station 3 (FS3) 20-04095 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Tank farm and Santa Fe for a small grass fire, approximately 10' by 10' near the creek and a transient camp. E-3 personnel extinguished the fire and cut a line around the burned area utilizing the reel line and hand tools. E-3 returned to quarters. A Page 6 of 6 NFIRS-1 Basic 40060 CA 05 10 2022 Fire Station 1 (FS1) 22-02577 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 TANK FARM Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code SANTA FE Cross Street Incident Type 155-Outside stationary compactor/compacted trash 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 CALFIRE (40080) California Their FDID Their State 22- Their Incident Number Dates and Times Alarm 05 10 2022 11:16 Arrival 05 10 2022 11:22 Controlled Last Unit Cleared 05 10 2022 13:04 Shifts and Alarms C NA FZ3C Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value A B C D E1 E2 E3 Page 1 of 9 Actions Taken 10-Fire control or extinguishment, other Primary Action Taken 12-Salvage & overhaul Additional Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 6 12 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 9 Remarks: E-21 arrived on scene of smoke seen in area of Tank Farm and Santa Fe. E-21 advised smoke generated from spot fire of old telephone posts and dry grass. Battalion 4 assumed Tank Farm IC: E-21 fire attack T-2 support E-21 E-3 Water Shuttle Spot fire of combustibles (wood pallets and telephone poles) and grass fuels. 10x30. The spot was on an island (eyebrow), and surrounded by gravel. Rate of spread contained to spot. Fire stoked by 10+ mph winds. Extinguished with water/foam. Area of origin protected for investigative purposes. See PRV 20 narrative to confirm cause and origin: Appeared accidental. Primary investigation revealed, was working at grinding metal piece from downed pole when hot rebar or spark caused dry, flashy fuels to ignite. Upon seeing ignition approx 12'-20' away,tossed a wood pallet on fire of dried grass in an attempt to "smother" the fire. After attempt failed, he summoned 911. Property owner contact: Incident stabilized and time stamped for extinguishment. SGonzalez BC4 Authorization 38890 Gonzalez, Steven Battalion Chief 05/11/2022 Officer In Charge ID Signature Position or Rank Assignment Date 38890 Gonzalez, Steven Battalion Chief 05/11/2022 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 9 NFIRS-2 Fire 40060 CA 05 10 2022 Fire Station 1 (FS1) 22-02577 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 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 9 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 9 NFIRS-9 Apparatus or Resources 40060 CA 05 10 2022 Fire Station 1 (FS1) 22-02577 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC4 Type:92-Chief officer car Dispatch:05/10/2022 11:16 Arrival:05/10/2022 11:22 Clear:05/10/2022 12:18 Sent 1 Suppression EMS Other 81-Incident command ID:E3 Type:11-Engine Dispatch: Arrival:05/10/2022 11:25 Clear:05/10/2022 12:58 Sent 3 Suppression EMS Other 10-Fire control or extinguishment, other ID:E4 Type:11-Engine Dispatch:05/10/2022 11:16 Arrival: Clear: Sent 3 Suppression EMS Other 93-Cancelled en route ID:E6 Type:16-Brush truck Dispatch: Arrival: Clear: Sent 1 Suppression EMS Other 93-Cancelled en route ID:PRV20 Type: 00-Other apparatus/resource Dispatch: Arrival:05/10/2022 11:44 Clear: Sent 1 Suppression EMS Other 87-Investigate fire out on arrival ID:T2 Type:12-Truck or aerial Dispatch:05/10/2022 11:16 Arrival:05/10/2022 11:22 Clear:05/10/2022 13:04 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel A Page 6 of 9 NFIRS-10 Personnel 40060 CA 05 10 2022 Fire Station 1 (FS1) 22-02577 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC4 Type:92-Chief officer car Dispatch:05/10/2022 11:16 Arrival:05/10/2022 11:22 Clear:05/10/2022 12:18 Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 38890 Gonzalez, Steven Battalion Chief ID:E3 Type:11-Engine Dispatch: Arrival:05/10/2022 11:25 Clear:05/10/2022 12:58 Sent 3 Suppression EMS Other 10-Fire control or extinguishment, other Personnel ID Name Rank Role Attend Actions Taken 50826 Johnston, Kenneth Firefighter 92310 Williams, Nathan Engineer 34590 Flatos, Alec Captain ID:E4 Type:11-Engine Dispatch:05/10/2022 11:16 Arrival: Clear: Sent 3 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 74579 Robertson, Travis Engineer 50050 Jeckell, Matthew Captain 99164 Sabatino, Jacob Firefighter ID:E6 Type:16-Brush truck Dispatch: Arrival: Clear: Sent 1 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken Jeckell, Matt 5588010-Captain ID:PRV20 Type: 00-Other apparatus/resource Dispatch: Arrival:05/10/2022 11:44 Clear: Sent 1 Suppression EMS Other 87-Investigate fire out on arrival Personnel ID Name Rank Role Attend Actions Taken 603733 Maggio, Rodger Fire Marshal 5588016-Investigator A Page 7 of 9 ID:T2 Type:12-Truck or aerial Dispatch:05/10/2022 11:16 Arrival:05/10/2022 11:22 Clear:05/10/2022 13:04 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel Personnel ID Name Rank Role Attend Actions Taken 44555 Hasch, Nathan Captain 90841 Weis, Trevor Engineer 30791 Doolin, Luke Firefighter Page 8 of 9 NFIRS-1S Supplemental 40060 CA 05 10 2022 Fire Station 1 (FS1) 22-02577 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E-21 arrived on scene of smoke seen in area of Tank Farm and Santa Fe. E-21 advised smoke generated from spot fire of old telephone posts and dry grass. Battalion 4 assumed Tank Farm IC: E-21 fire attack T-2 support E-21 E-3 Water Shuttle Spot fire of combustibles (wood pallets and telephone poles) and grass fuels. 10x30. The spot was on an island (eyebrow), and surrounded by gravel. Rate of spread contained to spot. Fire stoked by 10+ mph winds. Extinguished with water/foam. Area of origin protected for investigative purposes. See PRV 20 narrative to confirm cause and origin: Appeared accidental. Primary investigation revealed, was working at grinding metal piece from downed pole when hot rebar or spark caused dry, flashy fuels to ignite. Upon seeing ignition approx 12'-20' away, tossed a wood pallet on fire of dried grass in an attempt to "smother" the fire. After attempt failed, he summoned 911. Property owner contact: Incident stabilized and time stamped for extinguishment. SGonzalez BC4 Additional Narrative (#1 of 2 ): T-2 arrived after E-21 and was attempting to establish command when BC-4 arrived and took command. T-2 was assigned 360 and assist E-21 with water and man power. T-2 completed a 360 and reported slow rate of spread, approx 1/4 acre. T-2 then coordinated with the business owner to use his equipment to move the power poles for complete extinguishment. T-2 completed the assignment and turned over to the business owner. Additional Narrative (#2 of 2 ): E3 arrived at scene and directed by IC to have engineer start water shuttle operation to support T2 and E21. E3 crew used hand tools to cut perimeter line, and work on overhaul of burning power poles. E3 remained at scene working for IC until command was terminated. Apparatus Narrative for E3: E3 A Page 9 of 9 NFIRS-1 Basic 40060 CA 05 09 2020 Fire Station 4 (FS4) 20-02061 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 225 SUBURBAN Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 140-Natural vegetation fire, 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 California Their FDID Their State Their Incident Number Dates and Times Alarm 05 09 2020 18:45 Arrival 05 09 2020 18:51 Controlled 05 09 2020 18:55 Last Unit Cleared 05 09 2020 19:07 Shifts and Alarms A NA FZ4C 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 8 Actions Taken 10-Fire control or extinguishment, other Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 2 4 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:$ 0 Pre-Incident Values: Optional None Property:$ 0 Contents:$ 0 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: 500-Mercantile, business, 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 8 Remarks: Upon arrival of a fire, 4'x4' in a decorative shrub, adjacent to a commercial building. E4 extinguished fire and observed no ignition items, appeared to have some homeless living debris nearby; no damage to building observed. Authorization 88690 Vasquez, Mark Fire Captain 05/10/2020 Officer In Charge ID Signature Position or Rank Assignment Date 88690 Vasquez, Mark Fire Captain 05/10/2020 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 8 NFIRS-2 Fire 40060 CA 05 09 2020 Fire Station 4 (FS4) 20-02061 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 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 8 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 8 NFIRS-9 Apparatus or Resources 40060 CA 05 09 2020 Fire Station 4 (FS4) 20-02061 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:05/09/2020 18:48 Arrival:05/09/2020 18:52 Clear: Sent 1 Suppression EMS Other 81-Incident command ID:E4 Type:11-Engine Dispatch:05/09/2020 18:45 Arrival:05/09/2020 18:51 Clear:05/09/2020 19:07 Sent 3 Suppression EMS Other 10-Fire control or extinguishment, other A Page 6 of 8 NFIRS-10 Personnel 40060 CA 05 09 2020 Fire Station 4 (FS4) 20-02061 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:05/09/2020 18:48 Arrival:05/09/2020 18:52 Clear: Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 41550 Hais, Ray Battalion Chief ID:E4 Type:11-Engine Dispatch:05/09/2020 18:45 Arrival:05/09/2020 18:51 Clear:05/09/2020 19:07 Sent 3 Suppression EMS Other 10-Fire control or extinguishment, other Personnel ID Name Rank Role Attend Actions Taken 88690 Vasquez, Mark Captain 34590 Flatos, Alec Engineer 57382 Larsen, Patrick Firefighter A Page 7 of 8 NFIRS-1S Supplemental 40060 CA 05 09 2020 Fire Station 4 (FS4) 20-02061 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Upon arrival of a fire, 4'x4' in a decorative shrub, adjacent to a commercial building. E4 extinguished fire and observed no ignition items, appeared to have some homeless living debris nearby; no damage to building observed. A Page 8 of 8 NFIRS-1 Basic 40060 CA 10 16 2019 Fire Station 4 (FS4) 19-05325 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 253 GRANADA Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 140-Natural vegetation fire, 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 CALFIRE (40080) California Their FDID Their State Their Incident Number Dates and Times Alarm 10 16 2019 18:48 Arrival 10 16 2019 18:55 Controlled 10 16 2019 19:03 Last Unit Cleared 10 16 2019 19:28 Shifts and Alarms C 1 FZ4 Shift or Platoon Alarms District Special Studies ID#Value A B C D E1 E2 E3 Page 1 of 8 Actions Taken 11-Extinguishment by fire service personnel 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:$ 0 Contents:$ 0 Pre-Incident Values: Optional None Property:$ 0 Contents:$ 0 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: 900-Outside or special property, 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 8 Remarks: Dispatched to above location for report of transformer explosion with a small vegetation fire around the pole. On arrival E4 took command and assigned E3 to fire attack. All other responding units were cancelled. Command made a size up of an area of 8 feet by 30 feet burning in light grass vegetation and three fuses tripped on the power pole. PG&E was requested. E3 extinguished the fire and assessed for lines down. No lines were found to be down. BC assessed the other areas south of where the power pole was to confirm no lines down or other fire. No other hazards found. E4 terminated command and cleared. Authorization 62800 MacDonald, John 10/17/2019 Officer In Charge ID Signature Position or Rank Assignment Date 62800 MacDonald, John 10/17/2019 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 8 NFIRS-2 Fire 40060 CA 10 16 2019 Fire Station 4 (FS4) 19-05325 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 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 8 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 8 NFIRS-9 Apparatus or Resources 40060 CA 10 16 2019 Fire Station 4 (FS4) 19-05325 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC3 Type: 92-Chief officer car Dispatch:10/16/2019 18:48 Arrival:10/16/2019 18:55 Clear:10/16/2019 19:05 Sent 1 Suppression EMS Other 70-Assistance, other ID:E3 Type:11-Engine Dispatch:10/16/2019 18:48 Arrival:10/16/2019 18:56 Clear:10/16/2019 19:21 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel ID:E4 Type:11-Engine Dispatch:10/16/2019 18:48 Arrival:10/16/2019 18:58 Clear:10/16/2019 19:28 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel A Page 6 of 8 NFIRS-10 Personnel 40060 CA 10 16 2019 Fire Station 4 (FS4) 19-05325 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC3 Type: 92-Chief officer car Dispatch:10/16/2019 18:48 Arrival:10/16/2019 18:55 Clear:10/16/2019 19:05 Sent 1 Suppression EMS Other 70-Assistance, other Personnel ID Name Rank Role Attend Actions Taken 16750 Berryman, Neal Battalion Chief ID:E3 Type:11-Engine Dispatch:10/16/2019 18:48 Arrival:10/16/2019 18:56 Clear:10/16/2019 19:21 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel Personnel ID Name Rank Role Attend Actions Taken 44306 Harris, Michael Engineer 61000 Marshall, David Captain 90841 Weis, Trevor Firefighter ID:E4 Type:11-Engine Dispatch:10/16/2019 18:48 Arrival:10/16/2019 18:58 Clear:10/16/2019 19:28 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel Personnel ID Name Rank Role Attend Actions Taken 62800 MacDonald, John Captain 92710 Witt, James Firefighter 92335 Williams, Joseph Engineer A Page 7 of 8 NFIRS-1S Supplemental 40060 CA 10 16 2019 Fire Station 4 (FS4) 19-05325 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Dispatched to above location for report of transformer explosion with a small vegetation fire around the pole. On arrival E4 took command and assigned E3 to fire attack. All other responding units were cancelled. Command made a size up of an area of 8 feet by 30 feet burning in light grass vegetation and three fuses tripped on the power pole. PG&E was requested. E3 extinguished the fire and assessed for lines down. No lines were found to be down. BC assessed the other areas south of where the power pole was to confirm no lines down or other fire. No other hazards found. E4 terminated command and cleared. A Page 8 of 8 NFIRS-1 Basic 40060 CA 01 07 2020 Fire Station 4 (FS4) 20-00107 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 277 GRANADA Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 111-Structure 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 CALFIRE (40080) California Their FDID Their State Their Incident Number Dates and Times Alarm 01 07 2020 11:26 Arrival 01 07 2020 11:34 Controlled 01 07 2020 13:56 Last Unit Cleared 01 07 2020 15:06 Shifts and Alarms B NA FZ4 Shift or Platoon Alarms District Special Studies ID#Value A B C D E1 E2 E3 Page 1 of 15 Actions Taken 43-Hazardous materials spill control and confinement Primary Action Taken 41-Identify, analyze hazardous materials Additional Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 7 16 EMS 0 0 Other 3 7 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:$ 2,988.00 Contents:$ 2,241.00 Pre-Incident Values: Optional None Property:$ 2,987,880.00 Contents:$ 2,240,910.00 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 15 Remarks: Upon my arrival T1 and E4 had arrived on scene. T1 established Promega IC and described a one story industrial building with no smoke showing. E4 was assigned to investigate. This facility is known to have multiple different hazardous materials. I assumed IC and established the command post across from Promega on side A. T1 reported that the fire was confirmed to be out and was bringing two employees to the command post. The employees, are scientists at Promega and they were in the room when the fire started. They stated that they were pouring approximately 60 liters of Methanol into a container when the methanol ignited. They reported that approximately 30 liters were spilled on the floor which also ignited. Employees used extinguishers to try to put out the fire and the foam sprinkler system activated. An employee pulled the fire alarm and our fire department responded. This facility has a back up system for air handling that was still in operation and left in operation for the other chemicals/mixtures in the room. This facility also has a secondary containment system that collected all the run off from the sprinkler system so no materials/chemicals affected the environment. stated that the fire was out, the electricity to the building was turned off, but there was a mixture of Acetonitile and Trifloro Aceta Anhydride that was in another ventilated area, adjacent to the fire area, that needed to be covered to... Full primary narrative can be found in NFIRS 1S - Supplemental Authorization 16750 Berryman, Neal Fire Battalion Chief 01/08/2020 Officer In Charge ID Signature Position or Rank Assignment Date 16750 Berryman, Neal Fire Battalion Chief 01/08/2020 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 15 NFIRS-2 Fire 40060 CA 01 07 2020 Fire Station 4 (FS4) 20-00107 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 510-Flammables, combustible liquids, other 1 - Bulk Storage or warehousing 2 - Processing or manufacturing 3 - Packaged goods for sale 4 - Repair or service U - Undetermined On-site material (1) Ignition D1 31-Laboratory Area of Fire Origin D2 74-Other static discharge Heat Source D3 63-Flammable liquid/gas - in/from final container Item First Ignited D4 20-Flammable or combustible liquid, other 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 14-Flammable liquid or gas spilled Factor Contributing to Ignition 18-Improper container or storage procedure Factor 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 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 325-Flammable/combustible liquid hazard Fire Suppression Factor A B C D E1 E2 E3 F1 F2 F3 G Page 4 of 15 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 15 NFIRS-3 Structure Fire Structure Type 1 - Enclosed Building 2 - Portable/Mobile Structure 3 - Open Structure 4 - Air-Supported Structure 5 - Tent 6 - Open Platform 7 - Underground Structure 8 - Connective Structure 0 - Other Building Status 1 - Under Construction 2 - In Normal Use 3 - Idle, Not Routinely Used 4 - Under Major Renovation 5 - Vacant and Secured 6 - Vacant and Unsecured 7 - Being Demolished 0 - Other U - Undetermined Building Height 1 Number of Stories At/Above Grade 0 Number of Stories Below Grade Main Floor Size 28000 Total Square Feet OR BY Length (ft) X Width (ft) Fire Origin 1 Below Grade Story of Fire Origin Fire Spread Confined to Object of Origin 2 - Confined to Room of Origin 3 - Confined to Floor of Origin 4 - Confined to Building of Origin 5 - Beyond Building of Origin Number of Stories Damaged By Flame Number of Stories w/Minor Damage (1-24%) Number of Stories w/Significant Damage (25-49%) Number of Stories w/Heavy Damage (50-74%) Number of Stories w/Extreme Damage (75-100%) *Count the roof as part of the highest story Type of Material Contributing Most to Flame Spread K1 Item Contributing Most to Flame Spread K2 Type of Material Contributing Most To Flame Spread Presence of Detectors N - None Present 1 - Present U - Undetermined Detector Type 1 - Smoke 2 - Heat 3 - Combination of Smoke and Heat 4 - Sprinkler, Water Flow Detection 5 - More Than One Type Present 0 - Other U - Undetermined Detector Power Supply 1 - Battery Only 2 - Hardwire Only 3 - Plug-In 4 - Hardwire With Battery 5 - Plug-In With Battery 6 - Mechanical 7 - Multiple Detectors & Power Supplies 0 - Other U - Undetermined Detector Operation 1 - Fire Too Small To Activate 2 - Operated 3 - Failed To Operate U - Undetermined Detector Effectiveness 1 - Alerted Occupants, Occupants Responded 2 - Alerted Occupants, Occupants Failed to Respond 3 - There Were No Occupants 4 - Failed to Alert Occupants U - Undetermined Detector Failure Reason 1 - Power Failure, Shutoff, or Disconnect 2 - Improper Installation or Placement 3 - Defective 4 - Lack of Maintenance, Dirty 5 - Battery Missing or Disconnected 6 - Battery Discharged or Dead 0 - Other U - Undetermined I1 I2 I3 I4 J1 J2 J3 K L1 L2 L3 L4 L5 L6 Page 6 of 15 Presence of Automatic Extinguishing System N - None Present 1 - Present 2 - Partial System Present U - Undetermined Type of Automatic Extinguishing System 1 - Wet-Pipe Sprinkler 2 - Dry-Pipe Sprinkler 3 - Other Sprinkler System 4 - Dry Chemical System 5 - Foam System 6 - Halogen-Type System 7 - Carbon Dioxide System 0 - Other U - Undetermined Required if fire was within designed range of AES Operation of Automatic Extinguishing System 1 - Operated/Effective 2 - Operated/Not Effective 3 - Fire Too Small To Activate 4 - Failed To Operate 0 - Other U - Undetermined Required if fire was within designed range Number of Sprinkler Heads Operating 1 Required if system operated Reason for Automatic Extinguishing System Failure 1 - System Shut Off 2 - Not Enough Agent Discharged 3 - Agent Discharged But Did Not Reach Fire 4 - Wrong Type of System 5 - Fire Not In Area Protected 6 - System Components Damaged 7 - Lack of Maintenance 8 - Manual Intervention 0 - Other U - Undetermined Required if system failed or not effective M1 M2 M3 M4 M5 Page 7 of 15 NFIRS-7 HazMat 40060 CA 01 07 2020 Fire Station 4 (FS4) 20-00107 0 FDID State Month Day Year Station Number Exposure HazMat ID 1230 30-Class 3 - Flammable/Combustible Liquids 67-56-1 Methanol UN #DOT Hazard Classification CAS Registration #Chemical Name Container Type 10-Portable container, other None Estimated Container Capacity 60 Units: Capacity Volume Weight 11 - Ounces 21 - Ounces 12 - Gallons 22 - Pounds 13 - Barrels 23 - Grams 14 - Liters 24 - Kilograms 15 - Cubic Feet 16 - Cubic Meters Estimated Amount Released 30 Units: Released Volume Weight 11 - Ounces 21 - Ounces 12 - Gallons 22 - Pounds 13 - Barrels 23 - Grams 14 - Liters 24 - Kilograms 15 - Cubic Feet 16 - Cubic Meters Physical State When Released 1 - Solid 2 - Liquid 3 - Gas U - Undetermined Released Into 8-Confined, no environmental impact Released From Below Grade 1 - Inside/On Structure 2 - Outside of Structure Population Density 1 - Urban 2 - Suburban 3 - Rural Area Affected 1 - Square Feet 2 - Blocks 3 - Square Miles 300 Area Evacuated 1 - Square Feet 2 - Blocks 3 - Square Miles 28000 Estimated Number of People Evacuated 50 Estimated Number of Buildings Evacuated 1 HazMat Actions Taken 11-Identify, analyze hazardous materials 12-HazMat detection, monitoring, sampling, & analysis 22-Isolate area & establish hazard control zones If Fire or Explosion Is Involved With a Release, Which Occurred First? 1 - Ignition 2 - Release 3 - Undetermined Cause of Release 1- Intentional 2 - Unintentional Release 3 - Container/Containment Failure 4 - Act of Nature 5 - Cause Under Investigation U - Cause Undetermined After Investigation Factors Contributing To Release 45-Improper container Factors Affecting Mitigation A B C1 C2 C3 D1 D2 E1 E2 F1 F2 G1 G2 G3 G4 H I J K L Page 8 of 15 Equipment Involved In Release Equipment Involved In Release None Brand Model Serial Year Mobile Property Involved In Release Type Make Model Year License # State DOT/ICC # HazMat Disposition 1 - Completed by Fire Service Only 2 - Completed w/Fire Service Present 3 - Released to Local Agency 4 - Released to County Agency 5 - Released to State Agency 6 - Released to Federal Agency 7 - Released to Private Agency 8 - Released to Property Owner or Manager HazMat Civilian Casualties Deaths Injuries 0 0 M N O P Page 9 of 15 NFIRS-9 Apparatus or Resources 40060 CA 01 07 2020 Fire Station 4 (FS4) 20-00107 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:3412 Type: Dispatch: Arrival:01/07/2020 11:48 Clear: Sent 1 Suppression EMS Other 70-Assistance, other ID:BC3 Type:92-Chief officer car Dispatch:01/07/2020 11:27 Arrival:01/07/2020 11:34 Clear:01/07/2020 14:48 Sent 1 Suppression EMS Other 81-Incident command ID:BS62 Type: Dispatch: Arrival:01/07/2020 12:20 Clear: Sent 2 Suppression EMS Other 70-Assistance, other ID:CHIEF Type:92-Chief officer car Dispatch:01/07/2020 12:05 Arrival:01/07/2020 12:17 Clear: Sent 1 Suppression EMS Other 70-Assistance, other ID:DCON1 Type: Dispatch: Arrival:01/07/2020 12:47 Clear: Sent 4 Suppression EMS Other 46-Decontaminate persons or equipment ID:E3 Type:11-Engine Dispatch:01/07/2020 11:27 Arrival:01/07/2020 11:36 Clear:01/07/2020 14:35 Sent 3 Suppression EMS Other 43-Hazardous materials spill control and confinement ID:E4 Type:11-Engine Dispatch:01/07/2020 11:26 Arrival:01/07/2020 11:34 Clear:01/07/2020 15:06 Sent 3 Suppression EMS Other 70-Assistance, other 87-Investigate fire out on arrival ID:PRV20 Type: 00-Other apparatus/resource Dispatch: Arrival:01/07/2020 11:42 Clear:01/07/2020 15:06 Sent 1 Suppression EMS Other 86-Investigate ID:T1 Type:12-Truck or aerial Dispatch:01/07/2020 11:26 Arrival:01/07/2020 11:48 Clear:01/07/2020 14:23 Sent 4 Suppression EMS Other 70-Assistance, other ID:T2 Type:12-Truck or aerial Dispatch:01/07/2020 11:27 Arrival:01/07/2020 11:37 Clear:01/07/2020 12:23 Sent 3 Suppression EMS Other 92-Standby A Page 10 of 15 Page 11 of 15 NFIRS-10 Personnel 40060 CA 01 07 2020 Fire Station 4 (FS4) 20-00107 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:3412 Type: Dispatch: Arrival:01/07/2020 11:48 Clear: Sent 1 Suppression EMS Other 70-Assistance, other Personnel ID Name Rank Role Attend Actions Taken Shalhoob, Eric 5588009-Chief Officer ID:BC3 Type:92-Chief officer car Dispatch:01/07/2020 11:27 Arrival:01/07/2020 11:34 Clear:01/07/2020 14:48 Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken Berryman, Neal 5588009-Chief Officer ID:BS62 Type: Dispatch: Arrival:01/07/2020 12:20 Clear: Sent 2 Suppression EMS Other 70-Assistance, other Personnel ID Name Rank Role Attend Actions Taken undefined, undefined 5588012-Firefighter undefined, undefined 5588012-Firefighter ID:CHIEF Type:92-Chief officer car Dispatch:01/07/2020 12:05 Arrival:01/07/2020 12:17 Clear: Sent 1 Suppression EMS Other 70-Assistance, other Personnel ID Name Rank Role Attend Actions Taken Aggson, Keith ID:DCON1 Type: Dispatch: Arrival:01/07/2020 12:47 Clear: Sent 4 Suppression EMS Other 46-Decontaminate persons or equipment Personnel ID Name Rank Role Attend Actions Taken Carreiro, undefined 5588012-Firefighter Callaway, Shawn 5588010-Captain Brown, undefined 5588012-Firefighter Elder, undefined 5588012-Firefighter 43-Hazardous materials spill A Page 12 of 15 ID:E3 Type:11-Engine Dispatch:01/07/2020 11:27 Arrival:01/07/2020 11:36 Clear:01/07/2020 14:35 Sent 3 Suppression EMS Other control and confinement Personnel ID Name Rank Role Attend Actions Taken 57385 Larson, Jody Captain 73110 Reiss, Devin Firefighter 14880 Baskin, Erik Engineer ID:E4 Type:11-Engine Dispatch:01/07/2020 11:26 Arrival:01/07/2020 11:34 Clear:01/07/2020 15:06 Sent 3 Suppression EMS Other 70-Assistance, other 87-Investigate fire out on arrival Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Firefighter 88690 Vasquez, Mark Captain 14845 Barrett, Richard Engineer ID:PRV20 Type: 00-Other apparatus/resource Dispatch: Arrival:01/07/2020 11:42 Clear:01/07/2020 15:06 Sent 1 Suppression EMS Other 86-Investigate Personnel ID Name Rank Role Attend Actions Taken maggio, rodger ID:T1 Type:12-Truck or aerial Dispatch:01/07/2020 11:26 Arrival:01/07/2020 11:48 Clear:01/07/2020 14:23 Sent 4 Suppression EMS Other 70-Assistance, other Personnel ID Name Rank Role Attend Actions Taken 62800 MacDonald, John Captain 36520 Gatton, Christopher Engineer 92892 Woods, Mitchell Firefighter 70100 Polkow, Matthew Engineer ID:T2 Type:12-Truck or aerial Dispatch:01/07/2020 11:27 Arrival:01/07/2020 11:37 Clear:01/07/2020 12:23 Sent 3 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 50826 Johnston, Kenneth Firefighter 54183 King, John Engineer 41600 Hale, Gary Captain Page 13 of 15 NFIRS-1S Supplemental 40060 CA 01 07 2020 Fire Station 4 (FS4) 20-00107 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Upon my arrival T1 and E4 had arrived on scene. T1 established Promega IC and described a one story industrial building with no smoke showing. E4 was assigned to investigate. This facility is known to have multiple different hazardous materials. I assumed IC and established the command post across from Promega on side A. T1 reported that the fire was confirmed to be out and was bringing two employees to the command post. The employees , are scientists at Promega and they were in the room when the fire started. They stated that they were pouring approximately 60 liters of Methanol into a container when the methanol ignited. They reported that approximately 30 liters were spilled on the floor which also ignited. Employees used extinguishers to try to put out the fire and the foam sprinkler system activated. An employee pulled the fire alarm and our fire department responded. This facility has a back up system for air handling that was still in operation and left in operation for the other chemicals/mixtures in the room. This facility also has a secondary containment system that collected all the run off from the sprinkler system so no materials/chemicals affected the environment. stated that the fire was out, the electricity to the building was turned off, but there was a mixture of Acetonitile and Trifloro Aceta Anhydride that was in another ventilated area, adjacent to the fire area, that needed to be covered to ensure it was safe. They wanted to re-enter the building to secure the mixture. The Cal OES Warning Center was notified of the spill and assigned Contact # 20-00111. SLO City Dispatch was contacted to make notifications to County Environmental Health, City Streets, City Biologist, and the Fire Chief. Captain Larson was made Haz Mat Group Supervisor. He and I discussed the options and deemed the re-entry of employees too high of a risk. The County Haz Mat Team was requested to assess the situation and assist with re-enty of employees to secure the mixture. When the County Haz Mat Team members arrived, Nate Bass was Haz Mat IC, Jordan Streeter was assigned Haz Mat Safety, FF Barnhart was assigned Entry Leader, Eric Carrieno was assigned Decon Unit Leader, and Kerry Boyle worked with and as Technical Specialist. County Environmental Health Officer, Mary Bliss, arrived on scene and was assigned Environmental Health. A safety briefing was led by Haz Mat Group Supervisor Larson and the plan was put in place to make entry. Prior to entry the County Haz Mat Team was able to view air monitoring systems inside the building of origin and all air system checks remained normal. The Haz Mat Team made entry with the goal of investigating the conditions, monitoring air and explosive limits, and ensuring the conditions were safe to allow the employees inside to secure the mixture of Acetonitile and Trifloro Aceta Anhydride. The conditions were deemed safe by the entry team and were escorted in to building, secured the mixture, and exited the building without incident. The building was turned over to the owner with Haz Mat Specialist Kerry Boyle assisting with safety of the clean up. Fire Marshal Maggio was placed in contact with the building owner and he conducted his fire investigation. A debriefing was held and all units were released. Additional Narrative (#1 of 4 ): E-3 arrived on scene and staged. E-3 was brought to the Command Post location and Captain Larson was given the assignment of Hazardous Materials Group Supervisor. E-3 established appropriate ICS positions as outlined in the FOG Manual. E-3 consulted with HazMat team and administrative personnel and made the decision to do a recon entry to determine any smoke, fire or chemical hazards that may be present. HazMat entry was made utilizing two personnel in turnout PPE with Decon 1 established as our primary Decontamination Unit. No abnormal atmospheric air readings were reported from the remote air monitoring station or the chemical/gas detection devices took in by the Entry Team. Once the determination was made that the fire was out and that the chemical in question were contained, Promega Response personnel were allowed to enter utilizing their proper PPE and respiratory protection to secure the remaining chemical that were continuously contained. All objectives were competed within our allotted timeframe and using one entry only. A Page 14 of 15 Additional Narrative (#2 of 4 ): Fire Origin and Cause: January 7, 2020 On Tuesday, January 7, 2020 at approximately 2:15 PM, I was contacted by the San Luis Obispo Fire Dispatch to respond to investigate a fire at 277 Granada, San Luis Obispo (Promega Bioscience). I arrived on scene and met with Battallion Chief Neal BERRYMAN and Haz-Mat Coordinator Kerry BOYLE. I was tod there was an extinguished fire in the ventilation hood area of a process room in the 28,000 sf building and the the environment was safe to enter. I entered the building with Promega representative . led me in to a ventilation hood area where I observed a fractured glass reaction vessel adjacent to a plastic container that was melted to the liquid line. Above and to the right of the melted plastic vessel I observed a burned flexible ventilation hose. Also observed was one fire sprinkler head in the hood that appeared to have activated. Examining the electrical equipment in the hood area, it all appeared to be Class 1, Division 1, typical where flammable vapors are present. Speaking with he explained that an employees was transferring methanol from the glass vessel into the plastic filtration container when the material ignited and he dropped the glass vessel and evacuated the building. Conclusion: I observed no competent ignition sources in the area of origin, the ventilation was active during the transfer operation. The only competent ignition source, in my opinion would be a static electrical discharge. This opinion is founded based on the use of a plastic container, which should not be used for the transfer of flammable liquids, the lack of bonding between the two vessels, and the lack of grounding. Flammable liquids, free falling through air have a potential to accumulate a static charge. Cause: Accidental. Additional Narrative (#3 of 4 ): Upon arrival E4 personnel met with Promega personnel and was led to the affected building room. E4 personnel observed the affected room and saw no fire or smoke, the sprinkler system was actively flowing into the affected room. E4 personnel pulled back and met up with the IC at the CP for information sharing on our observations and findings. E4 was assigned to Decon 1 and was instructed to provide a booster line for Decon operations. Additional Narrative (#4 of 4 ): Truck 1 arrived on scene established command and advised that there was nothing showing but we would be investigating. Truck 1 met with E4 on the B side of the structure. We were met there by two employees who had been working in the area of where the fire started. They told us the fire was out. I advised the BC who had assumed command on his arrival that the fire was out and I would be bringing two employees to the ICP to advise him on what had occurred. Truck 1 brought the employees over to the ICP and then was made available at scene by the IC. T1 stayed at scene until the incident was mitigated and then was released. Page 15 of 15 NFIRS-1 Basic 40060 CA 08 31 2022 Fire Station 4 (FS4) 22-04904 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 3563 SUELDO # R Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 111-Structure 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 08 31 2022 08:38 Arrival 08 31 2022 08:45 Controlled 08 31 2022 08:53 Last Unit Cleared 08 31 2022 09:31 Shifts and Alarms C 1 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 11 Actions Taken 86-Investigate Primary Action Taken 52-Forcible entry Additional 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:$ 1,985.00 Contents:$ 1,488.00 Pre-Incident Values: Optional None Property:$ 198,465.00 Contents:$ 148,849.00 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: 500-Mercantile, business, 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 11 Remarks: BC3, T1, T2, E3, E4, TRN1, and Calfire responded to 3563 Sueldo for alarm sounding with light smoke showing from unit R. On arrival BC3 assumed Sueldo IC and was in investigative mode. Bystanders from adjacent unit stated smelling smoke odor and light smoke from unit R. No RP on scene. E4 was asked by IC to conduct 360 and report back findings. All other units responding remained in standby staged. E4 personnel gained access to knox box and were unsuccessful finding a key to that unit. E4 forced entry on front door of unit with k-tool. E4 found a small smoldering fire in the garage area of the unit approximately 2-3 square feet in total. E4 relayed to Sueldo IC hazard could be mitigated by E4 personnel and all other units on scene were not needed. Sueldo IC cancelled all other units. BC3 turned the incident over and E4 assumed IC. E4 found a dust mop, battery charger, melted 5 gallon bucket, and three small sections of drywall that was damaged due to the fire. The fire did not extend from this area and a Thermal imaging camera was used to look for any extension in the walls. A small section of drywall 6''X6'' was removed to extinguish the smoldering fire. E4 utilized a electric fan throughout the unit to remove any remaining smoke and odor from the unit. The responsible ( arrived on scene and was made aware of the situation. He stated he believed the materials involved in the fire were detailing equipment for vehicles. E4 stated we... Full primary narrative can be found in NFIRS 1S - Supplemental Authorization 80947 Skove, Shayne Fire Captain 08/31/2022 Officer In Charge ID Signature Position or Rank Assignment Date 50050 Jeckell, Matthew Fire Captain 08/31/2022 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 11 NFIRS-2 Fire 40060 CA 08 31 2022 Fire Station 4 (FS4) 22-04904 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 810-Motor vehicles and parts, other 1 - Bulk Storage or warehousing 2 - Processing or manufacturing 3 - Packaged goods for sale 4 - Repair or service U - Undetermined On-site material (1) Ignition D1 47-Vehicle storage area; garage, carport Area of Fire Origin D2 Undetermined Heat Source D3 Undetermined 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 None Factor 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 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 11 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 11 NFIRS-3 Structure Fire Structure Type 1 - Enclosed Building 2 - Portable/Mobile Structure 3 - Open Structure 4 - Air-Supported Structure 5 - Tent 6 - Open Platform 7 - Underground Structure 8 - Connective Structure 0 - Other Building Status 1 - Under Construction 2 - In Normal Use 3 - Idle, Not Routinely Used 4 - Under Major Renovation 5 - Vacant and Secured 6 - Vacant and Unsecured 7 - Being Demolished 0 - Other U - Undetermined Building Height 1 Number of Stories At/Above Grade 0 Number of Stories Below Grade Main Floor Size 1500 Total Square Feet OR BY Length (ft) X Width (ft) Fire Origin 1 Below Grade Story of Fire Origin Fire Spread Confined to Object of Origin 2 - Confined to Room of Origin 3 - Confined to Floor of Origin 4 - Confined to Building of Origin 5 - Beyond Building of Origin Number of Stories Damaged By Flame Number of Stories w/Minor Damage (1-24%) Number of Stories w/Significant Damage (25-49%) Number of Stories w/Heavy Damage (50-74%) Number of Stories w/Extreme Damage (75-100%) *Count the roof as part of the highest story Type of Material Contributing Most to Flame Spread K1 Item Contributing Most to Flame Spread K2 Type of Material Contributing Most To Flame Spread Presence of Detectors N - None Present 1 - Present U - Undetermined Detector Type 1 - Smoke 2 - Heat 3 - Combination of Smoke and Heat 4 - Sprinkler, Water Flow Detection 5 - More Than One Type Present 0 - Other U - Undetermined Detector Power Supply 1 - Battery Only 2 - Hardwire Only 3 - Plug-In 4 - Hardwire With Battery 5 - Plug-In With Battery 6 - Mechanical 7 - Multiple Detectors & Power Supplies 0 - Other U - Undetermined Detector Operation 1 - Fire Too Small To Activate 2 - Operated 3 - Failed To Operate U - Undetermined Detector Effectiveness 1 - Alerted Occupants, Occupants Responded 2 - Alerted Occupants, Occupants Failed to Respond 3 - There Were No Occupants 4 - Failed to Alert Occupants U - Undetermined Detector Failure Reason 1 - Power Failure, Shutoff, or Disconnect 2 - Improper Installation or Placement 3 - Defective 4 - Lack of Maintenance, Dirty 5 - Battery Missing or Disconnected 6 - Battery Discharged or Dead 0 - Other U - Undetermined I1 I2 I3 I4 J1 J2 J3 K L1 L2 L3 L4 L5 L6 Page 6 of 11 Presence of Automatic Extinguishing System N - None Present 1 - Present 2 - Partial System Present U - Undetermined Type of Automatic Extinguishing System 1 - Wet-Pipe Sprinkler 2 - Dry-Pipe Sprinkler 3 - Other Sprinkler System 4 - Dry Chemical System 5 - Foam System 6 - Halogen-Type System 7 - Carbon Dioxide System 0 - Other U - Undetermined Required if fire was within designed range of AES Operation of Automatic Extinguishing System 1 - Operated/Effective 2 - Operated/Not Effective 3 - Fire Too Small To Activate 4 - Failed To Operate 0 - Other U - Undetermined Required if fire was within designed range Number of Sprinkler Heads Operating Required if system operated Reason for Automatic Extinguishing System Failure 1 - System Shut Off 2 - Not Enough Agent Discharged 3 - Agent Discharged But Did Not Reach Fire 4 - Wrong Type of System 5 - Fire Not In Area Protected 6 - System Components Damaged 7 - Lack of Maintenance 8 - Manual Intervention 0 - Other U - Undetermined Required if system failed or not effective M1 M2 M3 M4 M5 Page 7 of 11 NFIRS-9 Apparatus or Resources 40060 CA 08 31 2022 Fire Station 4 (FS4) 22-04904 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC3 Type:92-Chief officer car Dispatch:08/31/2022 08:38 Arrival:08/31/2022 08:46 Clear: Sent 1 Suppression EMS Other 81-Incident command ID:E3 Type:11-Engine Dispatch:08/31/2022 08:38 Arrival:08/31/2022 08:48 Clear:08/31/2022 08:49 Sent 3 Suppression EMS Other 92-Standby ID:E4 Type:11-Engine Dispatch:08/31/2022 08:38 Arrival:08/31/2022 08:46 Clear:08/31/2022 09:31 Sent 3 Suppression EMS Other 86-Investigate 52-Forcible entry 81-Incident command 10-Fire control or extinguishment, other ID:INFO1 Type: 60-Support apparatus, other Dispatch: Arrival:08/31/2022 08:51 Clear: Sent 1 Suppression EMS Other 92-Standby ID:T1 Type:12-Truck or aerial Dispatch:08/31/2022 08:38 Arrival:08/31/2022 08:45 Clear:08/31/2022 08:52 Sent 4 Suppression EMS Other 92-Standby ID:T2 Type:12-Truck or aerial Dispatch:08/31/2022 08:38 Arrival:08/31/2022 08:47 Clear:08/31/2022 08:49 Sent 3 Suppression EMS Other 92-Standby ID:TNG1 Type: 60-Support apparatus, other Dispatch: Arrival:08/31/2022 08:46 Clear:08/31/2022 09:31 Sent 1 Suppression EMS Other 92-Standby A Page 8 of 11 NFIRS-10 Personnel 40060 CA 08 31 2022 Fire Station 4 (FS4) 22-04904 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC3 Type:92-Chief officer car Dispatch:08/31/2022 08:38 Arrival:08/31/2022 08:46 Clear: Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 80947 Skove, Shayne Battalion Chief ID:E3 Type:11-Engine Dispatch:08/31/2022 08:38 Arrival:08/31/2022 08:48 Clear:08/31/2022 08:49 Sent 3 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 73250 Renner, David Captain 92335 Williams, Joseph Engineer 30791 Doolin, Luke Firefighter ID:E4 Type:11-Engine Dispatch:08/31/2022 08:38 Arrival:08/31/2022 08:46 Clear:08/31/2022 09:31 Sent 3 Suppression EMS Other 86-Investigate 52-Forcible entry 81-Incident command 10-Fire control or extinguishment, other Personnel ID Name Rank Role Attend Actions Taken 50050 Jeckell, Matthew Captain 74579 Robertson, Travis Engineer 99162 Kraemer, Luke Firefighter ID:INFO1 Type: 60-Support apparatus, other Dispatch: Arrival:08/31/2022 08:51 Clear: Sent 1 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 17870 Blattler, James 5588016-Investigator ID:T1 Type:12-Truck or aerial Dispatch:08/31/2022 08:38 Arrival:08/31/2022 08:45 Clear:08/31/2022 08:52 Sent 4 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 70100 Polkow, Matthew Captain 61580 Mason, Ryan Engineer A Page 9 of 11 14845 Barrett, Richard Engineer 99164 Sabatino, Jacob Firefighter ID:T2 Type:12-Truck or aerial Dispatch:08/31/2022 08:38 Arrival:08/31/2022 08:47 Clear:08/31/2022 08:49 Sent 3 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 44555 Hasch, Nathan Captain 90841 Weis, Trevor Engineer 50826 Johnston, Kenneth Firefighter ID:TNG1 Type: 60-Support apparatus, other Dispatch: Arrival:08/31/2022 08:46 Clear:08/31/2022 09:31 Sent 1 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 40667 Gutierrez, Armando Fire Captain 5588010-Captain Page 10 of 11 NFIRS-1S Supplemental 40060 CA 08 31 2022 Fire Station 4 (FS4) 22-04904 0 FDID State Month Day Year Station Number Exposure Primary Narrative: BC3, T1, T2, E3, E4, TRN1, and Calfire responded to 3563 Sueldo for alarm sounding with light smoke showing from unit R. On arrival BC3 assumed Sueldo IC and was in investigative mode. Bystanders from adjacent unit stated smelling smoke odor and light smoke from unit R. No RP on scene. E4 was asked by IC to conduct 360 and report back findings. All other units responding remained in standby staged. E4 personnel gained access to knox box and were unsuccessful finding a key to that unit. E4 forced entry on front door of unit with k-tool. E4 found a small smoldering fire in the garage area of the unit approximately 2-3 square feet in total. E4 relayed to Sueldo IC hazard could be mitigated by E4 personnel and all other units on scene were not needed. Sueldo IC cancelled all other units. BC3 turned the incident over and E4 assumed IC. E4 found a dust mop, battery charger, melted 5 gallon bucket, and three small sections of drywall that was damaged due to the fire. The fire did not extend from this area and a Thermal imaging camera was used to look for any extension in the walls. A small section of drywall 6''X6'' was removed to extinguish the smoldering fire. E4 utilized a electric fan throughout the unit to remove any remaining smoke and odor from the unit. The responsible ( arrived on scene and was made aware of the situation. He stated he believed the materials involved in the fire were detailing equipment for vehicles. E4 stated we were able to force the front door locking mechanism to gain entry and that there was not a key for his unit in the knox box. No other assistance was needed and E4 terminated Sueldo IC and cleared incident. A Page 11 of 11 NFIRS-1 Basic 40060 CA 01 15 2021 Fire Station 4 (FS4) 21-00227 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 3595 SUELDO Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 150-Outside rubbish fire, 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 California Their FDID Their State Their Incident Number Dates and Times Alarm 01 15 2021 07:35 Arrival 01 15 2021 07:45 Controlled 01 15 2021 07:50 Last Unit Cleared 01 15 2021 07:52 Shifts and Alarms C 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 8 Actions Taken 10-Fire control or extinguishment, other 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:$ 0 Contents:$ 0 Pre-Incident Values: Optional None Property:$ 0 Contents:$ 0 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: 500-Mercantile, business, 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 8 Remarks: Upon arrival of homeless encampment behind property; E4 found old 55 gal. drum burning wood inside; E4 extinguished. Authorization 88690 Vasquez, Mark Fire Captain 01/16/2021 Officer In Charge ID Signature Position or Rank Assignment Date 88690 Vasquez, Mark Fire Captain 01/16/2021 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 8 NFIRS-2 Fire 40060 CA 01 15 2021 Fire Station 4 (FS4) 21-00227 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 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 8 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 8 NFIRS-9 Apparatus or Resources 40060 CA 01 15 2021 Fire Station 4 (FS4) 21-00227 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:01/15/2021 07:35 Arrival:01/15/2021 07:45 Clear:01/15/2021 07:52 Sent 3 Suppression EMS Other A Page 6 of 8 NFIRS-10 Personnel 40060 CA 01 15 2021 Fire Station 4 (FS4) 21-00227 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:01/15/2021 07:35 Arrival:01/15/2021 07:45 Clear:01/15/2021 07:52 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 36520 Gatton, Christopher Captain 14845 Barrett, Richard Engineer 92710 Witt, James Firefighter A Page 7 of 8 NFIRS-1S Supplemental 40060 CA 01 15 2021 Fire Station 4 (FS4) 21-00227 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Upon arrival of homeless encampment behind property; E4 found old 55 gal. drum burning wood inside; E4 extinguished. A Page 8 of 8 NFIRS-1 Basic 40060 CA 06 29 2020 Fire Station 4 (FS4) 20-02839 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 4080 HORIZON Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code HORIZON Cross Street Incident Type 120-Fire in mobile prop. used as a fixed struc., 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 California Their FDID Their State Their Incident Number Dates and Times Alarm 06 29 2020 20:26 Arrival 06 29 2020 20:34 Controlled 06 29 2020 20:45 Last Unit Cleared 06 29 2020 21:54 Shifts and Alarms B 1 FZ4C 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 11 Actions Taken 10-Fire control or extinguishment, other Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 4 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:$ 0 Contents:$ 500.00 Pre-Incident Values: Optional None Property:$ 4,000.00 Contents:$ 2,000.00 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: 899-Residential or self- storage units Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. Person/Entity Involved 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 K1 Page 2 of 11 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 Remarks: E4 arrived on scene to find RP outside of gated property. Gated property was storage grounds for over 50-100 sea/land shipping containers. RP advises fire was extinguished. Upon investigation of Unit container, dark smoke emitting from container. Shipping container opened where smoke and fire found to rear of container. Prior to entering and extinguishing fire, I conducted an initial interview reporting party (RP and asked if there were any chemicals including the possibility of an illicit clandestine laboratory burning inside. RP "assured that fire was started from a hot weld above which hot metal caught fire to ordinary combustibles inside or below weld. Fire was emitting dark smoke and appeared to be incipient phase to rear of shipping container. A foam mattress bed found involved with fire and was major cause of smoke. Surrounding clothing and wood speakers were damaged and exposed to smoke/fire. Fire extinguished with reel-line of water and foam. BC Fox and Captain Gonzalez interviewed RP FM Maggio took control of investigation. All smoldering materials were removed from container. See investigation report for cause and origin. Authorization 35110 Fox II, Samuel Battalion Chief 06/30/2020 Officer In Charge ID Signature Position or Rank Assignment Date 38890 Gonzalez, Steven Fire Captain 06/30/2020 Member Making Report ID Signature Position or Rank Assignment Date K2 L M Page 3 of 11 NFIRS-2 Fire 40060 CA 06 29 2020 Fire Station 4 (FS4) 20-02839 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 910-Containers, packing materials, other 1 - Bulk Storage or warehousing 2 - Processing or manufacturing 3 - Packaged goods for sale 4 - Repair or service U - Undetermined On-site material (1) Ignition D1 40-Storage area, other Area of Fire Origin D2 10-Heat from powered equipment, other Heat Source D3 32-Bedding; blanket, sheet, comforter Item First Ignited D4 70-Fabric, textile, fur, other 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 13-Cutting, welding too close to combustible Factor 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 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 11 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 11 NFIRS-3 Structure Fire Structure Type 1 - Enclosed Building 2 - Portable/Mobile Structure 3 - Open Structure 4 - Air-Supported Structure 5 - Tent 6 - Open Platform 7 - Underground Structure 8 - Connective Structure 0 - Other Building Status 1 - Under Construction 2 - In Normal Use 3 - Idle, Not Routinely Used 4 - Under Major Renovation 5 - Vacant and Secured 6 - Vacant and Unsecured 7 - Being Demolished 0 - Other U - Undetermined Building Height 1 Number of Stories At/Above Grade 0 Number of Stories Below Grade Main Floor Size 0 Total Square Feet OR BY Length (ft) X Width (ft) Fire Origin 1 Below Grade Story of Fire Origin Fire Spread Confined to Object of Origin 2 - Confined to Room of Origin 3 - Confined to Floor of Origin 4 - Confined to Building of Origin 5 - Beyond Building of Origin Number of Stories Damaged By Flame Number of Stories w/Minor Damage (1-24%) Number of Stories w/Significant Damage (25-49%) Number of Stories w/Heavy Damage (50-74%) Number of Stories w/Extreme Damage (75-100%) *Count the roof as part of the highest story Type of Material Contributing Most to Flame Spread K1 Item Contributing Most to Flame Spread K2 Type of Material Contributing Most To Flame Spread Presence of Detectors N - None Present 1 - Present U - Undetermined Detector Type 1 - Smoke 2 - Heat 3 - Combination of Smoke and Heat 4 - Sprinkler, Water Flow Detection 5 - More Than One Type Present 0 - Other U - Undetermined Detector Power Supply 1 - Battery Only 2 - Hardwire Only 3 - Plug-In 4 - Hardwire With Battery 5 - Plug-In With Battery 6 - Mechanical 7 - Multiple Detectors & Power Supplies 0 - Other U - Undetermined Detector Operation 1 - Fire Too Small To Activate 2 - Operated 3 - Failed To Operate U - Undetermined Detector Effectiveness 1 - Alerted Occupants, Occupants Responded 2 - Alerted Occupants, Occupants Failed to Respond 3 - There Were No Occupants 4 - Failed to Alert Occupants U - Undetermined Detector Failure Reason 1 - Power Failure, Shutoff, or Disconnect 2 - Improper Installation or Placement 3 - Defective 4 - Lack of Maintenance, Dirty 5 - Battery Missing or Disconnected 6 - Battery Discharged or Dead 0 - Other U - Undetermined I1 I2 I3 I4 J1 J2 J3 K L1 L2 L3 L4 L5 L6 Page 6 of 11 Presence of Automatic Extinguishing System N - None Present 1 - Present 2 - Partial System Present U - Undetermined Type of Automatic Extinguishing System 1 - Wet-Pipe Sprinkler 2 - Dry-Pipe Sprinkler 3 - Other Sprinkler System 4 - Dry Chemical System 5 - Foam System 6 - Halogen-Type System 7 - Carbon Dioxide System 0 - Other U - Undetermined Required if fire was within designed range of AES Operation of Automatic Extinguishing System 1 - Operated/Effective 2 - Operated/Not Effective 3 - Fire Too Small To Activate 4 - Failed To Operate 0 - Other U - Undetermined Required if fire was within designed range Number of Sprinkler Heads Operating Required if system operated Reason for Automatic Extinguishing System Failure 1 - System Shut Off 2 - Not Enough Agent Discharged 3 - Agent Discharged But Did Not Reach Fire 4 - Wrong Type of System 5 - Fire Not In Area Protected 6 - System Components Damaged 7 - Lack of Maintenance 8 - Manual Intervention 0 - Other U - Undetermined Required if system failed or not effective M1 M2 M3 M4 M5 Page 7 of 11 NFIRS-9 Apparatus or Resources 40060 CA 06 29 2020 Fire Station 4 (FS4) 20-02839 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:06/29/2020 20:26 Arrival:06/29/2020 20:35 Clear:06/29/2020 21:54 Sent 1 Suppression EMS Other 81-Incident command ID:E4 Type:11-Engine Dispatch: Arrival: Clear: Sent 1 Suppression EMS Other 11-Extinguishment by fire service personnel ID:PRV20 Type: 00-Other apparatus/resource Dispatch: Arrival:06/29/2020 21:11 Clear:06/29/2020 21:54 Sent 1 Suppression EMS Other 86-Investigate ID:T1 Type:12-Truck or aerial Dispatch:06/29/2020 20:26 Arrival:06/29/2020 20:59 Clear:06/29/2020 21:54 Sent 4 Suppression EMS Other 12-Salvage & overhaul A Page 8 of 11 NFIRS-10 Personnel 40060 CA 06 29 2020 Fire Station 4 (FS4) 20-02839 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:06/29/2020 20:26 Arrival:06/29/2020 20:35 Clear:06/29/2020 21:54 Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 35110 Fox II, Samuel Battalion Chief ID:E4 Type:11-Engine Dispatch: Arrival: Clear: Sent 1 Suppression EMS Other 11- Extinguishment by fire service personnel Personnel ID Name Rank Role Attend Actions Taken undefined, Gonzalez 5588010-Captain ID:PRV20 Type: 00-Other apparatus/resource Dispatch: Arrival:06/29/2020 21:11 Clear:06/29/2020 21:54 Sent 1 Suppression EMS Other 86-Investigate Personnel ID Name Rank Role Attend Actions Taken Maggio, Roger Fire Marshal/Investig ator ID:T1 Type:12-Truck or aerial Dispatch:06/29/2020 20:26 Arrival:06/29/2020 20:59 Clear:06/29/2020 21:54 Sent 4 Suppression EMS Other 12-Salvage & overhaul Personnel ID Name Rank Role Attend Actions Taken 62800 MacDonald, John Captain 25944 Child, Robert Engineer 46535 Hicks, Gene Engineer 92892 Woods, Mitchell Firefighter A Page 9 of 11 NFIRS-1S Supplemental 40060 CA 06 29 2020 Fire Station 4 (FS4) 20-02839 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 arrived on scene to find RP outside of gated property. Gated property was storage grounds for over 50-100 sea/land shipping containers. RP advises fire was extinguished. Upon investigation of Unit container, dark smoke emitting from container. Shipping container opened where smoke and fire found to rear of container. Prior to entering and extinguishing fire, I conducted an initial interview reporting party (RP and asked if there were any chemicals including the possibility of an illicit clandestine laboratory burning inside. RP "assured that fire was started from a hot weld above which hot metal caught fire to ordinary combustibles inside or below weld. Fire was emitting dark smoke and appeared to be incipient phase to rear of shipping container. A foam mattress bed found involved with fire and was major cause of smoke. Surrounding clothing and wood speakers were damaged and exposed to smoke/fire. Fire extinguished with reel-line of water and foam. BC Fox and Captain Gonzalez interviewed RP FM Maggio took control of investigation. All smoldering materials were removed from container. See investigation report for cause and origin. Person/Entity Involved 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 Additional Narrative (#1 of 2 ): BC2 C3 with a first alarm to reports of a possible structure fire in a sea-land container at a storage yard, while enroute dispatch advised that the RP called back and advised that the fire was not out and extinguished with extinguishers. Per policy, response reduced to one apparatus for a fire reported out, BC2 continued response. Upon arrival I found E4 at scene of storage container with light smoke showing initially, container began to produce dark smoke and small fire appeared to be burning in rear of container. E4 performed fire attack, BC2 took command and established Horizon IC, requested Truck 1 C3 and Fire Marshal Maggio to scn for investigation. Fire quickly knocked down by E4 crew, T1 arrived at scn and was assigned water supply and overhaul. Contact made with owner of contents int he storage unit denied and injury, declined medical assessment or treatment multiple times. I inquired if he was living in the storage unit since there was a bed that caught fire, he denied living in the unit, but could not provide an address at which he lives. stated that he was welding some holes on the roof and a fire began inside the unit, he reports that he initially had a "fire watch posted", but while welding he began to feel heat and see smoke, when he came down from roof there was a fire burning and the person doing fire watch was no longer in the area.advised that he had cut the holes in the storage unit to provide emergency exit if needed, and that the property owner would not let him access his belongings or the storage unit until the holes were repaired. FM Maggio called to the scene for investigation purposes, see his report for cause and origin / fire investigation information. Overhaul complete, one FF injured during overhaul and salvage, taken to local Emergency Department for evaluation and treatment, scene turned over to Maggio for investigation purposes, advised on the risks of being in side the storage unit or sleeping in it due to risk of CO, he again stated that he does not sleep there. All units released, Horizon command terminated. A Page 10 of 11 Additional Narrative (#2 of 2 ): Fire Origin and Cause Report: Rodger Maggio, Fire Marshal/Chief Building Official June 30, 2020 Property: 8x40 storage container Owner: Occupant: On Monday June 29, 2020 at approximately 8:50 PM I received a call from San Luis Obispo Fire dispatch requesting that I respond to investigate a fire at 4080 Horizon Lane, San Luis Obispo. I arrived, at what appeared to be a facility that stored Sea-Train storage containers, shortly after 9:00 PM and reported to Battalion Chief Sammy FOX. FOX explained that upon arrival the found smoke coming from an approximately 8 foot wide by 40 foot deep storage container, after the owner of the facility tried to cancel their response. FOX told me that the fire originated in a bedroom in the back of the storage container and that the occupant, was welding on top of the unit and started the bedding on fire. As was still on scene I took a few minutes to get his story. stated that he was an electrician and rented the storage unit for his shop. When asked who he rented from he would not answer but did state that he paid his rent to a place "over by AutoZone". told me that he had cut ventillation and emergency escape holes in his container because he thought it was unsafe not to have a second escape opening in the container, when the owner found out, he made repair the openings. told me that he was on top of the container welding the holes closed when he smelled the smoke then discovered that his bed was on fire. I initiated my scene examination outside of unit 94 where I observed a partially burned box spring and foam mattress and a stereo speaker piled in front of the container that the fire fighters had pulled out of the unit. Entering unit 94, which was in a east-west orientation, from the opening on the east side I observed heavy soot deposits through out with heat damage pronounced on the higher surfaces as I worked back to a partition wall in the back. Through the opening in the partition wall I observed an area the resembled a bedroom. On the back wall I saw a bedframe and a small dresser/nightstand in the corner. To the left of the entry into the bedroom there was a stereo speaker. The burn patterns in the room were consistent with a fire that started on the bed in accordance with statement. In the bedroom I observed what remained of electric overhead lighting and wiring, there was an outlet and switch just inside the doorway. The shop area was also hardwired and I observed an electric ceiling fan and overhead light fixtures. According to the space was powered by a small gasoline generator. While onsite I observed other containers with power cords going in to them and at least two other generators. I also observed photo-voltaic solar panels on top of an old delivery truck that was wired to the battery. It is my opinion, based on training and experience that this fire was accidental in nature, the ignition source was hot material from welding operations, the material first ignited was bedding. It is also my observation that the storage containers are not all used for storage, that many are used as shops, and at least one was used for habitation and several may have unpermitted and unsafe electrical connections. I will be forwarding this report to Code Enforcement for follow up. Page 11 of 11 NFIRS-1 Basic 40060 CA 06 30 2022 Fire Station 4 (FS4) 22-03660 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 275 Tank Farm Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 142-Brush or brush-and-grass mixture 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 CALFIRE (40080) Their FDID Their State Their Incident Number Dates and Times Alarm 06 30 2022 18:53 Arrival 06 30 2022 19:03 Controlled 06 30 2022 19:20 Last Unit Cleared 06 30 2022 20:15 Shifts and Alarms B 1 FZ4C 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 9 Actions Taken 14-Contain fire (wildland) Primary Action Taken 10-Fire control or extinguishment, other Additional Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 5 11 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 9 Remarks: BC2, T2, E3, E4, and CDF E21 C3 to reports of vegetation fire burning in the area of the 4100 block Horizon, units arrived in the area, unable to access fire from Horizon, E21 able to see the fire reported approximately 5 acres of grass burning at slow rate of spread with the potential for 10 acres, BC2 found access to fire off of Tank Farm road behind the area of 275 Tank Farm, BC2 found approximately 1 acre with potential for 2, fire was burning in light flashy fuel with moderate wind, but slow rate of spread, no structures threatened, over head powerlines in the area, but not directly near the area of the fire, E21 arrived at scene and was assigned Div Z on right flank with objective of progressive hoselay, Training 1 arrived at scene and was assigned as Div Mike with objective of getting scouting fire and obtaining a 360 of the area, Div M reported that fire was contained on left flank by old dirt access road, slow rate of spread with no spotting, E3 arrived at scene and was assigned as Div A with objective of progressive hoselay on left flank, T2 assigned to Div A, E4 assigned to Div A, perimeter control established and forward progress stopped, E4 released and sent to a medical for a 14A, BC2 requested investigator, but dispatch unable to make contact with Inspector Beres, BC2 determined fire to be in County DPA/SRA, ECC advised, fire mopped up utilizing Class A foam, CDF BC6 arrived at scene, SLO City units released and incident t/o to Cal Fire BC6/E21. S. Fox BC2 Authorization 35110 Fox II, Samuel Battalion Chief 07/06/2022 Officer In Charge ID Signature Position or Rank Assignment Date 35110 Fox II, Samuel Battalion Chief 07/06/2022 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 9 NFIRS-2 Fire 40060 CA 06 30 2022 Fire Station 4 (FS4) 22-03660 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 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 9 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 9 NFIRS-9 Apparatus or Resources 40060 CA 06 30 2022 Fire Station 4 (FS4) 22-03660 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:06/30/2022 18:53 Arrival:06/30/2022 19:03 Clear:06/30/2022 20:15 Sent 1 Suppression EMS Other 14-Contain fire (wildland) 10-Fire control or extinguishment, other ID:E3 Type:11-Engine Dispatch:06/30/2022 18:53 Arrival:06/30/2022 19:06 Clear: Sent 3 Suppression EMS Other 14-Contain fire (wildland) ID:E4 Type:11-Engine Dispatch:06/30/2022 18:53 Arrival:06/30/2022 19:04 Clear:06/30/2022 20:15 Sent 3 Suppression EMS Other 13-Establish fire lines (wildfire) ID:T2 Type:12-Truck or aerial Dispatch:06/30/2022 18:53 Arrival:06/30/2022 19:04 Clear: Sent 3 Suppression EMS Other 14-Contain fire (wildland) ID:TNG1 Type: 60-Support apparatus, other Dispatch: Arrival:06/30/2022 19:06 Clear: Sent 1 Suppression EMS Other 13-Establish fire lines (wildfire) A Page 6 of 9 NFIRS-10 Personnel 40060 CA 06 30 2022 Fire Station 4 (FS4) 22-03660 0 FDID State Month Day Year Station Number Exposure A Page 7 of 9 B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC2 Type:92-Chief officer car Dispatch:06/30/2022 18:53 Arrival:06/30/2022 19:03 Clear:06/30/2022 20:15 Sent 1 Suppression EMS Other 14-Contain fire (wildland) 10-Fire control or extinguishment, other Personnel ID Name Rank Role Attend Actions Taken 35110 Fox II, Samuel Battalion Chief ID:E3 Type:11-Engine Dispatch:06/30/2022 18:53 Arrival:06/30/2022 19:06 Clear: Sent 3 Suppression EMS Other 14-Contain fire (wildland) Personnel ID Name Rank Role Attend Actions Taken 46543 Hicks, Judson Firefighter 14845 Barrett, Richard Engineer 92710 Witt, James Captain ID:E4 Type:11-Engine Dispatch:06/30/2022 18:53 Arrival:06/30/2022 19:04 Clear:06/30/2022 20:15 Sent 3 Suppression EMS Other 13-Establish fire lines (wildfire) Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Engineer 38890 Gonzalez, Steven Captain 99161 Hutslar, Dane Firefighter ID:T2 Type:12-Truck or aerial Dispatch:06/30/2022 18:53 Arrival:06/30/2022 19:04 Clear: Sent 3 Suppression EMS Other 14-Contain fire (wildland) Personnel ID Name Rank Role Attend Actions Taken 99185 Freeman, Anthony Firefighter 60045 Lokkart, Eric Captain 92335 Williams, Joseph Engineer ID:TNG1 Type: 60-Support apparatus, other Dispatch: Arrival:06/30/2022 19:06 Clear: Sent 1 Suppression EMS Other 13-Establish fire lines (wildfire) Personnel ID Name Rank Role Attend Actions Taken 40667 Gutierrez, Armando Fire Captain 5588010-Captain Page 8 of 9 NFIRS-1S Supplemental 40060 CA 06 30 2022 Fire Station 4 (FS4) 22-03660 0 FDID State Month Day Year Station Number Exposure Primary Narrative: BC2, T2, E3, E4, and CDF E21 C3 to reports of vegetation fire burning in the area of the 4100 block Horizon, units arrived in the area, unable to access fire from Horizon, E21 able to see the fire reported approximately 5 acres of grass burning at slow rate of spread with the potential for 10 acres, BC2 found access to fire off of Tank Farm road behind the area of 275 Tank Farm, BC2 found approximately 1 acre with potential for 2, fire was burning in light flashy fuel with moderate wind, but slow rate of spread, no structures threatened, over head powerlines in the area, but not directly near the area of the fire, E21 arrived at scene and was assigned Div Z on right flank with objective of progressive hoselay, Training 1 arrived at scene and was assigned as Div Mike with objective of getting scouting fire and obtaining a 360 of the area, Div M reported that fire was contained on left flank by old dirt access road, slow rate of spread with no spotting, E3 arrived at scene and was assigned as Div A with objective of progressive hoselay on left flank, T2 assigned to Div A, E4 assigned to Div A, perimeter control established and forward progress stopped, E4 released and sent to a medical for a 14A, BC2 requested investigator, but dispatch unable to make contact with Inspector Beres, BC2 determined fire to be in County DPA/SRA, ECC advised, fire mopped up utilizing Class A foam, CDF BC6 arrived at scene, SLO City units released and incident t/o to Cal Fire BC6/E21. S. Fox BC2 Additional Narrative (#1 of 3 ): E4 arrived on scene and was assigned Div A with primary objective of direct fire attack on the left flank. T2 assigned to Div A to assist. E3 and T2 deployed a progressive hose lay on the left flank. A fence was cut to gain access. Div A progressed up the left flank until we tied in with Div Z. Both Div completed 100% mop up using hose and hand tools. E3 restored engine and was reassigned to a second fire off of Vachel st and were cancelled in route. Additional Narrative (#2 of 3 ): T2 arrived in the area of Suburban and Short while E4 and B2 investigated for best access. B2 advised T2 to report to 275 Tank Farm Rd. Upon arrival T2 was assigned to Division A and was directed to start a second progressive hoselay and take the left flank. T2 personnel began the progressive hoselay and opened a chainlink fence in one location south of the water tanks for access. T2 tied in with Div M and began 100% mopup. T2 completed 100% mopup and Div A assigned T2 to breakdown hoselines. T2 ensured all equipment was restored and was released from the scene without further incident. Additional Narrative (#3 of 3 ): TRN 1 arrived and assigned Div M. TRN 1 coordinated with Div A and Z to contain fire to under 1 acre. Mop up initiated with both hose lays that were on both sides of the fires. No obvious cause and origin noted upon initial view of fire, prior to suppression engagement. Div M terminated after IC passed command to Cal Fire. A Page 9 of 9