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Home My WebLink AboutPRR26097 Kastenek Loomis and Grand03/05/26 l-0: L1- San Luis Obispo Pol-ice Department NSPY Cl-earance Data 538 1 oFF /LOC/ CLEARANCE Incident address Page When reported Responsible off Cle Offe GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND GRAND & & & & & & & & & & & & & & & & & & & & & & LOOMTS; LOOMIS; LOOMIS; LOOMIS; LOOMIS; LOOMIS; LOOMIS; LOOMIS; LOOMIS; LOOMIS; LOOM]S; LOOM]S; LOOMIS; LOOMIS; LOOMIS; LOOMIS; LOOMIS; LOOMIS; LOOMIS; LOOMIS; LOOMIS; LOOMIS; L-06 09 L-06 22 L-06 1-7 L-06 L6 L-06 09 L-05 15 L-05 18 L-06 L4 L-06 13 L- 06 r_3 L-06 10 L-06 t4 L-05 09 L-06 L6 L-06 18 L-06 18 L-06 22 L-06 08 L-06 15 L-05 20 L-05 r-8 :-:'=o: Phi11ips, K Parsons, N PaImer, K Sisemore, P Sisemore, P Sisemore, P Strad1ey, E Hurni, .T Bywater, .T Berrios, G Walsh, J Berrios, G Sisemore, P Bracy, B Walsh, ,J WaIsh, ,J Swartz, C Inglehart, B Anaya, T Sanchez, N Avila, G Berrios, GRID GRID GRID GRID GRID GRID GRID GR]D GRID GRID GRID GRID GRID GRID GRID GRID GRID GRID GR]D GR]D GR]D ":': :27 :08 :22:L0 :48 :56 :19:05 244257 z44tL0 z5'7 227 t32:09 :37:08 :02:58 254 256 :36:53 :54:27 :42 228 :2L:50 223 224 246248 :14 : l-5 :08:02 259:34 :34:13 '?t:u? TAPD TAHR NC TAPD TAPI TAPD TAPD TAPD TAPD TAPD TAPI TAP] TAPD TAPI TAPD TAPD TAPD TAPD TAPD TAPD TAPIttn:\J = 1,0/12/2016 01, / u./ 20L7 01,/20/2017 05/r7 /20]-7 72/05/20L7 0L/22/201,8 0e/07/201,8 L2/21/20t8 06/oe/2ore o8/24/2020 0e/07/2020 rr/21,/2021, 12/os/2021, 01,/14/2022 oe/20/2022 1,2/oe/2022 05/05/2023 o6/1,2/2023 o6/1,4/2024 Lr/07/2024 02/05/2025 01,/1.4/2026 ;; RF NR RF RF NR NR NR RF NR RF RF NR RF NR NR RF RF NR NR RF RF 03/os/26 L0 220 San Luis Obispo Police Department Summary Report Page: 10 01- 1 l-610L2013 1,0 /12/16 Received 209 :2'7 Dispatched:Arrived: 09 :33 Cleared: 10 : 17 Tl4ge: COLL NON INJ As Observed:Traffic Accident Location: PN3 Injury Addr: GRAND & LOOMIS; GRID L-06, San Luis Obisp Cl-earance Code:Report Filed in ResponsibLe Officer: Phillips, K Units z 421-6 ,4238 ,42K4 Des : incid#=15101201-3 Completed call- cl-r: RTF oc: -TAI call=l-91 CALL COMMENTS: 2 VEHS - BLK KIA L/5UJ2494 & GRY AUDI L/7RGK8O4 Total Incidents for This Report Report Incl-udes: AII dates matching -09:27:08 AIl agencies A11 officers A11 dispositions Al-1 natures A11 locationsAl-I cities A11 clearance codes AII- observed offenses AIl reported offenses 1,0/12/]-6- ***End of Report /trmp/rptsWOsvu-rpcdsum. r2_2 *** 03/05/26 1-O:2O Page: 1701-l-1089 01,/L1,/1,7 Received:22222 Dispatched:22t23 Arrived:22233 Cl-eared:22t4L San Luis Obispo Pol-ice Department Summary RePort 100 r_ t_ Type: COLL HIT As Observed:Traffic AND RU Accident, Hit and & LOOMIS; GRID L-05, Officer: Parsons, N Location: PN3 Run San Luis Obisp Cfearance Code:Report Filed inAddr: GRAND Responsible Units z 4243Des: (MDC)Completed CALL COMMENTS: OCCRD 5 call incid#=170111-089 cal-l-=l-211 AGO, RP INVOLVED Tota1 Incidents for This RePort Report Includes: A11 dates matching '22 A11 agencies A11 officers A1l dispositions A11 natures A11 locations A11 citiesAIl clearance codes A11 observed offenses A11 reporLed offenses 22:I0 oL/1,r/r7' ***End of Report /tmp/rptsWOsvu-rpcdsum.r2-3 *** 03/os/26 IO -.26 San Luis Obispo Police Department Summary Report Page: 1-001 t_ 170120086 01,/20/17 Received:1-7:48 Dispatched:17:55 Arrived: ClearedzIT:55 ===============================================================================Type: Assist Req Location:PN3 As Observed:Citizen Assist Addr: GRAND & LOOMIS; GRID L-06, San Luis Obisp Cfearance Code:No Report Responsible Officer: Pa1mer, K Units: COMT Des : incidf = L701,20085 LOGGED FOR INFO ONLY disp:NR cl-r:NR oc: -CTA call=1O91 CALL COMMENTS: LOGGED FOR INFO ONLY Totaf Incidents for This Report: Report Includes: Al-l daLes matching t 1-7 : 4 8 A11 agencies Al-1 officers A11 dispositions Al-I naturesA1t locations A11 cities A11 cl-earance codes Al-l- observed offenses A11 reported offenses s6 01,/20/]-7' **rr f,n6l of ReporL /Lmp/rptsWosvu-rpcdsum.r2-4 *** 03/05/26 1,0:26 San Luis Obispo Police DeParfment SummarY Report Page: 1001 1 =============================================================================== 17O5t7063 05/!7 /I7 Received: 16 : 19 DispaLched: 16 :20 Arrived: l-6 :21 Cleared: 15 : 54 Type: COLL NON IN'J As Observed: Location: PN3 Addr: GRAND & LOOMIS; GRID L-05, San Luis Obisp Cl-earance Code:Report Filed in Responsible Officer: Sisemore, P Units: 4225 ,42L6Des: incid#=1705L7063 Completed call cl-r:RTF call=841 CALL COMMENTS: ZZZZZZ Total Incidents for This RePort: Report Incl-udes: AII dates matching t l-6 : 19 : 05 A11 agencies Al-l- officers A11 dispositionsAll- natures A11 locations A11 cities A1 I cl-earance codes AII- observed offenses A11 reported offenses 05/r7 /]-7' rr** Bnd of ReporL /tmp/rptswosvu-rpcdsum.t2-5 *** 03/05/26 LO 226 San Luis Obispo Police Department Summary Report Page 10 01 l- 77I2O5O2O 12/ 05/17 Received: 09 :44 Dispatched :09 :46 Arrived: 09 : 50 Cfeared: l-0 : 19 Type: COLL IN,J As Observed: Location: PN3 Addr: GRAND & LOOMIS; GRID L-05, San Luis Obisp Clearance Code:Report Filed in Responsible Officer: Sisemore, P Units t 4225 ,4222Des: incid#=L71,205020 Completed call- CALL COMMENTS: ZZZZZZZZZZZZ ,42]-0c1r:RTF cal-1=281 Total Incidents for This Report: Report fncl-udes:Alt dates matching'09 :44:5'7 1'2/05/I7' A1I agenciesAl-l officers A11 dispositionsAll natures A11 focations A11 cities A11 clearance codes A11 observed offenses A11 reported offenses *:t* f,nd of Report /tmp/rptswosvu-rpcdsum.12-6 *** 03/05/26 LO:26 San Luis Obispo Police DePartment Summary RePort Page: 10 01_ 1 I8O1-22O39 01,/22/18 Received: 15 :44 Dispatched :L5:44 Arrived:Cl-eared: l-5 : 00 Type: COLL NON IN,J As Observed: Location: PN3 Addr: GRAND & LOOMIS; GRID L-05, San Luis Obisp Clearance Code:No Report Responsible Officer: Sisemore, P Units: 4225 Des: incid#=1801"22039 INFO EXCHANGE disp:NR clr:NR caf 1=571- CALL COMMENTS: PULLED OVER ON LOOMIS Total Incidents for This RePort Report Includes: All- dates matching'15:44:10 A11 agencies AII- officersAII dispositionsAlI naLures A11 Locations A11 cities A11 cfearance codes AIl observed offenses AII reported offenses 01./ 22 / 1,8t *:t* f,nd of ReporL /tmp/rptsWosvu-rpcdsum.12-7 *** 03/05/26 L0:26 Page: t_001 t_ 180907080 09/07/L8 Received:18:57 Dispatched:1-9:01 Arrived:19:05 Cfeared:l-9:38 ======== =======================================================================Type: COLL NON INJ Location:PN3 As Observed:Traffic Accident, Prop Damage Addr: GRAND & LOOMIS; Responsible Officer: Units: 421,2Des: (MDC) Completed CALL COMMENTS: 2 VEH GRID L-05, San Luis Obisp Clearance Code:No ReporL San Luis Obispo Police Department Summary Report Stradley, E ,4247call incid#=180907080 BLOCKING ,4247 cal- 1= 10 0l- Total Incidents for This Report: Report Incl-udes: A11 dates matching'18 : 57 A11 agencies A11 officers A11 disposiEions A11 natures A11 locations A11 cities A1 1 cl-earance codes Al-1 observed offenses A11 reported offenses 27 09/07 /L8' *** End of Reporl /Lrrp/rptswosvu-rpcdsum.r2-8 *** 03/05/26 1,0 226 Page L8L221-048 L2/2I/18 Received,:14:32 Dispatched:l-4:33 Arrived:14:35 Cleared:15:19 San Luis Obispo PoIice Department SummarY RePort 10 01_ l- Tlpe: COLL NON IN,J As Observed: Addr: GRAND & LOOMIS; GRID L-06, San Luis Obisp Responsible Off icer: Hurni, ,J Units: 4235 '4250 Cl-earance ,42K3 Location: PN3 Code:No Report ,s8 TOYT COROLLA Des: (MDC) Completed call incid#=]-8L22L048 cal-L=62l- CALL COMMENTS I NEAR THE UNDERPASS - BLK NISSAN SENTRA & BLU Total Incidents for This RePort Report Includes: AIl dates matching tl-4:32:09 A11 agencies A11 officers A11 dispositionsAl-f natures AlI locationsAlI cities A11 clearance codes A11 observed offenses A11 reported offenses 1,2 / 21/ L8- ***End of Report /tmp/rptsWOsvu-rpcdsum.r2-9 *** 03/05/26 t0 227 San Luis Obispo Pol-ice DeparLment Summary RePort Page 1_001 1 =============================================================================== 190G09039 06/Og/1-9 Received:13:37 Dispatched:13:39 Arrived:13:41 Cleared:l-4:04 ===============================================================================Type: COLL NON IN.l Location:PN3 As Observed:Traffic Accident InjurY Addr: GRAND & LOOMIS; GRID L-05, San Luis Obisp Cl-earance Code:Report Filed in Responsible Officer: BYwater, J Units: 4242 '4255Des : incid#=190509039 Completed CALL COMMENTS: ONE BLOCKING - WHI cal-1 cIr: RTF oc : -TAI call=541- HOND ACCORD & WHI KIA SOL Total Incidents for This RePort Report Includes: Alt dates matching t13:37 A11 agencies A11 officers A11 dispositionsAll- naturesAII l-ocaLionsA1I cities Al-l- cl-earance codes Al-l- observed offenses A11 reported offenses o8 o6/oe/1,9' ***End of Report /tmp/rptsWOsvu-rpcdsum. 12-1,0 *** 03/05/26 I0l.27 San Luis Obispo Pol-ice Department Summary Report Page: 10 01- 1 ========================================================== ===================== 200824054 O8/24/ 20 Received:13 :02 Dispatched:13 :05 Arrived:13 z12 Cleared: l-3:35 ===============================================================================Type: COLL NON IN,J LocaLion:PN3 As Observed:Traffic Accident, Prop Damage Addr: GRAND & LOOMIS; GRID L-06, San Luis Obisp Cl-earance Code:No ReporL Responsible Officer: Units z 421,6Des: (MDC) Completed CALL COMMENTS: SOUNDS Berrios, G cafl- incid#=200824054 call=69f LIKE ,JUST BEFORE ONRAMP Total Incidents for This Report: ReporL Incl-udes: All dates matching t13:02:58 AI1 agenciesAll officers A11 dispositions Al-l- natures A11 locationsA1l cities A11 clearance codesAll observed offenses A11 reported offenses 08/24/20' *** End of Report /tmp/rptsWosvu-rpcdsum.r2-1-I *** 03/05/26 L0 z27 San Luis Obispo Pol-ice Department Summary Report Page: t_001 t- 2OO7O7O2L 09/07/20 Received:10:54 Dispatched:1,0:56 Arrived:10:57 Cl-eared:l-1:39 ===============================================================================Type: COLL INJ Location:PN3 As Observed: Addr: GRAND & LOOMIS; GRID L-05, San Luis Responsibl-e Officer: Walsh, ,J Units : 4220 ,4206 Obisp Cfearance Code:Report Filed in S4 Des: (MDC) CompleLed call incid#=200907021 CALL COMMENTS: NEAR 101 ENTRANCE, VEH VS PED ,42L6 cal 1=3 4 f c3 Total Incidents for This RePort Report Incfudes:AII dates matching t l-0 : 54 : 56 A11 agencies Al-l- officers A11 dispositionsAl1 naturesAll locationsAll cities A11 clearance codes A11 observed offenses A11 reported offenses oe/07/20' ***End of ReporL /tmp/rptsWOsvu-rpcdsum.12-1-2 *** 03/05/26 1-0 227 San Luis Obispo Pol-ice Department Summary Report l_001 l-Page: 21,1,L21,050 1,1/21,/21 Received:14:36 Dispatched:1-4238 Arrived:1-4:42 Cleared:1-6206 Addr: GRAND & LOOMIS; GRID L-06, San Luis Obisp Clearance Code:Report Filed in Type: COLL EXTRICATIO As Observed: Responsible Officer: Berrios, G Units : 421-6 ,4260Des: incid#=21-11-21-050 Completed call cal-l-=65f CALL COMMENTS: C3 TINK INJURY Location: PN3 ,sl,4268 Tota1 Incidents for This Report: Report Includes: A11 dates matching t14:36 A11 agencies A11 officers A11 dispositions Al-l- natures A11 LocationsAll cities Al-l- clearance codes AII- observed offenses A11 reported offenses s3 rL/21,/2r' *** End of Report /Lmp/rptsWosvu-rpcdsum.r2_I3 *** 03/05/26 1-O :2'7 Page: 21,L205022 L2/05/21 Received:09:54 Dispat.ched:09:56 Arrived:09:57 Cleared:10:l-4 San Luis Obispo Police Department Summary Report 100 1 1 Type: COLL NON IN,J As Observed: Location: PN3 Addr: GRAND & LOOMIS; GRfD L-06, San Luis Obisp Cfearance Code:No Report Responsi-bl-e Of f icer: Sisemore, P Units: 4225 ,4266Des: incid#=21-1-205022 Reassigned to call- 42I, completed call 361 CALL COMMENTS: OPEN LINE WITH FORD VEH - INVOLVED TALKING ABOUT NOT SEEING EACH Totaf Incidents for This Report: Rep A11 A11 A11 A11 A11 A11 A11All A11AlI ort Includes: dates matching - 09 :54:2'7 12/05/27' agencies of f i cers dispositions naLures locationscit ies cfearance codes observed offenses reported offenses *** End of Report /trrrp/rptsWosvu-rpcdsum.r2-I4 *** 03/05/26 IO:27 San Luis Obispo Pol-ice Department Summary RePort Page: t_001I ========================================================================= 2201,1,409g 01"/ 1"4/ 22 Received :L6 :42 Dispatched: 16 : 43 Arrived: 15 : 45 Cleared:1-7 :28 ===============================================================================Type: COLL INJ Location:PN3 As Observed: Addr: GRAND L-06, San Luis Obisp Clearance Code:Report Filed in Responsible Units: 4261-Des: (MDC) & LOOMIS; GRID Officer: Bracy, Completed cal-l B ,4260 incid#=2201140 99 caLI=1-27I CALL COMMENTS Z ZZZZZZ TotaL lncidents for This RePort Report Includes:All dat.es matching '1-6 242t28 A11 agenciesAll- officers A11 dispositionsAl-l natures AlI locaLionsAll cities AII- cl-earance codes Al-l- observed offenses A11 reported offenses 01. /1,4 / 22' *:t* f,nd of Report /tmp/rptsWosvu-rpcdsum.12-1-5 *** 03/os/26 1-O z2'7 San Luis Obispo Pol-ice Department SummarY RePort Page: 100r_ t- Type: COLL NON INJ As Observed: LocaLion: PN3 AddT: GRAND & LOOMIS;GRID L-06, San Luis Obisp Clearance Code:No Report WaIsh, JResponsible Officer: Units z 4220Des: incl'd#=220920079 Completed cal-1 disp:NR cl-r:NR call-=l-041- CALL COMMENTS: RP WITNESSED TC AS SHE DROVE PAST, BOTH VEHS APPEARED TO BE PULLI Total Incidents for This RePort Report Includes: All dates matching tl-8 AI1 agencies A11 officers A11 dispositions Al-l- natures A11 locationsAII cities A11 cfearance codes Al-l- observed offenses A11 reported offenses 21:50 09/20/22- ***End of Report /Lmp/rptsWOsvu-rpcdsum. 12-16 *** 03/05/25 lO:27 San Luis Obispo Police Department Summary RePort Page 10 01-I 221"2090g1, 12 / Og /22 Received :L8 z23 DispaEched: 18 :24 Arrled: 18 :40 Cleared: 19 : 01 ===============================================================================Type: COLL NON INJ Location:PN3 As Observed: Addr: GRAND & LOOMIS;GRID L-06, San Luis Obisp Cfearance Code:No Report Wal-sh, JResponsible OfficerUnits: 4220 Des: tncld#=221"209081 Completed cal-l- disp:NR cl-r:NR call-=1051- CALL COMMENTS: IL82, AT LEAST OF THE VEHS IS DISABLED AND NEED ASSISTANCE WITH 1- Total Incidents for This RePort: Report Incl-udes:Al1 dates matching 'a8223224 AI1 agenciesAll- officers A11 dispositionsAl-I natures A11 locationsAII- ciLies A11 clearance codes Al-1 observed offenses AlI reported offenses 12/oe/22' ***End of Report /Lmp/rpLsWOsvu-rpcdsum.r2-I7 *** 03/05/26 1"0 :27 San Luis Obispo Police DePartment Summary RePort r-001 1Page Addr: GRAND & LOOMIS; Officer: Completed GRID L-05, San Luis Obisp Clearance Code:Report Filed in CALL COMMENTS: CODE 2 Responsible Units t 4266Des: (MDC) Swartz, C ,4258cal-I incid#=230505094 call=128I VEH TC WITH CHP ON SCENE Tota1 Incidents for This RePort: Report Includes:All dates matching -22:46:48 A11 agenciesAII officersAII dispositionsAll natures A11 focaLions A11 cities A1 I cl-earance codes A11 observed offensesAII reported offenses 05/05/23- ***End of Report /tmp/rptsWOsvu-rpcdsum. t2_1,8 *** 03/os/26 10:28 San Luis Obispo Police Department Summary Report 10 01 l-Page 23061-201-0 06/1-2/23 Received:08:14 Dispatched:08:16 Arrived:08:28 Cleared:09:13 Type: COLL NON IN,J As Observed: Location: PN3 Addr: GRAND & LOOMIS; GRID L-06, San Luis Obisp Clearance Code:Report Filed in Responsible Officer: Inglehart, B Units : 4208 ,4255 ,4255Des: incid#=230612010 Completed cal-l- clr:RTF call=12f CALL COMMENTS: ZZZZZ Total Incidents for This Report Report Includes:All dates matching '08 : l-4 : L5 Atl agenciesAll- officers A11 dispositionsAl-I natures AII ]ocationsA1l cities A1 I cl-earance codes A1 l- observed offenses A11 reporLed offenses 06/12/23' *** End of Report /Lmp/rptsWosvu-rpcdsum -12-1-9 *** 03/05/26 l-0:28 San Luis Obispo PoIice Department Summary Report Page: 10 01 1 =============================================================================== 24061,4073 06/L4/24 Received:15:08 Dispatched:15:11 Arrived:15: l-7 Cleared:16:10 ===============================================================================Type: COLL NON INJ Location:PN3 As Observed: Addr: GRAND & LOOMIS; GRID L-05, San Luis Obisp Cfearance Code:No Report Responsibl-e Of f icer: Anaya, T Units: 42K5 Des: incid#=2406L4073 Completed call disp:NR c1r:NR cal-1=871 CALL COMMENTS: 2 VEH NON-IN,J Total- Incidents for This Report: Report Includes: A11 dates matching t15:08:02 A11 agencies A11 officers A11 dispositions Al-l- natures A11 locationsA1l cities Al-l- clearance codes Al-l- observed offenses A11 reported offenses o6/14/24t ***End of Report /Lmp/rpLsWOsvu-rpcdsum.12_20 *** 03/os/26 10:28 San Luis Obispo PoIice DepartmenL Summary Report Page 1_00 r_ 1 =============================================================================== 241-1-07Og7 1,1,/07/24 Received:20 59 Dispatched:21-:01- Arrived:21:13 Cl-eared 22t01, ===============================================================================Type: COLL NON IN,J Location:PN3 As Observed: Addr: GRAND & LOOMIS; GRID L-06, San Luis Obisp Cl-earance Code:No Report Responsible Officer: Sanchez, N Units : 42:.5 ,424I Des: incid#=241,L07097 Completed call CALL COMMENTS: BLOCKING ,P1disp:NR cf r:NR call=l-421 D1 Totaf Incidents for This Report: Report Includes:All dates matching '20:59234 A11 agenciesAl] officers A11 dispositions Al-l- natures A11 l-ocationsAll cities A1 l- clearance codes A11 observed offenses A11 reported offenses L1,/ o7 / 24' *** End of Report /tmp/rptsWosvu-rpcdsum.12-21,*** 03/05/26 l-0:28 San Luis Obispo Police Department Summary Report 100r_ 1-Page 250205081, 02/05/25 Received:18:34 Dispatched:18:35 Arrived:18:37 Cleared:19:31- Type: COLL INJ As Observed: Location: PN3 Addr: GRAND & LOOMIS; GRID Responsible Off icer: Avi"la, Units z 4207 Des: (MDC) CompleLed call CALL COMMENTS: C2 PER PD ON L-06, San Luis Obisp Clearance Code:Report Filed in G ,425rincid#=250205081 call=11-71 SCENE, HYPERVENT]LATION Total Incidents for This ReporL: Report Includes: A11 dates matching t18:34:13 A11 agencies Al-1 officers A11 dispositions A11 natures A11 locations A11 citiesAl-I cl-earance codesAII observed offensesAlt reported offenses 02/os/25- :t*rt f,n6f of Report /tmp/rptsWosvu-rpcdsum.12-22 *** 03/05/26 I0:28 San Luis Obispo Police Department Summary Report 10 01- 1Page: 260|14020 01,/14/26 Received:08:23 Dispatched:08:25 Arrived:08:51 Cl-eared:09:06 Type: COLL IN.I As Observed: Location: PN3 Addr: GRAND & LOOMIS; GRID L-06, San Luis Obisp Clearance Code:Report Filed in Responsible Officer: Berrios, G Units : 4206 ,4243 Des : incid#=2 50L74020 Completed cal-l- CALL COMMENTS I ZZZZZZZZ ,4249clr:RTF call=291 ,s8 Total Incidents for This RePort Report Includes:All dates matching -08:23 :55 A11 agencies A11 officersA1I dispositionsAlI natures A11 locations A11 cities A11 clearance codes A11 observed offenses A11 reported offenses 01,/1,4/26' ***End of Report / tmp/rptsWOsvu-rpcdsum .12_23 *** NFIRS -1 Basic 40060 CA 12 05 2017 Fire Station 1 (FS1) 17-06134 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 GRAND & LOOMIS Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code grand Cross Street Incident Type 324-Motor vehicle accident with no injuries 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 12 05 2017 09:45 Arrival 12 05 2017 09:51 Controlled Last Unit Cleared 12 05 2017 10:02 Shifts and Alarms B NA Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 33-Provide advanced life support (ALS) Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 3 7 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 5 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 Remarks: MVA two cars no injury. See medic report. Authorization 61580 61580 12/06/2017 Officer In Charge ID Signature Position or Rank Assignment Date 61580 61580 12/06/2017 Member Making Report ID Signature Position or Rank Assignment Date H1 H2 H3 I J K2 L M Page 2 of 5 NFIRS -9 Apparatus or Resources 40060 CA 12 05 2017 Fire Station 1 (FS1) 17-06134 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: Arrival:12/05/2017 09:51 Clear: Sent 0 Suppression EMS Other ID:E2 Type:11-Engine Dispatch:12/05/2017 09:45 Arrival:12/05/2017 09:54 Clear:12/05/2017 10:02 Sent 3 Suppression EMS Other ID:T1 Type:12-Truck or aerial Dispatch:12/05/2017 09:45 Arrival: Clear:12/05/2017 09:52 Sent 4 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 12 05 2017 Fire Station 1 (FS1) 17-06134 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: Arrival:12/05/2017 09:51 Clear: Sent 0 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken ID:E2 Type:11-Engine Dispatch:12/05/2017 09:45 Arrival:12/05/2017 09:54 Clear:12/05/2017 10:02 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 61580 Mason, Ryan Captain 54183 King, John Engineer 14845 Barrett, Richard Firefighter ID:T1 Type:12-Truck or aerial Dispatch:12/05/2017 09:45 Arrival: Clear:12/05/2017 09:52 Sent 4 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 36520 Gatton, Christopher Engineer 33807 Farino, Robert Captain 70100 Polkow, Matthew Engineer 44555 Hasch, Nathan Firefighter A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 12 05 2017 Fire Station 1 (FS1) 17-06134 0 FDID State Month Day Year Station Number Exposure Primary Narrative: MVA two cars no injury. See medic report. A Page 5 of 5 NFIRS -1 Basic 40060 CA 06 01 2018 Fire Station 2 (FS2) 18-02716 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 GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code ABBOTT Cross Street Incident Type 322-Motor vehicle accident with injuries (not extrication) 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 01 2018 12:53 Arrival 06 01 2018 13:03 Controlled Last Unit Cleared 06 01 2018 13:16 Shifts and Alarms A NA Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 32-Provide basic life support (BLS) Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 3 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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 Remarks: T-2 responded to an injury traffic accident with SLO PD on scene requesting. Upon arrival T-2 found two vehicles on the right shoulder with one occupant still inside (driver) C/O back pain. Vehicle #1 was a silver Tesla with moderate damage to rear driver's side door. Vehicle #2 was a black four door sedan with moderate damage to the front end. The Pt in the Tesla was assessed in milddistress and refused any Tx/Ts signing out AMA. Both vehicles were check for hazards/fluids down and none was noted. T-2 cleared W/O incident or change. See SLO PD accident report for additional information. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 61000 61000 Fire Captain 06/01/2018 Officer In Charge ID Signature Position or Rank Assignment Date 61000 61000 Fire Captain 06/01/2018 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 06 01 2018 Fire Station 2 (FS2) 18-02716 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T2 Type:12-Truck or aerial Dispatch:06/01/2018 12:53 Arrival:06/01/2018 13:03 Clear:06/01/2018 13:16 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 06 01 2018 Fire Station 2 (FS2) 18-02716 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T2 Type:12-Truck or aerial Dispatch:06/01/2018 12:53 Arrival:06/01/2018 13:03 Clear:06/01/2018 13:16 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 70995 Pratt, Jason Firefighter 14845 Barrett, Richard Engineer 61000 Marshall, David Captain A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 06 01 2018 Fire Station 2 (FS2) 18-02716 0 FDID State Month Day Year Station Number Exposure Primary Narrative: T-2 responded to an injury traffic accident with SLO PD on scene requesting. Upon arrival T-2 found two vehicles on the right shoulder with one occupant still inside (driver) C/O back pain. Vehicle #1 was a silver Tesla with moderate damage to rear driver's side door. Vehicle #2 was a black four door sedan with moderate damage to the front end. The Pt in the Tesla was assessed in milddistress and refused any Tx/Ts signing out AMA. Both vehicles were check for hazards/fluids down and none was noted. T-2 cleared W/O incident or change. See SLO PD accident report for additional information. A Page 6 of 6 NFIRS -1 Basic 40060 CA 04 21 2019 Fire Station 2 (FS2) 19-02041 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 101NOFF GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 324-Motor vehicle accident with no injuries 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 04 21 2019 00:25 Arrival 04 21 2019 00:31 Controlled Last Unit Cleared 04 21 2019 00:33 Shifts and Alarms C NA Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 86-Investigate Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 3 8 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:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 5 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 Remarks: Upon arrival T-2 found three vehicle on the right shoulder with CHP advising no collusion or injuries. Authorization 61000 61000 Fire Captain 04/21/2019 Officer In Charge ID Signature Position or Rank Assignment Date 61000 61000 Fire Captain 04/21/2019 Member Making Report ID Signature Position or Rank Assignment Date H1 H2 H3 I J K2 L M Page 2 of 5 NFIRS -9 Apparatus or Resources 40060 CA 04 21 2019 Fire Station 2 (FS2) 19-02041 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:04/21/2019 00:25 Arrival:04/21/2019 00:32 Clear:04/21/2019 00:32 Sent 1 Suppression EMS Other ID:T1 Type:12-Truck or aerial Dispatch:04/21/2019 00:25 Arrival: Clear:04/21/2019 00:32 Sent 4 Suppression EMS Other ID:T2 Type:12-Truck or aerial Dispatch:04/21/2019 00:25 Arrival:04/21/2019 00:31 Clear:04/21/2019 00:33 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 04 21 2019 Fire Station 2 (FS2) 19-02041 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:04/21/2019 00:25 Arrival:04/21/2019 00:32 Clear:04/21/2019 00:32 Sent 1 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 17730 Bisson, Robert Battalion Chief ID:T1 Type:12-Truck or aerial Dispatch:04/21/2019 00:25 Arrival: Clear:04/21/2019 00:32 Sent 4 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 46955 Hoover, Nicholas Engineer 14845 Barrett, Richard Firefighter 44555 Hasch, Nathan Engineer 80947 Skove, Shayne Captain ID:T2 Type:12-Truck or aerial Dispatch:04/21/2019 00:25 Arrival:04/21/2019 00:31 Clear:04/21/2019 00:33 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 73250 Renner, David Firefighter 54183 King, John Engineer 61000 Marshall, David Captain A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 04 21 2019 Fire Station 2 (FS2) 19-02041 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Upon arrival T-2 found three vehicle on the right shoulder with CHP advising no collusion or injuries. A Page 5 of 5 NFIRS -1 Basic 40060 CA 05 14 2019 Fire Station 2 (FS2) 19-02475 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 101S GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 324-Motor vehicle accident with no injuries 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 14 2019 16:52 Arrival 05 14 2019 17:01 Controlled Last Unit Cleared 05 14 2019 17:01 Shifts and Alarms C NA Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 70-Assistance, other Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 3 7 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 5 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 Remarks: Non injury traffic accident, cancelled upon arrival by BC-3. Authorization 61000 61000 Fire Captain 05/15/2019 Officer In Charge ID Signature Position or Rank Assignment Date 61000 61000 Fire Captain 05/15/2019 Member Making Report ID Signature Position or Rank Assignment Date H1 H2 H3 I J K2 L M Page 2 of 5 NFIRS -9 Apparatus or Resources 40060 CA 05 14 2019 Fire Station 2 (FS2) 19-02475 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:05/14/2019 16:52 Arrival: Clear:05/14/2019 17:01 Sent 1 Suppression EMS Other ID:E3 Type:11-Engine Dispatch:05/14/2019 16:55 Arrival: Clear: Sent 3 Suppression EMS Other ID:T2 Type:12-Truck or aerial Dispatch:05/14/2019 16:52 Arrival:05/14/2019 17:01 Clear:05/14/2019 17:01 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 05 14 2019 Fire Station 2 (FS2) 19-02475 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:05/14/2019 16:52 Arrival: Clear:05/14/2019 17:01 Sent 1 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 17730 Bisson, Robert Battalion Chief ID:E3 Type:11-Engine Dispatch:05/14/2019 16:55 Arrival: Clear: Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 57385 Larson, Jody Firefighter 44306 Harris, Michael Engineer 35110 Fox II, Samuel Captain ID:T2 Type:12-Truck or aerial Dispatch:05/14/2019 16:52 Arrival:05/14/2019 17:01 Clear:05/14/2019 17:01 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 70995 Pratt, Jason Engineer 92310 Williams, Nathan Firefighter 61000 Marshall, David Captain A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 05 14 2019 Fire Station 2 (FS2) 19-02475 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Non injury traffic accident, cancelled upon arrival by BC-3. A Page 5 of 5 NFIRS -1 Basic 40060 CA 04 10 2020 Fire Station 2 (FS2) 20-01675 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 101 NB Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code GRAND Cross Street Incident Type 324-Motor vehicle accident with no injuries 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 04 10 2020 12:55 Arrival 04 10 2020 13:00 Controlled Last Unit Cleared 04 10 2020 13:03 Shifts and Alarms A FZ2 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value Actions Taken 92-Standby Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 3 8 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:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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 Remarks: T-1, T-2, BC-2 responded code 3 to a report of T/C. Enroute dispatch canceled T-1. On arrival T-2 was canceled by CHP. T-2 and BC-2 returned to quarters. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 44555 Hasch, Nathan Fire Engineer 04/11/2020 Officer In Charge ID Signature Position or Rank Assignment Date 44555 Hasch, Nathan Fire Engineer 04/11/2020 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 04 10 2020 Fire Station 2 (FS2) 20-01675 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:04/10/2020 12:55 Arrival:04/10/2020 13:03 Clear:04/10/2020 13:03 Sent 1 Suppression EMS Other 93-Cancelled en route ID:T1 Type:12-Truck or aerial Dispatch:04/10/2020 12:55 Arrival: Clear:04/10/2020 12:59 Sent 4 Suppression EMS Other 93-Cancelled en route ID:T2 Type:12-Truck or aerial Dispatch:04/10/2020 12:55 Arrival:04/10/2020 13:00 Clear: Sent 3 Suppression EMS Other 92-Standby A Page 4 of 6 NFIRS -10 Personnel 40060 CA 04 10 2020 Fire Station 2 (FS2) 20-01675 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:04/10/2020 12:55 Arrival:04/10/2020 13:03 Clear:04/10/2020 13:03 Sent 1 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 41550 Hais, Ray Battalion Chief ID:T1 Type:12-Truck or aerial Dispatch:04/10/2020 12:55 Arrival: Clear:04/10/2020 12:59 Sent 4 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 61580 Mason, Ryan Engineer 38890 Gonzalez, Steven Captain 14845 Barrett, Richard Engineer 52001 Joy, Cullen Firefighter ID:T2 Type:12-Truck or aerial Dispatch:04/10/2020 12:55 Arrival:04/10/2020 13:00 Clear: Sent 3 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 74579 Robertson, Travis Firefighter 60045 Lokkart, Eric Engineer 44555 Hasch, Nathan Captain A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 04 10 2020 Fire Station 2 (FS2) 20-01675 0 FDID State Month Day Year Station Number Exposure Primary Narrative: T-1, T-2, BC-2 responded code 3 to a report of T/C. Enroute dispatch canceled T-1. On arrival T-2 was canceled by CHP. T-2 and BC-2 returned to quarters. A Page 6 of 6 NFIRS -1 Basic 40060 CA 09 07 2020 Fire Station 2 (FS2) 20-03988 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 GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code LOOMIS Cross Street Incident Type 321-Medical Emergency 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 07 2020 10:55 Arrival 09 07 2020 10:59 Controlled Last Unit Cleared 09 07 2020 11:27 Shifts and Alarms A FZ2 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 33-Provide advanced life support (ALS) Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 3 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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 Remarks: Arrived to find pt lying supine on ground. pt was stuck by a car, while riding bike. SEE SLOPD for details on incident speed and questioning. Pt treated for medical complaint, see PCR for details. TOC to SLAS without incident H1 H2 H3 I J K2 L Page 2 of 6 Authorization 40667 Gutierrez, Armando Fire Captain 09/08/2020 Officer In Charge ID Signature Position or Rank Assignment Date 40667 Gutierrez, Armando Fire Captain 09/08/2020 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 09 07 2020 Fire Station 2 (FS2) 20-03988 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E2 Type:11-Engine Dispatch:09/07/2020 10:55 Arrival:09/07/2020 10:59 Clear:09/07/2020 11:27 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 09 07 2020 Fire Station 2 (FS2) 20-03988 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E2 Type:11-Engine Dispatch:09/07/2020 10:55 Arrival:09/07/2020 10:59 Clear:09/07/2020 11:27 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 50050 Jeckell, Matthew Engineer 40667 Gutierrez, Armando Captain 52001 Joy, Cullen Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 09 07 2020 Fire Station 2 (FS2) 20-03988 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Arrived to find pt lying supine on ground. pt was stuck by a car, while riding bike. SEE SLOPD for details on incident speed and questioning. Pt treated for medical complaint, see PCR for details. TOC to SLAS without incident A Page 6 of 6 NFIRS -1 Basic 40060 CA 10 11 2020 Fire Station 2 (FS2) 20-04548 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 101N GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Grand Cross Street Incident Type 324-Motor vehicle accident with no injuries 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 10 11 2020 17:05 Arrival 10 11 2020 17:09 Controlled Last Unit Cleared 10 11 2020 17:10 Shifts and Alarms C FZ2 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value Actions Taken 00-Action taken, 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:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 5 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 Remarks: T2 arrived on scene and was immediately cancelled by CHP. sms Authorization 80947 80947 Fire Captain 10/12/2020 Officer In Charge ID Signature Position or Rank Assignment Date 80947 80947 Fire Captain 10/12/2020 Member Making Report ID Signature Position or Rank Assignment Date H1 H2 H3 I J K2 L M Page 2 of 5 NFIRS -9 Apparatus or Resources 40060 CA 10 11 2020 Fire Station 2 (FS2) 20-04548 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T2 Type:12-Truck or aerial Dispatch:10/11/2020 17:05 Arrival:10/11/2020 17:09 Clear:10/11/2020 17:10 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 10 11 2020 Fire Station 2 (FS2) 20-04548 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T2 Type:12-Truck or aerial Dispatch:10/11/2020 17:05 Arrival:10/11/2020 17:09 Clear:10/11/2020 17:10 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 80947 Skove, Shayne Captain 70995 Pratt, Jason Engineer 50050 Jeckell, Matthew Firefighter A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 10 11 2020 Fire Station 2 (FS2) 20-04548 0 FDID State Month Day Year Station Number Exposure Primary Narrative: T2 arrived on scene and was immediately cancelled by CHP. sms A Page 5 of 5 NFIRS -1 Basic 40060 CA 02 25 2021 Fire Station 1 (FS1) 21-00909 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 OVERPASS GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 324-Motor vehicle accident with no injuries 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 02 25 2021 13:18 Arrival 02 25 2021 13:24 Controlled Last Unit Cleared 02 25 2021 13:43 Shifts and Alarms C FZ2 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 86-Investigate Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 2 5 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:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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 Remarks: Dispatched to above location for two vehicle traffic collision. T1 arrived to find ambulance on scene assessing pt. T1 assisted with traffic control and sweeping up the area. SLAS had all pt contact. See SLAS report for pt info. T1 TOT SLOPD and cleared. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 62800 MacDonald, John 04/24/2021 Officer In Charge ID Signature Position or Rank Assignment Date 62800 MacDonald, John 04/24/2021 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 02 25 2021 Fire Station 1 (FS1) 21-00909 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: Arrival: Clear: Sent 1 Suppression EMS Other 93-Cancelled en route ID:T1 Type:12-Truck or aerial Dispatch:02/25/2021 13:18 Arrival: Clear: Sent 4 Suppression EMS Other 86-Investigate A Page 4 of 6 NFIRS -10 Personnel 40060 CA 02 25 2021 Fire Station 1 (FS1) 21-00909 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: Arrival: Clear: Sent 1 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken undefined, hais ID:T1 Type:12-Truck or aerial Dispatch:02/25/2021 13:18 Arrival: Clear: Sent 4 Suppression EMS Other 86-Investigate Personnel ID Name Rank Role Attend Actions Taken 38890 Gonzalez, Steven Captain 61580 Mason, Ryan Engineer 46535 Hicks, Gene Engineer 92335 Williams, Joseph Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 02 25 2021 Fire Station 1 (FS1) 21-00909 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Dispatched to above location for two vehicle traffic collision. T1 arrived to find ambulance on scene assessing pt. T1 assisted with traffic control and sweeping up the area. SLAS had all pt contact. See SLAS report for pt info. T1 TOT SLOPD and cleared. A Page 6 of 6 NFIRS -1 Basic 40060 CA 11 21 2021 Fire Station 2 (FS2) 21-05793 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 101SON GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Grand Cross Street Incident Type 322-Motor vehicle accident with injuries (not extrication) 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 11 21 2021 14:37 Arrival 11 21 2021 14:43 Controlled Last Unit Cleared 11 21 2021 15:08 Shifts and Alarms B FZ2 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 32-Provide basic life support (BLS) 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:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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 Remarks: T-2 responded for reported 14X vehicle traffic collision with extrication required. Upon arrival, T-2 established Grand IC and reported a two vehicle collision with one vehicle on its roof and an occupant inside retrieving personnel items. T-2 confirmed that extrication was not required and reduced the assignment to T-2 and ambulance to handle. Driver and solo occupant of black Audi sedan was self extricated and ambulatory PTA of EMS arrival without complaints of pain or injury. Driver and solo occupant of black vehicle which had collided with Audi and came to rest on it's roof was also able to self extricate and ambulate PTA of EMS. Driver of black vehicle was alert and oriented complaining of minor abrasions to left arm and left shoulder contusion possibly secondary to seatbelt and airbag deployment. Post assessment, patient was offered ambulance transport to hospital which she declined. Patient was advised of all assessment findings and recent vital signs. Patient was advised to seek further medical evaluation and treatment or to contact 911 for further assistance. For further patient specific information refer SLOFD EPCR. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 57385 57385 Fire Captain 11/21/2021 Officer In Charge ID Signature Position or Rank Assignment Date 57385 57385 Fire Captain 11/21/2021 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 11 21 2021 Fire Station 2 (FS2) 21-05793 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:11/21/2021 14:37 Arrival:11/21/2021 14:44 Clear:11/21/2021 14:45 Sent 1 Suppression EMS Other 93-Cancelled en route ID:E3 Type:11-Engine Dispatch:11/21/2021 14:37 Arrival: Clear:11/21/2021 14:45 Sent 3 Suppression EMS Other 93-Cancelled en route ID:T1 Type:12-Truck or aerial Dispatch:11/21/2021 14:37 Arrival: Clear:11/21/2021 14:45 Sent 4 Suppression EMS Other 93-Cancelled en route ID:T2 Type:12-Truck or aerial Dispatch:11/21/2021 14:37 Arrival:11/21/2021 14:43 Clear:11/21/2021 15:08 Sent 3 Suppression EMS Other 32-Provide basic life support (BLS) A Page 4 of 6 NFIRS -10 Personnel 40060 CA 11 21 2021 Fire Station 2 (FS2) 21-05793 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:11/21/2021 14:37 Arrival:11/21/2021 14:44 Clear:11/21/2021 14:45 Sent 1 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 35110 Fox II, Samuel Battalion Chief ID:E3 Type:11-Engine Dispatch:11/21/2021 14:37 Arrival: Clear:11/21/2021 14:45 Sent 3 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 54190 King, Michael Captain 54183 King, John Engineer 73110 Reiss, Devin Firefighter ID:T1 Type:12-Truck or aerial Dispatch:11/21/2021 14:37 Arrival: Clear:11/21/2021 14:45 Sent 4 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 62800 MacDonald, John Captain 70100 Polkow, Matthew Engineer 57382 Larsen, Patrick Engineer 92710 Witt, James Firefighter ID:T2 Type:12-Truck or aerial Dispatch:11/21/2021 14:37 Arrival:11/21/2021 14:43 Clear:11/21/2021 15:08 Sent 3 Suppression EMS Other 32-Provide basic life support (BLS) Personnel ID Name Rank Role Attend Actions Taken 57385 Larson, Jody Captain 52001 Joy, Cullen Engineer 74579 Robertson, Travis Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 11 21 2021 Fire Station 2 (FS2) 21-05793 0 FDID State Month Day Year Station Number Exposure Primary Narrative: T-2 responded for reported 14X vehicle traffic collision with extrication required. Upon arrival, T-2 established Grand IC and reported a two vehicle collision with one vehicle on its roof and an occupant inside retrieving personnel items. T-2 confirmed that extrication was not required and reduced the assignment to T-2 and ambulance to handle. Driver and solo occupant of black Audi sedan was self extricated and ambulatory PTA of EMS arrival without complaints of pain or injury. Driver and solo occupant of black vehicle which had collided with Audi and came to rest on it's roof was also able to self extricate and ambulate PTA of EMS. Driver of black vehicle was alert and oriented complaining of minor abrasions to left arm and left shoulder contusion possibly secondary to seatbelt and airbag deployment. Post assessment, patient was offered ambulance transport to hospital which she declined. Patient was advised of all assessment findings and recent vital signs. Patient was advised to seek further medical evaluation and treatment or to contact 911 for further assistance. For further patient specific information refer SLOFD EPCR. A Page 6 of 6 NFIRS -1 Basic 40060 CA 01 14 2022 Fire Station 2 (FS2) 22-00282 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 GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code LOOMIS Cross Street Incident Type 322-Motor vehicle accident with injuries (not extrication) 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 01 14 2022 16:42 Arrival 01 14 2022 16:48 Controlled Last Unit Cleared 01 14 2022 17:22 Shifts and Alarms B FZ2 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 33-Provide advanced life support (ALS) Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 3 8 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:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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: 963-Street or road in commercial 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 Remarks: Arrived to find SLOPD on scene, two vehicles in roadway with major damage. Pt was unrestrained driver of sedan that was struck on the front end by another sedan that was crossing the road. Driving going approx 35mph, see SLOPD report for details. Pt vehicle had major front end damage, no passanger space intrusion and staring on windshield. Both vehicle secured and fluids controlled. SLAS performed pt care on single pt that hit head on windshield, see SLAS PCR for details on pt. T2 assisted with debris removal and cleared by SLOPD without incident. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 40667 Gutierrez, Armando Fire Captain 01/14/2022 Officer In Charge ID Signature Position or Rank Assignment Date 40667 Gutierrez, Armando Fire Captain 01/14/2022 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 01 14 2022 Fire Station 2 (FS2) 22-00282 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:01/14/2022 16:45 Arrival: Clear:01/14/2022 16:50 Sent 1 Suppression EMS Other 93-Cancelled en route ID:T1 Type:12-Truck or aerial Dispatch:01/14/2022 16:42 Arrival: Clear:01/14/2022 16:49 Sent 4 Suppression EMS Other 93-Cancelled en route ID:T2 Type:12-Truck or aerial Dispatch:01/14/2022 16:42 Arrival:01/14/2022 16:48 Clear:01/14/2022 17:22 Sent 3 Suppression EMS Other 33-Provide advanced life support (ALS) 81-Incident command A Page 4 of 6 NFIRS -10 Personnel 40060 CA 01 14 2022 Fire Station 2 (FS2) 22-00282 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:01/14/2022 16:45 Arrival: Clear:01/14/2022 16:50 Sent 1 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 35110 Fox II, Samuel Battalion Chief ID:T1 Type:12-Truck or aerial Dispatch:01/14/2022 16:42 Arrival: Clear:01/14/2022 16:49 Sent 4 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 62800 MacDonald, John Captain 70100 Polkow, Matthew Engineer 14845 Barrett, Richard Engineer 99161 Hutslar, Dane Firefighter ID:T2 Type:12-Truck or aerial Dispatch:01/14/2022 16:42 Arrival:01/14/2022 16:48 Clear:01/14/2022 17:22 Sent 3 Suppression EMS Other 33-Provide advanced life support (ALS) 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 40667 Gutierrez, Armando Captain 92310 Williams, Nathan Engineer 99187 Sensenbach, Mickey Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 01 14 2022 Fire Station 2 (FS2) 22-00282 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Arrived to find SLOPD on scene, two vehicles in roadway with major damage. Pt was unrestrained driver of sedan that was struck on the front end by another sedan that was crossing the road. Driving going approx 35mph, see SLOPD report for details. Pt vehicle had major front end damage, no passanger space intrusion and staring on windshield. Both vehicle secured and fluids controlled. SLAS performed pt care on single pt that hit head on windshield, see SLAS PCR for details on pt. T2 assisted with debris removal and cleared by SLOPD without incident. A Page 6 of 6 NFIRS -1 Basic 40060 CA 07 19 2022 Fire Station 1 (FS1) 22-04019 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 GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code 101SON GRAND Cross Street Incident Type 322-Motor vehicle accident with injuries (not extrication) 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 07 19 2022 10:23 Arrival 07 19 2022 10:30 Controlled Last Unit Cleared 07 19 2022 10:55 Shifts and Alarms B FZ2 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 92-Standby 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:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 5 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 Remarks: Upon arrival Pt.'s being assessed by SLAS; T1 personnel stabilized the scene and cleaned up vehicle fluids. Authorization 88690 Vasquez, Mark Fire Captain 07/21/2022 Officer In Charge ID Signature Position or Rank Assignment Date 88690 Vasquez, Mark Fire Captain 07/21/2022 Member Making Report ID Signature Position or Rank Assignment Date H1 H2 H3 I J K2 L M Page 2 of 5 NFIRS -9 Apparatus or Resources 40060 CA 07 19 2022 Fire Station 1 (FS1) 22-04019 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: Arrival:07/19/2022 10:30 Clear:07/19/2022 10:31 Sent 1 Suppression EMS Other 92-Standby ID:E3 Type:11-Engine Dispatch:07/19/2022 10:23 Arrival:07/19/2022 10:30 Clear: Sent 3 Suppression EMS Other 93-Cancelled en route ID:T1 Type:12-Truck or aerial Dispatch:07/19/2022 10:23 Arrival:07/19/2022 10:34 Clear:07/19/2022 10:55 Sent 4 Suppression EMS Other 70-Assistance, other ID:T2 Type:12-Truck or aerial Dispatch: Arrival: Clear: Sent 3 Suppression EMS Other 93-Cancelled en route A Page 3 of 5 NFIRS -10 Personnel 40060 CA 07 19 2022 Fire Station 1 (FS1) 22-04019 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: Arrival:07/19/2022 10:30 Clear:07/19/2022 10:31 Sent 1 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 35110 Fox II, Samuel Battalion Chief ID:E3 Type:11-Engine Dispatch:07/19/2022 10:23 Arrival:07/19/2022 10:30 Clear: Sent 3 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 46543 Hicks, Judson Firefighter 54183 King, John Engineer 92710 Witt, James Captain ID:T1 Type:12-Truck or aerial Dispatch:07/19/2022 10:23 Arrival:07/19/2022 10:34 Clear:07/19/2022 10:55 Sent 4 Suppression EMS Other 70-Assistance, other Personnel ID Name Rank Role Attend Actions Taken 70100 Polkow, Matthew Engineer 88690 Vasquez, Mark Captain 38890 Gonzalez, Steven Engineer 99164 Sabatino, Jacob Firefighter ID:T2 Type:12-Truck or aerial Dispatch: Arrival: Clear: Sent 3 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 92892 Woods, Mitchell Engineer 34590 Flatos, Alec Firefighter 60045 Lokkart, Eric Captain A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 07 19 2022 Fire Station 1 (FS1) 22-04019 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Upon arrival Pt.'s being assessed by SLAS; T1 personnel stabilized the scene and cleaned up vehicle fluids. A Page 5 of 5 NFIRS -1 Basic 40060 CA 04 21 2023 Fire Station 1 (FS1) 23-02405 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 GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code FREDERICKS Cross Street Incident Type 321-Medical Emergency Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None Their FDID Their State Their Incident Number Dates and Times Alarm 04 21 2023 16:34 Arrival 04 21 2023 16:35 Controlled Last Unit Cleared 04 21 2023 17:36 Shifts and Alarms B FZ2 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value Actions Taken 33-Provide advanced life support (ALS) Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 3 9 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:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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 Remarks: Male cyclist in street of intersection. SLOPD on scene. CPR initiated PTA. T2 and SLAS took over pt care. Pt was struck by vehicle. SLOPD advises speed limit 25 mph. Vehicle sustained front of rear body damage. Helmet found latched to bicycle. See paramedic ePCR for assessment, findings and treatment. BC4 arrived on scene and cancelled 14A response. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 38890 Gonzalez, Steven Fire Captain 04/21/2023 Officer In Charge ID Signature Position or Rank Assignment Date 100076 McClanahan, Maren 04/21/2023 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 04 21 2023 Fire Station 1 (FS1) 23-02405 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:04/21/2023 16:37 Arrival:04/21/2023 16:42 Clear:04/21/2023 17:20 Sent 1 Suppression EMS Other ID:T1 Type:12-Truck or aerial Dispatch:04/21/2023 16:37 Arrival:04/21/2023 16:47 Clear:04/21/2023 17:36 Sent 5 Suppression EMS Other ID:T2 Type:12-Truck or aerial Dispatch:04/21/2023 16:34 Arrival:04/21/2023 16:35 Clear:04/21/2023 17:36 Sent 3 Suppression EMS Other 33-Provide advanced life support (ALS) A Page 4 of 6 NFIRS -10 Personnel 40060 CA 04 21 2023 Fire Station 1 (FS1) 23-02405 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:04/21/2023 16:37 Arrival:04/21/2023 16:42 Clear:04/21/2023 17:20 Sent 1 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 62800 MacDonald, John Battalion Chief ID:T1 Type:12-Truck or aerial Dispatch:04/21/2023 16:37 Arrival:04/21/2023 16:47 Clear:04/21/2023 17:36 Sent 5 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 60045 Lokkart, Eric Captain 50826 Johnston, Kenneth Engineer 70995 Pratt, Jason Engineer 100068 Barkhimer, Jake Firefighter 99164 Sabatino, Jacob .FF ID:T2 Type:12-Truck or aerial Dispatch:04/21/2023 16:34 Arrival:04/21/2023 16:35 Clear:04/21/2023 17:36 Sent 3 Suppression EMS Other 33-Provide advanced life support (ALS) Personnel ID Name Rank Role Attend Actions Taken 38890 Gonzalez, Steven Captain 90841 Weis, Trevor Engineer 100076 McClanahan, Maren Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 04 21 2023 Fire Station 1 (FS1) 23-02405 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Male cyclist in street of intersection. SLOPD on scene. CPR initiated PTA. T2 and SLAS took over pt care. Pt was struck by vehicle. SLOPD advises speed limit 25 mph. Vehicle sustained front of rear body damage. Helmet found latched to bicycle. See paramedic ePCR for assessment, findings and treatment. BC4 arrived on scene and cancelled 14A response. A Page 6 of 6 NFIRS -1 Basic 40060 CA 05 05 2023 Fire Station 2 (FS2) 23-02715 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 GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code LOOMIS Cross Street Incident Type 322-Motor vehicle accident with injuries (not extrication) Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None Their FDID Their State Their Incident Number Dates and Times Alarm 05 05 2023 22:53 Arrival 05 05 2023 23:02 Controlled Last Unit Cleared 05 05 2023 23:17 Shifts and Alarms C FZ2 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 33-Provide advanced life support (ALS) Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 3 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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 Remarks: T2 responded code 3 to dispatched area given. Upon arrival T2 found 2 vehicles involved in a traffic collision which sustained moderate damage. All occupants self extricated from vehicles and 1 driver requested medical attention. T2 paramedic and crew rendered care. Upon arrival of San Luis Ambulance, T2 transferred care and the patient was transported. After transfer of care, T2 remained on scene providing scene clean up. Scene turned over to SLOPD, T2 cleared incident and returned to quarters. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 73250 Renner, David Fire Captain 05/06/2023 Officer In Charge ID Signature Position or Rank Assignment Date 73250 Renner, David Fire Captain 05/06/2023 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 05 05 2023 Fire Station 2 (FS2) 23-02715 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T2 Type:12-Truck or aerial Dispatch:05/05/2023 22:53 Arrival:05/05/2023 23:02 Clear:05/05/2023 23:17 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 05 05 2023 Fire Station 2 (FS2) 23-02715 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T2 Type:12-Truck or aerial Dispatch:05/05/2023 22:53 Arrival:05/05/2023 23:02 Clear:05/05/2023 23:17 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 73250 Renner, David Captain 92310 Williams, Nathan Engineer 99162 Kraemer, Luke Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 05 05 2023 Fire Station 2 (FS2) 23-02715 0 FDID State Month Day Year Station Number Exposure Primary Narrative: T2 responded code 3 to dispatched area given. Upon arrival T2 found 2 vehicles involved in a traffic collision which sustained moderate damage. All occupants self extricated from vehicles and 1 driver requested medical attention. T2 paramedic and crew rendered care. Upon arrival of San Luis Ambulance, T2 transferred care and the patient was transported. After transfer of care, T2 remained on scene providing scene clean up. Scene turned over to SLOPD, T2 cleared incident and returned to quarters. A Page 6 of 6 NFIRS -1 Basic 40060 CA 05 12 2023 Fire Station 2 (FS2) 23-02850 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 GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code ABBOTT Cross Street Incident Type 324-Motor vehicle accident with no injuries Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None Their FDID Their State Their Incident Number Dates and Times Alarm 05 12 2023 02:22 Arrival 05 12 2023 02:29 Controlled Last Unit Cleared 05 12 2023 02:31 Shifts and Alarms C FZ2 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value Actions Taken 70-Assistance, other Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 2 6 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:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 5 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 Remarks: Report of vehicle traffic collision. E3,T2arrived at scene unable to locate (UTL). SLOPD at scene cancelled SLOFD. Authorization 14845 Barrett, Richard Fire Engineer 05/12/2023 Officer In Charge ID Signature Position or Rank Assignment Date 14845 Barrett, Richard Fire Engineer 05/12/2023 Member Making Report ID Signature Position or Rank Assignment Date H1 H2 H3 I J K2 L M Page 2 of 5 NFIRS -9 Apparatus or Resources 40060 CA 05 12 2023 Fire Station 2 (FS2) 23-02850 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E3 Type:11-Engine Dispatch:05/12/2023 02:22 Arrival:05/12/2023 02:29 Clear:05/12/2023 02:30 Sent 3 Suppression EMS Other 92-Standby ID:T2 Type:12-Truck or aerial Dispatch:05/12/2023 02:22 Arrival: Clear:05/12/2023 02:31 Sent 3 Suppression EMS Other 92-Standby A Page 3 of 5 NFIRS -10 Personnel 40060 CA 05 12 2023 Fire Station 2 (FS2) 23-02850 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E3 Type:11-Engine Dispatch:05/12/2023 02:22 Arrival:05/12/2023 02:29 Clear:05/12/2023 02:30 Sent 3 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 14845 Barrett, Richard Captain 30791 Doolin, Luke Firefighter 92335 Williams, Joseph Engineer ID:T2 Type:12-Truck or aerial Dispatch:05/12/2023 02:22 Arrival: Clear:05/12/2023 02:31 Sent 3 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 44555 Hasch, Nathan Captain 92310 Williams, Nathan Engineer 99162 Kraemer, Luke Firefighter A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 05 12 2023 Fire Station 2 (FS2) 23-02850 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Report of vehicle traffic collision. E3,T2arrived at scene unable to locate (UTL). SLOPD at scene cancelled SLOFD. A Page 5 of 5 NFIRS -1 Basic 40060 CA 06 12 2023 Fire Station 2 (FS2) 23-03492 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 GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code LOOMIS Cross Street Incident Type 322-Motor vehicle accident with injuries (not extrication) Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None Their FDID Their State Their Incident Number Dates and Times Alarm 06 12 2023 08:16 Arrival 06 12 2023 08:21 Controlled Last Unit Cleared 06 12 2023 09:06 Shifts and Alarms A FZ2 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 32-Provide basic life support (BLS) Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 3 8 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:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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 Remarks: T2, BC2, and T1 responded to 2 vehicle TC with. Upon arrival BC2 established Grand IC and assigned 360 to T2. T2 found each vehicle with single occupant. 1 Pt, and 1 person denying injury or complaint. T2 with primary care of PT. See PCR for details. PT TOT SLAS for transport. T2 and BC2 cleared scene and terminated command upon arrival of tow trucks and transport of PT. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 34590 Flatos, Alec Fire Captain 06/12/2023 Officer In Charge ID Signature Position or Rank Assignment Date 34590 Flatos, Alec Fire Captain 06/12/2023 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 06 12 2023 Fire Station 2 (FS2) 23-03492 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:06/12/2023 08:18 Arrival:06/12/2023 08:23 Clear: Sent 1 Suppression EMS Other 73-Provide manpower ID:T1 Type:12-Truck or aerial Dispatch:06/12/2023 08:17 Arrival:06/12/2023 08:23 Clear:06/12/2023 08:25 Sent 4 Suppression EMS Other 92-Standby ID:T2 Type:12-Truck or aerial Dispatch:06/12/2023 08:17 Arrival:06/12/2023 08:23 Clear:06/12/2023 09:06 Sent 3 Suppression EMS Other 32-Provide basic life support (BLS) A Page 4 of 6 NFIRS -10 Personnel 40060 CA 06 12 2023 Fire Station 2 (FS2) 23-03492 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:06/12/2023 08:18 Arrival:06/12/2023 08:23 Clear: Sent 1 Suppression EMS Other 73-Provide manpower Personnel ID Name Rank Role Attend Actions Taken 80947 Skove, Shayne Battalion Chief ID:T1 Type:12-Truck or aerial Dispatch:06/12/2023 08:17 Arrival:06/12/2023 08:23 Clear:06/12/2023 08:25 Sent 4 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 99552 Morrison, Keanu Firefighter 70995 Pratt, Jason Captain 70100 Polkow, Matthew Engineer 92335 Williams, Joseph Engineer ID:T2 Type:12-Truck or aerial Dispatch:06/12/2023 08:17 Arrival:06/12/2023 08:23 Clear:06/12/2023 09:06 Sent 3 Suppression EMS Other 32-Provide basic life support (BLS) Personnel ID Name Rank Role Attend Actions Taken 100070 Kaperonis, George Firefighter 92310 Williams, Nathan Engineer 34590 Flatos, Alec Captain A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 06 12 2023 Fire Station 2 (FS2) 23-03492 0 FDID State Month Day Year Station Number Exposure Primary Narrative: T2, BC2, and T1 responded to 2 vehicle TC with. Upon arrival BC2 established Grand IC and assigned 360 to T2. T2 found each vehicle with single occupant. 1 Pt, and 1 person denying injury or complaint. T2 with primary care of PT. See PCR for details. PT TOT SLAS for transport. T2 and BC2 cleared scene and terminated command upon arrival of tow trucks and transport of PT. A Page 6 of 6 NFIRS -1 Basic 40060 CA 06 16 2024 Fire Station 2 (FS2) 24-03372 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 LOOMIS Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code HENDERSON Cross Street Incident Type 322-Motor vehicle accident with injuries (not extrication) Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None Their FDID Their State Their Incident Number Dates and Times Alarm 06 16 2024 06:53 Arrival 06 16 2024 06:59 Controlled Last Unit Cleared 06 16 2024 07:09 Shifts and Alarms C FZ2 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value Actions Taken 33-Provide advanced life support (ALS) Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 3 9 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:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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 Remarks: Loomis and Henderson for a two vehicle TC (see Police report for accident and vehicle information), with one male patient with complaint of side pain under the care of SLAS medic 51 already on scene. T-2 assumed Loomis IC, cancelled T-1 and MR1 personnel, and assisted SLAS medic 51 with patient assessment and patient care (see EMS report). The patient was transported to SVRMC, T-1 returned to quarters. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 54190 54190 Fire Captain Fire Station 3 06/16/2024 Officer In Charge ID Signature Position or Rank Assignment Date 54190 54190 Fire Captain Fire Station 3 06/16/2024 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 06 16 2024 Fire Station 2 (FS2) 24-03372 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:MR1 Type:70-Medical & rescue unit, other Dispatch:06/16/2024 06:55 Arrival: Clear:06/16/2024 07:00 Sent 2 Suppression EMS Other 93-Cancelled en route ID:T1 Type:12-Truck or aerial Dispatch:06/16/2024 06:53 Arrival: Clear:06/16/2024 07:00 Sent 4 Suppression EMS Other 93-Cancelled en route ID:T2 Type:12-Truck or aerial Dispatch:06/16/2024 06:53 Arrival:06/16/2024 06:59 Clear:06/16/2024 07:09 Sent 3 Suppression EMS Other 33-Provide advanced life support (ALS) A Page 4 of 6 NFIRS -10 Personnel 40060 CA 06 16 2024 Fire Station 2 (FS2) 24-03372 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:MR1 Type:70-Medical & rescue unit, other Dispatch:06/16/2024 06:55 Arrival: Clear:06/16/2024 07:00 Sent 2 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 99163 Martin, Ted AR 100070 Kaperonis, George AR ID:T1 Type:12-Truck or aerial Dispatch:06/16/2024 06:53 Arrival: Clear:06/16/2024 07:00 Sent 4 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 70100 Polkow, Matthew Engineer 90841 Weis, Trevor Engineer 66265 Nason, William Captain 99164 Sabatino, Jacob Firefighter ID:T2 Type:12-Truck or aerial Dispatch:06/16/2024 06:53 Arrival:06/16/2024 06:59 Clear:06/16/2024 07:09 Sent 3 Suppression EMS Other 33-Provide advanced life support (ALS) Personnel ID Name Rank Role Attend Actions Taken 74579 Robertson, Travis Engineer 54190 King, Michael Captain 100069 DeLeuw, Casey Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 06 16 2024 Fire Station 2 (FS2) 24-03372 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Loomis and Henderson for a two vehicle TC (see Police report for accident and vehicle information), with one male patient with complaint of side pain under the care of SLAS medic 51 already on scene. T-2 assumed Loomis IC, cancelled T-1 and MR1 personnel, and assisted SLAS medic 51 with patient assessment and patient care (see EMS report). The patient was transported to SVRMC, T-1 returned to quarters. A Page 6 of 6 NFIRS -1 Basic 40060 CA 02 05 2025 Fire Station 2 (FS2) 25-00866 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 GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code LOOMIS Cross Street Incident Type 324-Motor vehicle accident with no injuries 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 02 05 2025 18:35 Arrival 02 05 2025 18:48 Controlled Last Unit Cleared 02 05 2025 19:02 Shifts and Alarms C FZ2 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 33-Provide advanced life support (ALS) Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 2 7 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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: 963-Street or road in commercial 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 Remarks: T-1 and E-2 were dispatch to a report of iPhone accident notification. Prior to response both units were canceled by dispatch. E-2 was then dispatched again code 2 because SLOPD reported driver hyperventilating. On arrival E-2 found one pt in care of SLAS and E-2 assessed the other driver. See further pt information in the PCR. E-2 completed the assignment and returned. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 44555 Hasch, Nathan Captain 02/05/2025 Officer In Charge ID Signature Position or Rank Assignment Date 44555 Hasch, Nathan Captain 02/05/2025 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 02 05 2025 Fire Station 2 (FS2) 25-00866 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E2 Type:11-Engine Dispatch:02/05/2025 18:35 Arrival:02/05/2025 18:48 Clear:02/05/2025 19:00 Sent 3 Suppression EMS Other 33-Provide advanced life support (ALS) ID:T1 Type:12-Truck or aerial Dispatch:02/05/2025 18:35 Arrival: Clear: Sent 4 Suppression EMS Other 93-Cancelled en route A Page 4 of 6 NFIRS -10 Personnel 40060 CA 02 05 2025 Fire Station 2 (FS2) 25-00866 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E2 Type:11-Engine Dispatch:02/05/2025 18:35 Arrival:02/05/2025 18:48 Clear:02/05/2025 19:00 Sent 3 Suppression EMS Other 33-Provide advanced life support (ALS) Personnel ID Name Rank Role Attend Actions Taken 74579 Robertson, Travis Engineer 44555 Hasch, Nathan Captain 99164 Sabatino, Jacob Firefighter ID:T1 Type:12-Truck or aerial Dispatch:02/05/2025 18:35 Arrival: Clear: Sent 4 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 70995 Pratt, Jason Firefighter 70100 Polkow, Matthew Engineer 88690 Vasquez, Mark Captain 90841 Weis, Trevor Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 02 05 2025 Fire Station 2 (FS2) 25-00866 0 FDID State Month Day Year Station Number Exposure Primary Narrative: T-1 and E-2 were dispatch to a report of iPhone accident notification. Prior to response both units were canceled by dispatch. E-2 was then dispatched again code 2 because SLOPD reported driver hyperventilating. On arrival E-2 found one pt in care of SLAS and E-2 assessed the other driver. See further pt information in the PCR. E-2 completed the assignment and returned. A Page 6 of 6 NFIRS -1 Basic 40060 CA 02 12 2025 Fire Station 2 (FS2) 25-01001 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 101N GRAND Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 322-Motor vehicle accident with injuries (not extrication) 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 02 12 2025 17:48 Arrival 02 12 2025 17:54 Controlled Last Unit Cleared 02 12 2025 18:36 Shifts and Alarms A FZ2 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 32-Provide basic life support (BLS) 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:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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 Remarks: All units responded to reports of a multi-vehicle accident on the freeway. E2 arrived and established Grand IC. 6 vehicles were involved with minor to moderate damage. E2 began Pt count and vehicle stabilization. T1 and MR1 with E2 medic and SLAS M52 and SLAS supervisor assigned Pt care. See PCRs for details. Command TOT BC1 upon his arrival. E2 and BC1 remained at the scene until released by CHP. 1 Pt was transported for minor injuries. All units cleared. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 34590 Flatos, Alec Fire Captain 02/13/2025 Officer In Charge ID Signature Position or Rank Assignment Date 34590 Flatos, Alec Fire Captain 02/13/2025 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 02 12 2025 Fire Station 2 (FS2) 25-01001 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:02/12/2025 17:48 Arrival:02/12/2025 17:55 Clear:02/12/2025 18:36 Sent 1 Suppression EMS Other 81-Incident command ID:E2 Type:11-Engine Dispatch:02/12/2025 17:48 Arrival:02/12/2025 17:54 Clear:02/12/2025 18:35 Sent 3 Suppression EMS Other 32-Provide basic life support (BLS) 81-Incident command ID:MR1 Type:70-Medical & rescue unit, other Dispatch:02/12/2025 17:51 Arrival:02/12/2025 17:55 Clear:02/12/2025 18:05 Sent 2 Suppression EMS Other 81-Incident command ID:T1 Type:12-Truck or aerial Dispatch:02/12/2025 17:48 Arrival:02/12/2025 17:55 Clear:02/12/2025 18:13 Sent 4 Suppression EMS Other 32-Provide basic life support (BLS) A Page 4 of 6 NFIRS -10 Personnel 40060 CA 02 12 2025 Fire Station 2 (FS2) 25-01001 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:02/12/2025 17:48 Arrival:02/12/2025 17:55 Clear:02/12/2025 18:36 Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 41550 Hais, Ray Battalion Chief ID:E2 Type:11-Engine Dispatch:02/12/2025 17:48 Arrival:02/12/2025 17:54 Clear:02/12/2025 18:35 Sent 3 Suppression EMS Other 32-Provide basic life support (BLS) 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 30791 Doolin, Luke Engineer 34590 Flatos, Alec Captain 99162 Kraemer, Luke Firefighter ID:MR1 Type:70-Medical & rescue unit, other Dispatch:02/12/2025 17:51 Arrival:02/12/2025 17:55 Clear:02/12/2025 18:05 Sent 2 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 100077 Greenelsh, Nathaniel AR 74579 Robertson, Travis AR ID:T1 Type:12-Truck or aerial Dispatch:02/12/2025 17:48 Arrival:02/12/2025 17:55 Clear:02/12/2025 18:13 Sent 4 Suppression EMS Other 32-Provide basic life support (BLS) Personnel ID Name Rank Role Attend Actions Taken 70995 Pratt, Jason Captain 90841 Weis, Trevor Engineer 99186 McAninch, Scott Engineer 99552 Morrison, Keith Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 02 12 2025 Fire Station 2 (FS2) 25-01001 0 FDID State Month Day Year Station Number Exposure Primary Narrative: All units responded to reports of a multi-vehicle accident on the freeway. E2 arrived and established Grand IC. 6 vehicles were involved with minor to moderate damage. E2 began Pt count and vehicle stabilization. T1 and MR1 with E2 medic and SLAS M52 and SLAS supervisor assigned Pt care. See PCRs for details. Command TOT BC1 upon his arrival. E2 and BC1 remained at the scene until released by CHP. 1 Pt was transported for minor injuries. All units cleared. A Page 6 of 6 NFIRS -1 Basic 40060 CA 05 04 2025 Fire Station 1 (FS1) 25-02740 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 GARFIELD Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code GRAND Cross Street Incident Type 324-Motor vehicle accident with no injuries Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None Their FDID Their State Their Incident Number Dates and Times Alarm 05 04 2025 03:40 Arrival 05 04 2025 03:49 Controlled Last Unit Cleared 05 04 2025 04:00 Shifts and Alarms B FZ2 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value Actions Taken 73-Provide manpower Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 2 7 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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 Remarks: T1 arrived and established command. T1 found 1 vehicle in the median with occupants out of the vehicle. T1 cancelled E3. See EPCR for EMS details. T1 cleared rocks from the roadway, turned the scene over to SLOPD, terminated command and cleared the scene without further incident. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 60045 Lokkart, Eric Fire Captain 05/04/2025 Officer In Charge ID Signature Position or Rank Assignment Date 60045 Lokkart, Eric Fire Captain 05/04/2025 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 05 04 2025 Fire Station 1 (FS1) 25-02740 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E3 Type:11-Engine Dispatch:05/04/2025 03:40 Arrival:05/04/2025 03:49 Clear:05/04/2025 03:51 Sent 3 Suppression EMS Other 92-Standby ID:T1 Type:12-Truck or aerial Dispatch:05/04/2025 03:40 Arrival:05/04/2025 03:53 Clear:05/04/2025 04:00 Sent 4 Suppression EMS Other 32-Provide basic life support (BLS) A Page 4 of 6 NFIRS -10 Personnel 40060 CA 05 04 2025 Fire Station 1 (FS1) 25-02740 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E3 Type:11-Engine Dispatch:05/04/2025 03:40 Arrival:05/04/2025 03:49 Clear:05/04/2025 03:51 Sent 3 Suppression EMS Other 92-Standby Personnel ID Name Rank Role Attend Actions Taken 46543 Hicks, Judson Firefighter 36520 Gatton, Christopher Engineer 92710 Witt, James Captain ID:T1 Type:12-Truck or aerial Dispatch:05/04/2025 03:40 Arrival:05/04/2025 03:53 Clear:05/04/2025 04:00 Sent 4 Suppression EMS Other 32-Provide basic life support (BLS) Personnel ID Name Rank Role Attend Actions Taken 100068 Barkhimer, Jake Engineer 50826 Johnston, Kenneth Firefighter 99162 Kraemer, Luke Engineer 60045 Lokkart, Eric Captain A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 05 04 2025 Fire Station 1 (FS1) 25-02740 0 FDID State Month Day Year Station Number Exposure Primary Narrative: T1 arrived and established command. T1 found 1 vehicle in the median with occupants out of the vehicle. T1 cancelled E3. See EPCR for EMS details. T1 cleared rocks from the roadway, turned the scene over to SLOPD, terminated command and cleared the scene without further incident. Apparatus Narrative for T1: Restroom A Page 6 of 6