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Home My WebLink AboutFire Reports CombinedNFIRS -1 Basic 40060 CA 12 30 2017 Fire Station 4 (FS4) 17-06623 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 12 30 2017 09:40 Arrival 12 30 2017 09:43 Controlled Last Unit Cleared 12 30 2017 09:57 Shifts and Alarms B NA Shift or Platoon Alarms District Special Studies ID#Value Actions Taken IncidentActionsTaken_ProvideFirstAidCheckForInjuries 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: 50 yo female found in POV c/o flu like symptoms. See PCR for findings and treatment. TOC to SLAS M51 Authorization 38890 38890 Fire Captain 12/31/2017 Officer In Charge ID Signature Position or Rank Assignment Date 46955 Hoover, Nicholas Engineer 12/31/2017 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 30 2017 Fire Station 4 (FS4) 17-06623 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:12/30/2017 09:40 Arrival:12/30/2017 09:43 Clear:12/30/2017 09:57 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 12 30 2017 Fire Station 4 (FS4) 17-06623 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:12/30/2017 09:40 Arrival:12/30/2017 09:43 Clear:12/30/2017 09:57 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 38890 Gonzalez, Steven Captain 46955 Hoover, Nicholas Firefighter 60045 Lokkart, Eric Engineer A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 12 30 2017 Fire Station 4 (FS4) 17-06623 0 FDID State Month Day Year Station Number Exposure Primary Narrative: 50 yo female found in POV c/o flu like symptoms. See PCR for findings and treatment. TOC to SLAS M51 A Page 5 of 5 NFIRS -1 Basic 40060 CA 02 13 2018 Fire Station 4 (FS4) 18-00829 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type IncidentType_MedicalAssistAssistEMSCrew 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 02 13 2018 07:54 Arrival 02 13 2018 08:00 Controlled Last Unit Cleared 02 13 2018 08:13 Shifts and Alarms C 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 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: See medical report. Authorization 41600 41600 Fire Captain 02/13/2018 Officer In Charge ID Signature Position or Rank Assignment Date 41600 41600 Fire Captain 02/13/2018 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 02 13 2018 Fire Station 4 (FS4) 18-00829 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:02/13/2018 07:54 Arrival:02/13/2018 08:00 Clear:02/13/2018 08:13 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 02 13 2018 Fire Station 4 (FS4) 18-00829 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:02/13/2018 07:54 Arrival:02/13/2018 08:00 Clear:02/13/2018 08:13 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Fire Fighter 41600 Hale, Gary Fire Captain 61580 Mason, Ryan A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 02 13 2018 Fire Station 4 (FS4) 18-00829 0 FDID State Month Day Year Station Number Exposure Primary Narrative: See medical report. A Page 5 of 5 NFIRS -1 Basic 40060 CA 03 21 2018 Fire Station 4 (FS4) 18-01492 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 711-Municipal alarm system, malicious false alarm 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 03 21 2018 13:03 Arrival 03 21 2018 13:07 Controlled Last Unit Cleared 03 21 2018 13:15 Shifts and Alarms A 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 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: Malicious fire alarm pull station activation. All students were outside and the alarm silenced and pull station had been reset PTA. We visualized the pull station and also checked the MPR which on the MDC was the original issue. The alarm was reset and no further action was required. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 41600 41600 Fire Captain 03/22/2018 Officer In Charge ID Signature Position or Rank Assignment Date 41600 41600 Fire Captain 03/22/2018 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 03 21 2018 Fire Station 4 (FS4) 18-01492 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/21/2018 13:03 Arrival:03/21/2018 13:07 Clear:03/21/2018 13:15 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 03 21 2018 Fire Station 4 (FS4) 18-01492 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/21/2018 13:03 Arrival:03/21/2018 13:07 Clear:03/21/2018 13:15 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Firefighter 61580 Mason, Ryan Engineer 41600 Hale, Gary Captain A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 03 21 2018 Fire Station 4 (FS4) 18-01492 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Malicious fire alarm pull station activation. All students were outside and the alarm silenced and pull station had been reset PTA. We visualized the pull station and also checked the MPR which on the MDC was the original issue. The alarm was reset and no further action was required. A Page 6 of 6 NFIRS -1 Basic 40060 CA 08 14 2018 Fire Station 4 (FS4) 18-03973 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 08 14 2018 14:52 Arrival 08 14 2018 14:56 Controlled Last Unit Cleared 08 14 2018 15:24 Shifts and Alarms B 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: 210-Schools, non-adult, other Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. Owner Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix Number Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code Remarks: 11 yo child found sitting on chair IFO school close to parked vehicle. According to 14yo witnessed, he noticed 10 yo trying to exit vehicle. When unable to exit vehicle (locked door) he started to panic and get upset. The 14yo then contacted 911. The child self extricated and was crying. See PCR for assessment and findings. PD contacted for investigation. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 38890 38890 Fire Captain 08/15/2018 Officer In Charge ID Signature Position or Rank Assignment Date 73110 73110 Fire Fighter 08/15/2018 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 08 14 2018 Fire Station 4 (FS4) 18-03973 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:08/14/2018 14:52 Arrival:08/14/2018 14:56 Clear:08/14/2018 15:24 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 08 14 2018 Fire Station 4 (FS4) 18-03973 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:08/14/2018 14:52 Arrival:08/14/2018 14:56 Clear:08/14/2018 15:24 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 73110 Reiss, Devin Firefighter 38890 Gonzalez, Steven Captain 41600 Hale, Gary Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 08 14 2018 Fire Station 4 (FS4) 18-03973 0 FDID State Month Day Year Station Number Exposure Primary Narrative: 11 yo child found sitting on chair IFO school close to parked vehicle. According to 14yo witnessed, he noticed 10 yo trying to exit vehicle. When unable to exit vehicle (locked door) he started to panic and get upset. The 14yo then contacted 911. The child self extricated and was crying. See PCR for assessment and findings. PD contacted for investigation. A Page 6 of 6 NFIRS -1 Basic 40060 CA 12 19 2018 Fire Station 4 (FS4) 18-06298 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 611-Dispatched and cancelled en route 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 19 2018 11:20 Arrival Controlled Last Unit Cleared 12 19 2018 11:22 Shifts and Alarms B NA Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 93-Cancelled en route 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: Cancelled by Dispatch prior to responding Authorization 38890 38890 Fire Captain 12/19/2018 Officer In Charge ID Signature Position or Rank Assignment Date 38890 38890 Fire Captain 12/19/2018 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 19 2018 Fire Station 4 (FS4) 18-06298 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:12/19/2018 11:20 Arrival: Clear:12/19/2018 11:22 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 12 19 2018 Fire Station 4 (FS4) 18-06298 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:12/19/2018 11:20 Arrival: Clear:12/19/2018 11:22 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 38890 Gonzalez, Steven Captain 34590 Flatos, Alec Firefighter 60045 Lokkart, Eric Engineer A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 12 19 2018 Fire Station 4 (FS4) 18-06298 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Cancelled by Dispatch prior to responding A Page 5 of 5 NFIRS -1 Basic 40060 CA 03 01 2019 Fire Station 4 (FS4) 19-01090 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 03 01 2019 17:12 Arrival 03 01 2019 17:18 Controlled Last Unit Cleared 03 01 2019 17:34 Shifts and Alarms B 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: Female found on mat of wrestling competition. While competing experienced "pop" causing injury to shoulder. Pt found sitting. See PCR for assessment and findings. TOC to SLAS> H1 H2 H3 I J K2 L Page 2 of 6 Authorization 38890 38890 Fire Captain 03/02/2019 Officer In Charge ID Signature Position or Rank Assignment Date 73110 73110 Fire Fighter 03/02/2019 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 03 01 2019 Fire Station 4 (FS4) 19-01090 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/01/2019 17:12 Arrival:03/01/2019 17:18 Clear:03/01/2019 17:34 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 03 01 2019 Fire Station 4 (FS4) 19-01090 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/01/2019 17:12 Arrival:03/01/2019 17:18 Clear:03/01/2019 17:34 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 73110 Reiss, Devin Firefighter 38890 Gonzalez, Steven Captain 92710 Witt, James Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 03 01 2019 Fire Station 4 (FS4) 19-01090 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Female found on mat of wrestling competition. While competing experienced "pop" causing injury to shoulder. Pt found sitting. See PCR for assessment and findings. TOC to SLAS> A Page 6 of 6 NFIRS -1 Basic 40060 CA 03 14 2019 Fire Station 4 (FS4) 19-01385 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 140-Natural vegetation fire, other Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None California Their FDID Their State Their Incident Number Dates and Times Alarm 03 14 2019 17:48 Arrival 03 14 2019 17:52 Controlled 03 14 2019 17:58 Last Unit Cleared 03 14 2019 18:00 Shifts and Alarms C NA Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 10-Fire control or extinguishment, other Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 3 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ 0 Contents:$ 0 Pre-Incident Values: Optional None Property:$ 0 Contents:$ 0 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: E4 responded to small planter box fire along the road; E4 extinguished and returned. Authorization 88690 Vasquez, Mark Fire Captain 03/17/2019 Officer In Charge ID Signature Position or Rank Assignment Date 88690 Vasquez, Mark Fire Captain 03/17/2019 Member Making Report ID Signature Position or Rank Assignment Date H1 H2 H3 I J K2 L M Page 2 of 6 NFIRS -2 Fire 40060 CA 03 14 2019 Fire Station 4 (FS4) 19-01385 0 FDID State Month Day Year Station Number Exposure Property Details B1 Not Residential Estimated number of residential living units in the building of origin whether or not all units became involved B2 Buildings Not Involved Number of buildings involved B3 None Less than 1 acre Acres burned (outside fires) On-Site Materials Or Products On-Site Materials Storage Use Ignition D1 Area of Fire Origin D2 Heat Source D3 Item First Ignited D4 Type of Material First Ignited Cause of Ignition 1 - Intentional 2 - Unintentional 3 - Failure of Equipment or Heat Source 4 - Act of Nature 5 - Cause Under Investigation U - Cause Undetermined After Investigation Factors Contributing to Ignition Human Factors Contributing to Ignition Check all applicable boxes None 1 - Asleep 2 - Possibly impaired by alcohol or drugs 3 - Unattended person 4 - Possibly Mentally Disabled 5 - Physically Disabled 6 - Multiple Persons Involved 7 - Age Was A Factor Estimated Age of Person Involved Male Female Equipment Involved In Ignition Equipment Involved Brand Model Serial # Year Equipment Power Source Equipment Power Source Equipment Portability 1 - Portable 2 - Stationary Portable equipment normally can be moved by one or two persons. Fire Suppression Factors Mobile Property Involved 1 - Not involved in ignition, but burned 2 - Involved in ignition, but did not burn 3 - Involved in ignition and burned None Mobile Property Type and Make Mobile Property Type Mobile Property Make Local Use Pre-Fire Plan Available Arson Report Attached Police Report Attached Coroner Report Attached Other Reports Attached Mobile Property Model Year State License Plate Number VIN _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ A B C D E1 E2 E3 F1 F2 F3 G H1 H2 Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 03 14 2019 Fire Station 4 (FS4) 19-01385 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/14/2019 17:48 Arrival:03/14/2019 17:52 Clear:03/14/2019 18:00 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 03 14 2019 Fire Station 4 (FS4) 19-01385 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/14/2019 17:48 Arrival:03/14/2019 17:52 Clear:03/14/2019 18:00 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 38890 Gonzalez, Steven Engineer 92710 Witt, James Firefighter 88690 Vasquez, Mark Captain A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 03 14 2019 Fire Station 4 (FS4) 19-01385 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 responded to small planter box fire along the road; E4 extinguished and returned. A Page 6 of 6 NFIRS -1 Basic 40060 CA 03 17 2019 Fire Station 4 (FS4) 19-01443 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 142-Brush or brush-and-grass mixture fire Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None California Their FDID Their State Their Incident Number Dates and Times Alarm 03 17 2019 19:02 Arrival 03 17 2019 19:06 Controlled 03 17 2019 19:09 Last Unit Cleared 03 17 2019 19:12 Shifts and Alarms A NA Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 10-Fire control or extinguishment, other Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 3 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 7 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: Engine 4 dispatched code 3 to a small brush fire between the sidewalk and the junior high school. Upon our arrival a brush fire approximately 10 feet by 10 feet was burning. The fire was extinguished. A bystander was present whom called it in. The bystander did not see how the fire started. A small group of juveniles were across the street watching. FF Witt informed me that the same group was out watching 3 days prior when a fire in the same general area started. SLOPD was notified. H1 H2 H3 I J K2 L Page 2 of 7 Authorization 70995 Pratt, Jason Fire Engineer 03/18/2019 Officer In Charge ID Signature Position or Rank Assignment Date 70995 Pratt, Jason Fire Engineer 03/18/2019 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 7 NFIRS -2 Fire 40060 CA 03 17 2019 Fire Station 4 (FS4) 19-01443 0 FDID State Month Day Year Station Number Exposure Property Details B1 Not Residential Estimated number of residential living units in the building of origin whether or not all units became involved B2 Buildings Not Involved Number of buildings involved B3 None Less than 1 acre Acres burned (outside fires) On-Site Materials Or Products On-Site Materials Storage Use Ignition D1 Area of Fire Origin D2 Heat Source D3 Item First Ignited D4 Type of Material First Ignited Cause of Ignition 1 - Intentional 2 - Unintentional 3 - Failure of Equipment or Heat Source 4 - Act of Nature 5 - Cause Under Investigation U - Cause Undetermined After Investigation Factors Contributing to Ignition Human Factors Contributing to Ignition Check all applicable boxes None 1 - Asleep 2 - Possibly impaired by alcohol or drugs 3 - Unattended person 4 - Possibly Mentally Disabled 5 - Physically Disabled 6 - Multiple Persons Involved 7 - Age Was A Factor Estimated Age of Person Involved Male Female Equipment Involved In Ignition Equipment Involved Brand Model Serial # Year Equipment Power Source Equipment Power Source Equipment Portability 1 - Portable 2 - Stationary Portable equipment normally can be moved by one or two persons. Fire Suppression Factors Mobile Property Involved 1 - Not involved in ignition, but burned 2 - Involved in ignition, but did not burn 3 - Involved in ignition and burned None Mobile Property Type and Make Mobile Property Type Mobile Property Make Local Use Pre-Fire Plan Available Arson Report Attached Police Report Attached Coroner Report Attached Other Reports Attached Mobile Property Model Year State License Plate Number VIN _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ A B C D E1 E2 E3 F1 F2 F3 G H1 H2 Page 4 of 7 NFIRS -9 Apparatus or Resources 40060 CA 03 17 2019 Fire Station 4 (FS4) 19-01443 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/17/2019 19:02 Arrival:03/17/2019 19:06 Clear:03/17/2019 19:12 Sent 3 Suppression EMS Other A Page 5 of 7 NFIRS -10 Personnel 40060 CA 03 17 2019 Fire Station 4 (FS4) 19-01443 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/17/2019 19:02 Arrival:03/17/2019 19:06 Clear:03/17/2019 19:12 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Firefighter 70995 Pratt, Jason Captain 92710 Witt, James Engineer A Page 6 of 7 NFIRS -1S Supplemental 40060 CA 03 17 2019 Fire Station 4 (FS4) 19-01443 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Engine 4 dispatched code 3 to a small brush fire between the sidewalk and the junior high school. Upon our arrival a brush fire approximately 10 feet by 10 feet was burning. The fire was extinguished. A bystander was present whom called it in. The bystander did not see how the fire started. A small group of juveniles were across the street watching. FF Witt informed me that the same group was out watching 3 days prior when a fire in the same general area started. SLOPD was notified. A Page 7 of 7 NFIRS -1 Basic 40060 CA 04 23 2019 Fire Station 4 (FS4) 19-02082 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 04 23 2019 13:22 Arrival 04 23 2019 13:26 Controlled Last Unit Cleared 04 23 2019 13:48 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 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: 12 year old male sustained injury to left shoulder while playing on grass outside of gym. Father arrived on scene for authorization to treat. pt provided care. See SLAS for report and medication administration. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 38890 38890 Fire Captain 04/28/2019 Officer In Charge ID Signature Position or Rank Assignment Date 73110 73110 Fire Fighter 04/28/2019 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 04 23 2019 Fire Station 4 (FS4) 19-02082 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:04/23/2019 13:22 Arrival:04/23/2019 13:26 Clear:04/23/2019 13:48 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 04 23 2019 Fire Station 4 (FS4) 19-02082 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:04/23/2019 13:22 Arrival:04/23/2019 13:26 Clear:04/23/2019 13:48 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 73110 Reiss, Devin Engineer 38890 Gonzalez, Steven Captain 34590 Flatos, Alec Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 04 23 2019 Fire Station 4 (FS4) 19-02082 0 FDID State Month Day Year Station Number Exposure Primary Narrative: 12 year old male sustained injury to left shoulder while playing on grass outside of gym. Father arrived on scene for authorization to treat. pt provided care. See SLAS for report and medication administration. A Page 6 of 6 NFIRS -1 Basic 40060 CA 05 11 2019 Fire Station 4 (FS4) 19-02413 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 05 11 2019 12:36 Arrival 05 11 2019 12:40 Controlled Last Unit Cleared 05 11 2019 13:22 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 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: 14 yo sustained knee injury while playing softb. Father and mother on scene. Authorization 38890 38890 Fire Captain 05/13/2019 Officer In Charge ID Signature Position or Rank Assignment Date 73110 73110 Fire Fighter 05/13/2019 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 11 2019 Fire Station 4 (FS4) 19-02413 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:05/11/2019 12:36 Arrival:05/11/2019 12:40 Clear:05/11/2019 13:22 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 05 11 2019 Fire Station 4 (FS4) 19-02413 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:05/11/2019 12:36 Arrival:05/11/2019 12:40 Clear:05/11/2019 13:22 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Firefighter 73110 Reiss, Devin Engineer 38890 Gonzalez, Steven Captain A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 05 11 2019 Fire Station 4 (FS4) 19-02413 0 FDID State Month Day Year Station Number Exposure Primary Narrative: 14 yo sustained knee injury while playing softb. Father and mother on scene. A Page 5 of 5 NFIRS -1 Basic 40060 CA 12 04 2019 Fire Station 4 (FS4) 19-06236 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 740-Unintentional transmission of alarm, other Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None California Their FDID Their State Their Incident Number Dates and Times Alarm 12 04 2019 06:00 Arrival 12 04 2019 06:05 Controlled Last Unit Cleared 12 04 2019 06:21 Shifts and Alarms C FZ4 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 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: 11050 LOVR for a fire alarm activation, upon arrival E-4 found no alarm sounding and panel indicated normal operation. No hazard was found on premises and E-4 returned to quarters. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 54190 54190 Fire Captain 12/04/2019 Officer In Charge ID Signature Position or Rank Assignment Date 54190 54190 Fire Captain 12/04/2019 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 12 04 2019 Fire Station 4 (FS4) 19-06236 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:12/04/2019 06:00 Arrival:12/04/2019 06:05 Clear:12/04/2019 06:21 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 12 04 2019 Fire Station 4 (FS4) 19-06236 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:12/04/2019 06:00 Arrival:12/04/2019 06:05 Clear:12/04/2019 06:21 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 54190 King, Michael Captain 92335 Williams, Joseph Engineer 92710 Witt, James Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 12 04 2019 Fire Station 4 (FS4) 19-06236 0 FDID State Month Day Year Station Number Exposure Primary Narrative: 11050 LOVR for a fire alarm activation, upon arrival E-4 found no alarm sounding and panel indicated normal operation. No hazard was found on premises and E-4 returned to quarters. A Page 6 of 6 NFIRS -1 Basic 40060 CA 03 15 2020 Fire Station 4 (FS4) 20-01323 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 03 15 2020 14:39 Arrival 03 15 2020 14:47 Controlled Last Unit Cleared 03 15 2020 15:08 Shifts and Alarms C FZ4 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 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: Upon arrival Pt. being assessed and treated by SLAS ; E4 assisted loading Pt. for transport. Authorization 88690 Vasquez, Mark Fire Captain 03/16/2020 Officer In Charge ID Signature Position or Rank Assignment Date 88690 Vasquez, Mark Fire Captain 03/16/2020 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 03 15 2020 Fire Station 4 (FS4) 20-01323 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/15/2020 14:39 Arrival:03/15/2020 14:47 Clear:03/15/2020 15:08 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 03 15 2020 Fire Station 4 (FS4) 20-01323 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/15/2020 14:39 Arrival:03/15/2020 14:47 Clear:03/15/2020 15:08 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 88690 Vasquez, Mark Captain 92335 Williams, Joseph Engineer 92710 Witt, James Firefighter A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 03 15 2020 Fire Station 4 (FS4) 20-01323 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Upon arrival Pt. being assessed and treated by SLAS ; E4 assisted loading Pt. for transport. A Page 5 of 5 NFIRS -1 Basic 40060 CA 04 23 2020 Fire Station 4 (FS4) 20-01860 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 04 23 2020 07:27 Arrival 04 23 2020 07:33 Controlled Last Unit Cleared 04 23 2020 07:51 Shifts and Alarms A FZ4 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: E4 responded to elderly male fall. Upon arrival E4 found Pt lying on ground in grass c/o trip fall. Pt oriented denying medical complaint or injury. Pt willingly signed refusal and transported home with wife. E4 cleared. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 34590 Flatos, Alec Fire Engineer 04/27/2020 Officer In Charge ID Signature Position or Rank Assignment Date 34590 Flatos, Alec Fire Engineer 04/27/2020 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 04 23 2020 Fire Station 4 (FS4) 20-01860 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:04/23/2020 07:27 Arrival:04/23/2020 07:33 Clear:04/23/2020 07:51 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 04 23 2020 Fire Station 4 (FS4) 20-01860 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:04/23/2020 07:27 Arrival:04/23/2020 07:33 Clear:04/23/2020 07:51 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 41600 Hale, Gary Captain 34590 Flatos, Alec Engineer 57382 Larsen, Patrick Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 04 23 2020 Fire Station 4 (FS4) 20-01860 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 responded to elderly male fall. Upon arrival E4 found Pt lying on ground in grass c/o trip fall. Pt oriented denying medical complaint or injury. Pt willingly signed refusal and transported home with wife. E4 cleared. A Page 6 of 6 NFIRS -1 Basic 40060 CA 04 23 2020 Fire Station 1 (FS1) 20-01864 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 550-Public service assistance, other Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None California Their FDID Their State Their Incident Number Dates and Times Alarm 04 23 2020 12:56 Arrival 04 23 2020 12:56 Controlled Last Unit Cleared 04 23 2020 13:06 Shifts and Alarms B FZ4 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 70-Assistance, other Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 1 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: 210-Schools, non-adult, other Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. Owner Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix Number Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code Remarks: BC2 C2 to assist elderly female with locating lost item. Authorization 35110 Fox II, Samuel Battalion Chief 05/05/2020 Officer In Charge ID Signature Position or Rank Assignment Date 35110 Fox II, Samuel Battalion Chief 05/05/2020 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 04 23 2020 Fire Station 1 (FS1) 20-01864 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:04/23/2020 12:56 Clear:04/23/2020 13:06 Sent 1 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 04 23 2020 Fire Station 1 (FS1) 20-01864 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:04/23/2020 12:56 Clear:04/23/2020 13:06 Sent 1 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 35110 Fox II, Samuel Battalion Chief A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 04 23 2020 Fire Station 1 (FS1) 20-01864 0 FDID State Month Day Year Station Number Exposure Primary Narrative: BC2 C2 to assist elderly female with locating lost item. A Page 5 of 5 NFIRS -1 Basic 40060 CA 08 05 2020 Fire Station 4 (FS4) 20-03454 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 622-No incident found on arrival at dispatch address 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 08 05 2020 11:29 Arrival 08 05 2020 11:33 Controlled Last Unit Cleared 08 05 2020 11:35 Shifts and Alarms C FZ4 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 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: Upon arrival of noninjury TC; E4 PD had made access to vehicle and no assistance was needed; E4 cancelled. Authorization 88690 Vasquez, Mark Fire Captain 10/05/2020 Officer In Charge ID Signature Position or Rank Assignment Date 88690 Vasquez, Mark Fire Captain 10/05/2020 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 08 05 2020 Fire Station 4 (FS4) 20-03454 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:08/05/2020 11:29 Arrival:08/05/2020 11:33 Clear:08/05/2020 11:35 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 08 05 2020 Fire Station 4 (FS4) 20-03454 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:08/05/2020 11:29 Arrival:08/05/2020 11:33 Clear:08/05/2020 11:35 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 57385 Larson, Jody Firefighter 88690 Vasquez, Mark Captain 92335 Williams, Joseph Engineer A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 08 05 2020 Fire Station 4 (FS4) 20-03454 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Upon arrival of noninjury TC; E4 PD had made access to vehicle and no assistance was needed; E4 cancelled. A Page 5 of 5 NFIRS -1 Basic 40060 CA 07 02 2021 Fire Station 4 (FS4) 21-03018 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 611-Dispatched and cancelled en route 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 02 2021 10:12 Arrival Controlled Last Unit Cleared 07 02 2021 10:13 Shifts and Alarms C FZ4 Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 93-Cancelled en route 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: Cancelled response. Authorization 88690 Vasquez, Mark Fire Captain 07/02/2021 Officer In Charge ID Signature Position or Rank Assignment Date 88690 Vasquez, Mark Fire Captain 07/02/2021 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 02 2021 Fire Station 4 (FS4) 21-03018 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:07/02/2021 10:12 Arrival: Clear:07/02/2021 10:13 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 07 02 2021 Fire Station 4 (FS4) 21-03018 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:07/02/2021 10:12 Arrival: Clear:07/02/2021 10:13 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Engineer 88690 Vasquez, Mark Captain 30791 Doolin, Luke Firefighter A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 07 02 2021 Fire Station 4 (FS4) 21-03018 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Cancelled response. A Page 5 of 5 NFIRS -1 Basic 40060 CA 09 23 2021 Fire Station 4 (FS4) 21-04524 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 09 23 2021 09:07 Arrival 09 23 2021 09:11 Controlled Last Unit Cleared 09 23 2021 09:38 Shifts and Alarms C FZ4 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 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: Medical - Patients mother signed AMA. Authorization 92710 Witt, James Fire Fighter 09/23/2021 Officer In Charge ID Signature Position or Rank Assignment Date 92710 Witt, James Fire Fighter 09/23/2021 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 09 23 2021 Fire Station 4 (FS4) 21-04524 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:09/23/2021 09:07 Arrival:09/23/2021 09:11 Clear:09/23/2021 09:38 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 09 23 2021 Fire Station 4 (FS4) 21-04524 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:09/23/2021 09:07 Arrival:09/23/2021 09:11 Clear:09/23/2021 09:38 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 36520 Gatton, Christopher Captain 92710 Witt, James Engineer 30791 Doolin, Luke Firefighter A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 09 23 2021 Fire Station 4 (FS4) 21-04524 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Medical - Patients mother signed AMA. A Page 5 of 5 NFIRS -1 Basic 40060 CA 10 22 2021 Fire Station 4 (FS4) 21-05145 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 611-Dispatched and cancelled en route 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 10 22 2021 12:46 Arrival Controlled Last Unit Cleared 10 22 2021 12:50 Shifts and Alarms B FZ4 Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 93-Cancelled en route 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: E4 responded code 3 to a reported student with hand caught in sewing machine, E4 was cancelled upon arrival by school staff. E4 available. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 40667 Gutierrez, Armando Fire Captain 10/22/2021 Officer In Charge ID Signature Position or Rank Assignment Date 25944 Child, Robert Engineer 10/22/2021 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 10 22 2021 Fire Station 4 (FS4) 21-05145 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:10/22/2021 12:46 Arrival: Clear:10/22/2021 12:50 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 10 22 2021 Fire Station 4 (FS4) 21-05145 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:10/22/2021 12:46 Arrival: Clear:10/22/2021 12:50 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 40667 Gutierrez, Armando Captain 25944 Child, Robert Engineer 80947 Skove, Shayne Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 10 22 2021 Fire Station 4 (FS4) 21-05145 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 responded code 3 to a reported student with hand caught in sewing machine, E4 was cancelled upon arrival by school staff. E4 available. A Page 6 of 6 NFIRS -1 Basic 40060 CA 07 15 2021 Fire Station 4 (FS4) 21-03216 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 745-Alarm system activation, no fire - unintentional 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 15 2021 12:38 Arrival 07 15 2021 12:44 Controlled Last Unit Cleared 07 15 2021 12:47 Shifts and Alarms A FZ4 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value Actions Taken 86-Investigate Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 3 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ 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: E-4 responded code 3 to a report of alarms ringing. On arrival E-4 found occupants in normal day to day activities and no audible alarm. E-4 made contact with a teach who was assisting with access. Prior to entry, Dispatch advised the alarm company called and reported a false alarm, no incident. E-4 completed the assignment and returned. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 44555 Hasch, Nathan Fire Engineer 07/16/2021 Officer In Charge ID Signature Position or Rank Assignment Date 44555 Hasch, Nathan Fire Engineer 07/16/2021 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 07 15 2021 Fire Station 4 (FS4) 21-03216 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:07/15/2021 12:38 Arrival:07/15/2021 12:44 Clear:07/15/2021 12:47 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 07 15 2021 Fire Station 4 (FS4) 21-03216 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:07/15/2021 12:38 Arrival:07/15/2021 12:44 Clear:07/15/2021 12:47 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 44555 Hasch, Nathan Captain 70995 Pratt, Jason Engineer 90841 Weis, Trevor Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 07 15 2021 Fire Station 4 (FS4) 21-03216 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E-4 responded code 3 to a report of alarms ringing. On arrival E-4 found occupants in normal day to day activities and no audible alarm. E-4 made contact with a teach who was assisting with access. Prior to entry, Dispatch advised the alarm company called and reported a false alarm, no incident. E-4 completed the assignment and returned. A Page 6 of 6 NFIRS -1 Basic 40060 CA 03 22 2022 Fire Station 4 (FS4) 22-01527 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 03 22 2022 13:00 Arrival 03 22 2022 13:04 Controlled Last Unit Cleared 03 22 2022 13:22 Shifts and Alarms C FZ4 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: E4 responded to above location for female with medical complaint. Pt was assessed and due to being a minor, mother arrived and denied ambulance transport. Pt lefted in care with mother and E4 cleared incident. For more information, see SLOFD ePCR. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 50050 Jeckell, Matthew Fire Captain 03/22/2022 Officer In Charge ID Signature Position or Rank Assignment Date 50050 Jeckell, Matthew Fire Captain 03/22/2022 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 03 22 2022 Fire Station 4 (FS4) 22-01527 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/22/2022 13:00 Arrival:03/22/2022 13:04 Clear:03/22/2022 13:22 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 03 22 2022 Fire Station 4 (FS4) 22-01527 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/22/2022 13:00 Arrival:03/22/2022 13:04 Clear:03/22/2022 13:22 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 50050 Jeckell, Matthew Captain 90841 Weis, Trevor Engineer 99164 Sabatino, Jacob Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 03 22 2022 Fire Station 4 (FS4) 22-01527 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 responded to above location for female with medical complaint. Pt was assessed and due to being a minor, mother arrived and denied ambulance transport. Pt lefted in care with mother and E4 cleared incident. For more information, see SLOFD ePCR. A Page 6 of 6 NFIRS -1 Basic 40060 CA 05 23 2022 Fire Station 4 (FS4) 22-02868 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 05 23 2022 12:19 Arrival 05 23 2022 12:23 Controlled Last Unit Cleared 05 23 2022 12:52 Shifts and Alarms A NA FZ4 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: Engine 4 code 3 to local middle school for a 12 year old male with a chief complaint of a rapid heartrate. Upon our arrival the patient was found supine on the medical bed in the nurses station. The nurse stated the patient was eating lunch when he felt his heart start "racing." The patient was treated under the SVT protocol and was able to convert to a normal sinus rhythm. The patient's mother was called who stated she was a medical doctor and did not want her son transported to hospital by ambulance. Engine 4 waited on scene until his mother showed up. The patient's vitals were now within normal limits. The patient's mother was given a medical pass-on and an AMA was obtained from her. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 70995 Pratt, Jason Fire Captain 05/23/2022 Officer In Charge ID Signature Position or Rank Assignment Date 70995 Pratt, Jason Fire Captain 05/23/2022 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 05 23 2022 Fire Station 4 (FS4) 22-02868 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:05/23/2022 12:19 Arrival:05/23/2022 12:23 Clear:05/23/2022 12:52 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 05 23 2022 Fire Station 4 (FS4) 22-02868 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:05/23/2022 12:19 Arrival:05/23/2022 12:23 Clear:05/23/2022 12:52 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 99163 Martin, Ted Firefighter 70995 Pratt, Jason Captain 57382 Larsen, Patrick Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 05 23 2022 Fire Station 4 (FS4) 22-02868 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Engine 4 code 3 to local middle school for a 12 year old male with a chief complaint of a rapid heartrate. Upon our arrival the patient was found supine on the medical bed in the nurses station. The nurse stated the patient was eating lunch when he felt his heart start "racing." The patient was treated under the SVT protocol and was able to convert to a normal sinus rhythm. The patient's mother was called who stated she was a medical doctor and did not want her son transported to hospital by ambulance. Engine 4 waited on scene until his mother showed up. The patient's vitals were now within normal limits. The patient's mother was given a medical pass-on and an AMA was obtained from her. A Page 6 of 6 NFIRS -1 Basic 40060 CA 12 02 2022 Fire Station 1 (FS1) 22-06883 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type IncidentType_MedicalAssistAssistEMSCrew 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 12 02 2022 11:36 Arrival 12 02 2022 11:55 Controlled Last Unit Cleared 12 02 2022 12:14 Shifts and Alarms A NA FZ4 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 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: Truck 1 dispatched code 3 to a local middle school for a student with a chief complaint of syncope. Upon our arrival the patient was found in care of SLAS and her parent. T1s crew assisted with carrying equipment only. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 70995 Pratt, Jason Fire Captain 01/02/2023 Officer In Charge ID Signature Position or Rank Assignment Date 70995 Pratt, Jason Fire Captain 01/02/2023 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 12 02 2022 Fire Station 1 (FS1) 22-06883 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:12/02/2022 11:36 Arrival: Clear: Sent 3 Suppression EMS Other 93-Cancelled en route ID:T1 Type:12-Truck or aerial Dispatch:12/02/2022 11:48 Arrival:12/02/2022 11:55 Clear:12/02/2022 12:14 Sent 4 Suppression EMS Other 93-Cancelled en route A Page 4 of 6 NFIRS -10 Personnel 40060 CA 12 02 2022 Fire Station 1 (FS1) 22-06883 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:12/02/2022 11:36 Arrival: Clear: Sent 3 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Engineer 99188 Thoele, Brendan Firefighter 14845 Barrett, Richard Captain ID:T1 Type:12-Truck or aerial Dispatch:12/02/2022 11:48 Arrival:12/02/2022 11:55 Clear:12/02/2022 12:14 Sent 4 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 57382 Larsen, Patrick Engineer 70995 Pratt, Jason Captain 73250 Renner, David Engineer 99186 McAninch, Scott Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 12 02 2022 Fire Station 1 (FS1) 22-06883 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Truck 1 dispatched code 3 to a local middle school for a student with a chief complaint of syncope. Upon our arrival the patient was found in care of SLAS and her parent. T1s crew assisted with carrying equipment only. A Page 6 of 6 NFIRS -1 Basic 40060 CA 12 09 2022 Fire Station 3 (FS3) 22-07048 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 12 09 2022 09:52 Arrival 12 09 2022 10:00 Controlled Last Unit Cleared 12 09 2022 10:13 Shifts and Alarms B FZ4 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 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: Medical - Pts father signed AMA. Authorization 92710 Witt, James Fire Fighter 12/09/2022 Officer In Charge ID Signature Position or Rank Assignment Date 92710 Witt, James Fire Fighter 12/09/2022 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 12 09 2022 Fire Station 3 (FS3) 22-07048 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:12/09/2022 09:52 Arrival:12/09/2022 10:00 Clear:12/09/2022 10:13 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 12 09 2022 Fire Station 3 (FS3) 22-07048 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:12/09/2022 09:52 Arrival:12/09/2022 10:00 Clear:12/09/2022 10:13 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 54183 King, John Engineer 92710 Witt, James Captain 99187 Sensenbach, Mickey Firefighter A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 12 09 2022 Fire Station 3 (FS3) 22-07048 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Medical - Pts father signed AMA. A Page 5 of 5 NFIRS -1 Basic 40060 CA 02 04 2023 Fire Station 4 (FS4) 23-00796 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 02 04 2023 13:25 Arrival 02 04 2023 13:29 Controlled Last Unit Cleared 02 04 2023 14:12 Shifts and Alarms C FZ4 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: 200-Educational, other Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. Owner Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix Number Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code Remarks: E4 responded to above location for a female with medical complaint of possible fractured arm secondary to playing youth soccer. Pt was assessed and treated by paramedic. PTA, physician and retired fire captain assisted with pt care and splinted arm with cardboard. Pt was trasferred to backbaord and walked to nearby street where SLAS was staged for packaging and transport. Care TOT SLAS for code two transport to SVRMC for further evaluation. For more information, see SLOFD and SLAS ePCR. E4 cleared incident. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 50050 Jeckell, Matthew Fire Captain 02/04/2023 Officer In Charge ID Signature Position or Rank Assignment Date 50050 Jeckell, Matthew Fire Captain 02/04/2023 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 02 04 2023 Fire Station 4 (FS4) 23-00796 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:02/04/2023 13:25 Arrival:02/04/2023 13:29 Clear:02/04/2023 14:12 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 02 04 2023 Fire Station 4 (FS4) 23-00796 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:02/04/2023 13:25 Arrival:02/04/2023 13:29 Clear:02/04/2023 14:12 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Engineer 50050 Jeckell, Matthew Captain 99162 Kraemer, Luke Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 02 04 2023 Fire Station 4 (FS4) 23-00796 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 responded to above location for a female with medical complaint of possible fractured arm secondary to playing youth soccer. Pt was assessed and treated by paramedic. PTA, physician and retired fire captain assisted with pt care and splinted arm with cardboard. Pt was trasferred to backbaord and walked to nearby street where SLAS was staged for packaging and transport. Care TOT SLAS for code two transport to SVRMC for further evaluation. For more information, see SLOFD and SLAS ePCR. E4 cleared incident. A Page 6 of 6 NFIRS -1 Basic 40060 CA 04 06 2023 Fire Station 1 (FS1) 23-02090 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 06 2023 12:30 Arrival 04 06 2023 12:39 Controlled Last Unit Cleared 04 06 2023 12:53 Shifts and Alarms A NA FZ4 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value Actions Taken 32-Provide basic life support (BLS) Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 4 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ 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: Truck 1 dispatched code 3 to local middle school for a 13 year old female with a chief complaint of being unresponsive. Upon our arrival the patient was found supine on the ground in care of staff. The patient was able to follow commands but would not talk or open her eyes. Patient's mother arrived on scene and stated that she has anxiety and requested transport to the hospital by ambulance. The patient was loaded to gurney and ambulance. Care was transferred to M52. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 70995 Pratt, Jason Fire Captain 04/06/2023 Officer In Charge ID Signature Position or Rank Assignment Date 70995 Pratt, Jason Fire Captain 04/06/2023 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 04 06 2023 Fire Station 1 (FS1) 23-02090 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T1 Type:12-Truck or aerial Dispatch:04/06/2023 12:30 Arrival:04/06/2023 12:39 Clear:04/06/2023 12:53 Sent 4 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 04 06 2023 Fire Station 1 (FS1) 23-02090 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T1 Type:12-Truck or aerial Dispatch:04/06/2023 12:30 Arrival:04/06/2023 12:39 Clear:04/06/2023 12:53 Sent 4 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 70995 Pratt, Jason Captain 99161 Hutslar, Dane Engineer 70100 Polkow, Matthew Engineer 99164 Sabatino, Jacob Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 04 06 2023 Fire Station 1 (FS1) 23-02090 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Truck 1 dispatched code 3 to local middle school for a 13 year old female with a chief complaint of being unresponsive. Upon our arrival the patient was found supine on the ground in care of staff. The patient was able to follow commands but would not talk or open her eyes. Patient's mother arrived on scene and stated that she has anxiety and requested transport to the hospital by ambulance. The patient was loaded to gurney and ambulance. Care was transferred to M52. A Page 6 of 6 NFIRS -1 Basic 40060 CA 04 06 2023 Fire Station 4 (FS4) 23-02102 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 600-Good intent call, other Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None Their FDID Their State Their Incident Number Dates and Times Alarm 04 06 2023 19:17 Arrival 04 06 2023 19:23 Controlled Last Unit Cleared 04 06 2023 19:32 Shifts and Alarms A NA FZ4 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 86-Investigate Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 3 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ 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: 400-Residential, other Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. Owner Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix Number Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code Remarks: E4 responded code 3 to dispatched area for a report of a smell of gas outside. E4 arrived in the area with no smell of gas odor. E4 investigated neighboring area and residence with negative findings. E4 was UTL and cleared scene then returned to station without incident. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 73250 Renner, David Fire Captain 04/06/2023 Officer In Charge ID Signature Position or Rank Assignment Date 73250 Renner, David Fire Captain 04/06/2023 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 04 06 2023 Fire Station 4 (FS4) 23-02102 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:04/06/2023 19:17 Arrival:04/06/2023 19:23 Clear:04/06/2023 19:32 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 04 06 2023 Fire Station 4 (FS4) 23-02102 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:04/06/2023 19:17 Arrival:04/06/2023 19:23 Clear:04/06/2023 19:32 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 73250 Renner, David Captain 92310 Williams, Nathan Engineer 99162 Kraemer, Luke Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 04 06 2023 Fire Station 4 (FS4) 23-02102 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 responded code 3 to dispatched area for a report of a smell of gas outside. E4 arrived in the area with no smell of gas odor. E4 investigated neighboring area and residence with negative findings. E4 was UTL and cleared scene then returned to station without incident. A Page 6 of 6 NFIRS -1 Basic 40060 CA 04 14 2023 Fire Station 1 (FS1) 23-02269 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 14 2023 11:38 Arrival 04 14 2023 11:47 Controlled Last Unit Cleared 04 14 2023 12:32 Shifts and Alarms B FZ4 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 1 4 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ 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: See EPCR for call details. T1 followed up to FHSP and cleared without further incident. Authorization 60045 Lokkart, Eric Fire Captain 04/14/2023 Officer In Charge ID Signature Position or Rank Assignment Date 60045 Lokkart, Eric Fire Captain 04/14/2023 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 04 14 2023 Fire Station 1 (FS1) 23-02269 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T1 Type:12-Truck or aerial Dispatch:04/14/2023 11:38 Arrival:04/14/2023 11:47 Clear:04/14/2023 12:32 Sent 4 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 04 14 2023 Fire Station 1 (FS1) 23-02269 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T1 Type:12-Truck or aerial Dispatch:04/14/2023 11:38 Arrival:04/14/2023 11:47 Clear:04/14/2023 12:32 Sent 4 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 60045 Lokkart, Eric Captain 61580 Mason, Ryan Engineer 70100 Polkow, Matthew Engineer 100068 Barkhimer, Jake Firefighter A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 04 14 2023 Fire Station 1 (FS1) 23-02269 0 FDID State Month Day Year Station Number Exposure Primary Narrative: See EPCR for call details. T1 followed up to FHSP and cleared without further incident. Apparatus Narrative for T1: Restroom A Page 5 of 5 NFIRS -1 Basic 40060 CA 05 05 2023 Fire Station 4 (FS4) 23-02703 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 05 05 2023 10:56 Arrival 05 05 2023 10:59 Controlled Last Unit Cleared 05 05 2023 11:20 Shifts and Alarms C FZ4 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 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: 200-Educational, other Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. Owner Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix Number Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code Remarks: Engine 4 arrived to Laguna Middle School to provide medical care. See attached EMS report for further information. Authorization 66265 Nason, William AC 05/05/2023 Officer In Charge ID Signature Position or Rank Assignment Date 66265 Nason, William AC 05/05/2023 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 05 2023 Fire Station 4 (FS4) 23-02703 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:05/05/2023 10:56 Arrival:05/05/2023 10:59 Clear:05/05/2023 11:20 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 05 05 2023 Fire Station 4 (FS4) 23-02703 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:05/05/2023 10:56 Arrival:05/05/2023 10:59 Clear:05/05/2023 11:20 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 74579 Robertson, Travis Engineer 100077 Greenelsh, Nathaniel Firefighter 66265 Nason, William Captain A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 05 05 2023 Fire Station 4 (FS4) 23-02703 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Engine 4 arrived to Laguna Middle School to provide medical care. See attached EMS report for further information. A Page 5 of 5 NFIRS -1 Basic 40060 CA 05 05 2023 Fire Station 1 (FS1) 23-02710 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 611-Dispatched and cancelled en route 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 14:34 Arrival Controlled Last Unit Cleared 05 05 2023 14:35 Shifts and Alarms C FZ4 Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 93-Cancelled en route Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 4 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ 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: cancelled in quarters H1 H2 H3 I J K2 L Page 2 of 6 Authorization 25944 Child, Robert Engineer 05/05/2023 Officer In Charge ID Signature Position or Rank Assignment Date 25944 Child, Robert Engineer 05/05/2023 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 1 (FS1) 23-02710 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T1 Type:12-Truck or aerial Dispatch:05/05/2023 14:34 Arrival: Clear:05/05/2023 14:35 Sent 4 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 05 05 2023 Fire Station 1 (FS1) 23-02710 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T1 Type:12-Truck or aerial Dispatch:05/05/2023 14:34 Arrival: Clear:05/05/2023 14:35 Sent 4 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Captain 61580 Mason, Ryan Engineer 90841 Weis, Trevor Engineer 99187 Sensenbach, Mickey Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 05 05 2023 Fire Station 1 (FS1) 23-02710 0 FDID State Month Day Year Station Number Exposure Primary Narrative: cancelled in quarters A Page 6 of 6 NFIRS -1 Basic 40060 CA 05 05 2023 Fire Station 3 (FS3) 23-02711 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 611-Dispatched and cancelled en route 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 14:36 Arrival Controlled Last Unit Cleared 05 05 2023 14:43 Shifts and Alarms C FZ4 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 93-Cancelled en route 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: Engine 3 was canceled en - route. Engine 3 returned to service. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 70100 Polkow, Matthew Fire Engineer 05/05/2023 Officer In Charge ID Signature Position or Rank Assignment Date 70100 Polkow, Matthew Fire Engineer 05/05/2023 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 3 (FS3) 23-02711 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:05/05/2023 14:36 Arrival: Clear:05/05/2023 14:43 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 05 05 2023 Fire Station 3 (FS3) 23-02711 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:05/05/2023 14:36 Arrival: Clear:05/05/2023 14:43 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 100069 DeLeuw, Casey Firefighter 70100 Polkow, Matthew Captain 92335 Williams, Joseph Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 05 05 2023 Fire Station 3 (FS3) 23-02711 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Engine 3 was canceled en - route. Engine 3 returned to service. A Page 6 of 6 NFIRS -1 Basic 40060 CA 07 28 2023 Fire Station 1 (FS1) 23-04503 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 611-Dispatched and cancelled en route 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 28 2023 13:20 Arrival Controlled Last Unit Cleared 07 28 2023 13:24 Shifts and Alarms C FZ4 Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 93-Cancelled en route Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 4 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ 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: T1 cancelled enroute by dispatch. T1 available. Authorization 25944 Child, Robert Engineer 07/28/2023 Officer In Charge ID Signature Position or Rank Assignment Date 25944 Child, Robert Engineer 07/28/2023 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 07 28 2023 Fire Station 1 (FS1) 23-04503 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T1 Type:12-Truck or aerial Dispatch:07/28/2023 13:20 Arrival: Clear:07/28/2023 13:24 Sent 4 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 07 28 2023 Fire Station 1 (FS1) 23-04503 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T1 Type:12-Truck or aerial Dispatch:07/28/2023 13:20 Arrival: Clear:07/28/2023 13:24 Sent 4 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Captain 61580 Mason, Ryan Engineer 99161 Hutslar, Dane Engineer 100069 DeLeuw, Casey Firefighter A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 07 28 2023 Fire Station 1 (FS1) 23-04503 0 FDID State Month Day Year Station Number Exposure Primary Narrative: T1 cancelled enroute by dispatch. T1 available. A Page 5 of 5 NFIRS -1 Basic 40060 CA 08 17 2023 Fire Station 1 (FS1) 23-04937 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 611-Dispatched and cancelled en route Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None Their FDID Their State Their Incident Number Dates and Times Alarm 08 17 2023 19:02 Arrival Controlled Last Unit Cleared 08 17 2023 19:08 Shifts and Alarms A NA FZ4 Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 93-Cancelled en route 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: Truck 1 was dispatched code 3 to local parking lot for a person having a heart attack. While enroute T1 was canceled by dispatch who said the person was going to self transport. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 70995 Pratt, Jason Fire Captain 08/17/2023 Officer In Charge ID Signature Position or Rank Assignment Date 70995 Pratt, Jason Fire Captain 08/17/2023 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 08 17 2023 Fire Station 1 (FS1) 23-04937 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T1 Type:12-Truck or aerial Dispatch:08/17/2023 19:03 Arrival: Clear:08/17/2023 19:08 Sent 4 Suppression EMS Other ID:T2 Type:12-Truck or aerial Dispatch:08/17/2023 19:02 Arrival: Clear:08/17/2023 19:03 Sent 3 Suppression EMS Other 93-Cancelled en route A Page 4 of 6 NFIRS -10 Personnel 40060 CA 08 17 2023 Fire Station 1 (FS1) 23-04937 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T1 Type:12-Truck or aerial Dispatch:08/17/2023 19:03 Arrival: Clear:08/17/2023 19:08 Sent 4 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 70995 Pratt, Jason Captain 57382 Larsen, Patrick Engineer 99186 McAninch, Scott Engineer 99552 Morrison, Keanu Firefighter ID:T2 Type:12-Truck or aerial Dispatch:08/17/2023 19:02 Arrival: Clear:08/17/2023 19:03 Sent 3 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 34590 Flatos, Alec Captain 52001 Joy, Cullen Engineer 100070 Kaperonis, George Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 08 17 2023 Fire Station 1 (FS1) 23-04937 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Truck 1 was dispatched code 3 to local parking lot for a person having a heart attack. While enroute T1 was canceled by dispatch who said the person was going to self transport. A Page 6 of 6 NFIRS -1 Basic 40060 CA 09 05 2023 Fire Station 4 (FS4) 23-05287 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 09 05 2023 15:06 Arrival 09 05 2023 15:10 Controlled Last Unit Cleared 09 05 2023 15:32 Shifts and Alarms B FZ4 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: E4 dispatched code 3 to the report of a medical emergency, one patient treated who refused transport, see ePCR. E4 became available without further incident. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 46955 Hoover, Nicholas Fire Captain Fire Station 4 09/06/2023 Officer In Charge ID Signature Position or Rank Assignment Date 46955 Hoover, Nicholas Fire Captain Fire Station 4 09/06/2023 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 09 05 2023 Fire Station 4 (FS4) 23-05287 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:09/05/2023 15:06 Arrival:09/05/2023 15:10 Clear:09/05/2023 15:32 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 09 05 2023 Fire Station 4 (FS4) 23-05287 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:09/05/2023 15:06 Arrival:09/05/2023 15:10 Clear:09/05/2023 15:32 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 99188 Thoele, Brendan Firefighter 46955 Hoover, Nicholas Captain 99161 Hutslar, Dane Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 09 05 2023 Fire Station 4 (FS4) 23-05287 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 dispatched code 3 to the report of a medical emergency, one patient treated who refused transport, see ePCR. E4 became available without further incident. A Page 6 of 6 NFIRS -1 Basic 40060 CA 10 30 2023 Fire Station 4 (FS4) 23-06513 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 10 30 2023 13:27 Arrival 10 30 2023 13:32 Controlled Last Unit Cleared 10 30 2023 14:05 Shifts and Alarms B FZ4 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: E4 dispatched code 3 to the report of a medical emergency, one patient treated and care continued to the hospital, see ePCR. E4 became available without further incident. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 46955 Hoover, Nicholas Fire Captain Fire Station 4 10/31/2023 Officer In Charge ID Signature Position or Rank Assignment Date 46955 Hoover, Nicholas Fire Captain Fire Station 4 10/31/2023 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 10 30 2023 Fire Station 4 (FS4) 23-06513 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:10/30/2023 13:29 Arrival:10/30/2023 13:32 Clear:10/30/2023 14:05 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 10 30 2023 Fire Station 4 (FS4) 23-06513 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:10/30/2023 13:29 Arrival:10/30/2023 13:32 Clear:10/30/2023 14:05 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 46955 Hoover, Nicholas Captain 50826 Johnston, Kenneth Firefighter 99187 Sensenbach, Mickey Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 10 30 2023 Fire Station 4 (FS4) 23-06513 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 dispatched code 3 to the report of a medical emergency, one patient treated and care continued to the hospital, see ePCR. E4 became available without further incident. A Page 6 of 6 NFIRS -1 Basic 40060 CA 01 12 2024 Fire Station 1 (FS1) 24-00261 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 531-Smoke or odor removal 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 12 2024 15:10 Arrival 01 12 2024 15:22 Controlled Last Unit Cleared 01 12 2024 15:34 Shifts and Alarms C FZ4 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value Actions Taken 86-Investigate Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 4 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ 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: Electrical receptacle short out from fluid entering outlet. No hazard, no fire. Odor dissipating. TIC unremarkable. Principle advised to contact licensed electrician. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 38890 38890 Fire Captain 01/13/2024 Officer In Charge ID Signature Position or Rank Assignment Date 38890 38890 Fire Captain 01/13/2024 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 01 12 2024 Fire Station 1 (FS1) 24-00261 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T1 Type:12-Truck or aerial Dispatch:01/12/2024 15:10 Arrival:01/12/2024 15:22 Clear:01/12/2024 15:34 Sent 4 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 01 12 2024 Fire Station 1 (FS1) 24-00261 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:T1 Type:12-Truck or aerial Dispatch:01/12/2024 15:10 Arrival:01/12/2024 15:22 Clear:01/12/2024 15:34 Sent 4 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 61580 Mason, Ryan Engineer 100077 Greenelsh, Nathaniel Firefighter 38890 Gonzalez, Steven Captain 99164 Sabatino, Jacob Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 01 12 2024 Fire Station 1 (FS1) 24-00261 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Electrical receptacle short out from fluid entering outlet. No hazard, no fire. Odor dissipating. TIC unremarkable. Principle advised to contact licensed electrician. A Page 6 of 6 NFIRS -1 Basic 40060 CA 02 09 2024 Fire Station 4 (FS4) 24-00875 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 02 09 2024 09:18 Arrival 02 09 2024 09:22 Controlled Last Unit Cleared 02 09 2024 09:44 Shifts and Alarms B FZ4 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 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: E4 dispatched code 3 to the report of a medical emergency, one patient treated and refused transport, see ePCR. Authorization 46955 Hoover, Nicholas Fire Captain Fire Station 4 02/09/2024 Officer In Charge ID Signature Position or Rank Assignment Date 46955 Hoover, Nicholas Fire Captain Fire Station 4 02/09/2024 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 02 09 2024 Fire Station 4 (FS4) 24-00875 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:02/09/2024 09:18 Arrival:02/09/2024 09:22 Clear:02/09/2024 09:44 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 02 09 2024 Fire Station 4 (FS4) 24-00875 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:02/09/2024 09:18 Arrival:02/09/2024 09:22 Clear:02/09/2024 09:44 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 99188 Thoele, Brendan Firefighter 46955 Hoover, Nicholas Captain 99161 Hutslar, Dane Engineer A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 02 09 2024 Fire Station 4 (FS4) 24-00875 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 dispatched code 3 to the report of a medical emergency, one patient treated and refused transport, see ePCR. A Page 5 of 5 NFIRS -1 Basic 40060 CA 03 22 2024 Fire Station 4 (FS4) 24-01788 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 03 22 2024 13:42 Arrival 03 22 2024 13:45 Controlled Last Unit Cleared 03 22 2024 15:04 Shifts and Alarms B FZ4 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 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: E4 dispatched code 3 to the report of a medical emergency, one patient treated and care continued to the hospital. Authorization 46955 Hoover, Nicholas Fire Captain Fire Station 4 03/22/2024 Officer In Charge ID Signature Position or Rank Assignment Date 46955 Hoover, Nicholas Fire Captain Fire Station 4 03/22/2024 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 03 22 2024 Fire Station 4 (FS4) 24-01788 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/22/2024 13:42 Arrival:03/22/2024 13:45 Clear:03/22/2024 15:04 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 03 22 2024 Fire Station 4 (FS4) 24-01788 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:03/22/2024 13:42 Arrival:03/22/2024 13:45 Clear:03/22/2024 15:04 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 99552 Morrison, Keanu Firefighter 70100 Polkow, Matthew Engineer 46955 Hoover, Nicholas Captain A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 03 22 2024 Fire Station 4 (FS4) 24-01788 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 dispatched code 3 to the report of a medical emergency, one patient treated and care continued to the hospital. A Page 5 of 5 NFIRS -1 Basic 40060 CA 04 04 2024 Fire Station 4 (FS4) 24-01975 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 04 2024 08:03 Arrival 04 04 2024 08:09 Controlled Last Unit Cleared 04 04 2024 08:19 Shifts and Alarms C NA FZ4 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 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: E4 and BC2 responded code 3 to dispatched area for a report of a vehicle vs bike collision. E4 arrived on scene and found one patient standing on the sidewalk with bystanders. E4 paramedic and crew assessed the patient on scene. The patient denied any request for transportation to the hospital. The patient's parents were contacted via cell phone for approval of non-transport. The patient's father approved to release the patient to Laguna Middle School's Principal and for the Principal to sign Refusal of Transport form. E4 released SLAS and E4 cleared the scene. See PCR for further patient care information. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 73250 Renner, David Fire Captain 04/04/2024 Officer In Charge ID Signature Position or Rank Assignment Date 73250 Renner, David Fire Captain 04/04/2024 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 04 04 2024 Fire Station 4 (FS4) 24-01975 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:04/04/2024 08:06 Arrival: Clear:04/04/2024 08:10 Sent 1 Suppression EMS Other ID:BC4 Type:92-Chief officer car Dispatch:04/04/2024 08:06 Arrival: Clear: Sent 1 Suppression EMS Other ID:E4 Type:11-Engine Dispatch:04/04/2024 08:03 Arrival:04/04/2024 08:09 Clear:04/04/2024 08:19 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 04 04 2024 Fire Station 4 (FS4) 24-01975 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:04/04/2024 08:06 Arrival: Clear:04/04/2024 08:10 Sent 1 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 62800 MacDonald, John Battalion Chief ID:BC4 Type:92-Chief officer car Dispatch:04/04/2024 08:06 Arrival: Clear: Sent 1 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 62800 MacDonald, John Battalion Chief ID:E4 Type:11-Engine Dispatch:04/04/2024 08:03 Arrival:04/04/2024 08:09 Clear:04/04/2024 08:19 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 73250 Renner, David Captain 70100 Polkow, Matthew Engineer 100077 Greenelsh, Nathaniel Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 04 04 2024 Fire Station 4 (FS4) 24-01975 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 and BC2 responded code 3 to dispatched area for a report of a vehicle vs bike collision. E4 arrived on scene and found one patient standing on the sidewalk with bystanders. E4 paramedic and crew assessed the patient on scene. The patient denied any request for transportation to the hospital. The patient's parents were contacted via cell phone for approval of non-transport. The patient's father approved to release the patient to Laguna Middle School's Principal and for the Principal to sign Refusal of Transport form. E4 released SLAS and E4 cleared the scene. See PCR for further patient care information. A Page 6 of 6 NFIRS -1 Basic 40060 CA 05 01 2024 Fire Station 4 (FS4) 24-02528 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 651-Smoke scare, odor of smoke 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 01 2024 10:58 Arrival 05 01 2024 11:10 Controlled Last Unit Cleared 05 01 2024 11:22 Shifts and Alarms A FZ4 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 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: E4 responded for a report of smell of smoke at Laguna middle school. E4 investigated class room and roof HVAC. Findings were light smoke smell from overhead projector. E4 unplugged unit to remove potential hazard until school electrician arrived. E4 available from scene. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 25944 Child, Robert Engineer 05/01/2024 Officer In Charge ID Signature Position or Rank Assignment Date 25944 Child, Robert Engineer 05/01/2024 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 05 01 2024 Fire Station 4 (FS4) 24-02528 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:05/01/2024 10:59 Arrival:05/01/2024 11:10 Clear:05/01/2024 11:22 Sent 3 Suppression EMS Other 86-Investigate ID:T1 Type:12-Truck or aerial Dispatch:05/01/2024 10:58 Arrival: Clear: Sent 4 Suppression EMS Other 93-Cancelled en route A Page 4 of 6 NFIRS -10 Personnel 40060 CA 05 01 2024 Fire Station 4 (FS4) 24-02528 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:05/01/2024 10:59 Arrival:05/01/2024 11:10 Clear:05/01/2024 11:22 Sent 3 Suppression EMS Other 86-Investigate Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Captain 99162 Kraemer, Luke Firefighter 30791 Doolin, Luke Engineer ID:T1 Type:12-Truck or aerial Dispatch:05/01/2024 10:58 Arrival: Clear: Sent 4 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 100076 McClanahan, Maren Firefighter 70995 Pratt, Jason Captain 57382 Larsen, Patrick Engineer 99186 McAninch, Scott Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 05 01 2024 Fire Station 4 (FS4) 24-02528 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 responded for a report of smell of smoke at Laguna middle school. E4 investigated class room and roof HVAC. Findings were light smoke smell from overhead projector. E4 unplugged unit to remove potential hazard until school electrician arrived. E4 available from scene. A Page 6 of 6 NFIRS -1 Basic 40060 CA 07 22 2024 Fire Station 4 (FS4) 24-04064 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 381-Rescue or EMS standby 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 22 2024 20:13 Arrival 07 22 2024 20:17 Controlled Last Unit Cleared 07 22 2024 20:26 Shifts and Alarms C FZ4 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 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: E4 dispatched code 2 to standby for a potential PD incident. E4 was cancelled after staging, ambulance cancelled. Authorization 46955 Hoover, Nicholas Fire Captain Fire Station 4 08/02/2024 Officer In Charge ID Signature Position or Rank Assignment Date 46955 Hoover, Nicholas Fire Captain Fire Station 4 08/02/2024 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 22 2024 Fire Station 4 (FS4) 24-04064 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:07/22/2024 20:13 Arrival:07/22/2024 20:17 Clear:07/22/2024 20:26 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 07 22 2024 Fire Station 4 (FS4) 24-04064 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:07/22/2024 20:13 Arrival:07/22/2024 20:17 Clear:07/22/2024 20:26 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 100070 Kaperonis, George Firefighter 46955 Hoover, Nicholas Captain 99187 Sensenbach, Mickey Engineer A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 07 22 2024 Fire Station 4 (FS4) 24-04064 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 dispatched code 2 to standby for a potential PD incident. E4 was cancelled after staging, ambulance cancelled. A Page 5 of 5 NFIRS -1 Basic 40060 CA 08 20 2024 Fire Station 4 (FS4) 24-04624 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 08 20 2024 18:54 Arrival 08 20 2024 18:59 Controlled Last Unit Cleared 08 20 2024 19:14 Shifts and Alarms C FZ4 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 81-Incident command Additional 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: E4 responded to above location for a report of vehicle collision. On arrival E4 assumed Valley IC and found two vehicles on side of roadway heading east just passed Laguna intersection. The white sedan had a mother and daughter that were rear ended per mother while at a stop at the light. Occupants stated wearing seatbelts and no airbags were deployed. Both were assessed by SLOFD paramedic and denies ambulance transport. AMA forms signed.The female in the white travel van denies any complaint or evaluation. SLOPD arrived and scene TOT officers. For more information on pt care, see SLOFD ePCR. E4 terminated Valley IC. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 50050 Jeckell, Matthew Fire Captain 08/20/2024 Officer In Charge ID Signature Position or Rank Assignment Date 50050 Jeckell, Matthew Fire Captain 08/20/2024 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 08 20 2024 Fire Station 4 (FS4) 24-04624 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:08/20/2024 18:59 Clear:08/20/2024 18:59 Sent 1 Suppression EMS Other 93-Cancelled en route ID:E4 Type:11-Engine Dispatch:08/20/2024 18:54 Arrival:08/20/2024 19:00 Clear:08/20/2024 19:14 Sent 3 Suppression EMS Other 33-Provide advanced life support (ALS) ID:T1 Type:12-Truck or aerial Dispatch:08/20/2024 18:54 Arrival: Clear:08/20/2024 18:59 Sent 4 Suppression EMS Other 93-Cancelled en route A Page 4 of 6 NFIRS -10 Personnel 40060 CA 08 20 2024 Fire Station 4 (FS4) 24-04624 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:08/20/2024 18:59 Clear:08/20/2024 18:59 Sent 1 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 41550 Hais, Ray Battalion Chief ID:E4 Type:11-Engine Dispatch:08/20/2024 18:54 Arrival:08/20/2024 19:00 Clear:08/20/2024 19:14 Sent 3 Suppression EMS Other 33-Provide advanced life support (ALS) Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Engineer 100077 Greenelsh, Nathaniel Firefighter 46955 Hoover, Nicholas Captain ID:T1 Type:12-Truck or aerial Dispatch:08/20/2024 18:54 Arrival: Clear:08/20/2024 18:59 Sent 4 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 100068 Barkhimer, Jake Engineer 61580 Mason, Ryan Engineer 88690 Vasquez, Mark Captain 99164 Sabatino, Jacob Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 08 20 2024 Fire Station 4 (FS4) 24-04624 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 responded to above location for a report of vehicle collision. On arrival E4 assumed Valley IC and found two vehicles on side of roadway heading east just passed Laguna intersection. The white sedan had a mother and daughter that were rear ended per mother while at a stop at the light. Occupants stated wearing seatbelts and no airbags were deployed. Both were assessed by SLOFD paramedic and denies ambulance transport. AMA forms signed.The female in the white travel van denies any complaint or evaluation. SLOPD arrived and scene TOT officers. For more information on pt care, see SLOFD ePCR. E4 terminated Valley IC. Apparatus Narrative for T1: none A Page 6 of 6 NFIRS -1 Basic 40060 CA 08 22 2024 Fire Station 4 (FS4) 24-04658 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 08 22 2024 12:01 Arrival 08 22 2024 12:05 Controlled Last Unit Cleared 08 22 2024 12:28 Shifts and Alarms A FZ4 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: 200-Educational, other Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. Owner Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix Number Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code Remarks: Engine 4 found a staff member of the school waiting for us and walked us to the exact classroom of the patient. Engine to the classroom was about a 3-minute walk. Engine 4 found an 11-year-old female student that was showing indications of a post seizure individual. Teacher stated he witnessed the incident along with the student sitting next to her. Both of them indicated she had what looked like a seizure. Engine 4 assessed patient and received a good history from school staff members. Patient was found tired but in a stable condition. SLAS arrived and we waited for the parents to arrive for further direction. Parents decided to refuse further care and transport. Refusal of transport was singed. See EPCR for further medical information. Engine 4 returned to service. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 70100 Polkow, Matthew Fire Engineer 08/22/2024 Officer In Charge ID Signature Position or Rank Assignment Date 70100 Polkow, Matthew Fire Engineer 08/22/2024 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 08 22 2024 Fire Station 4 (FS4) 24-04658 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:08/22/2024 12:01 Arrival:08/22/2024 12:05 Clear:08/22/2024 12:28 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 08 22 2024 Fire Station 4 (FS4) 24-04658 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:08/22/2024 12:01 Arrival:08/22/2024 12:05 Clear:08/22/2024 12:28 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 50826 Johnston, Kenneth Firefighter 70100 Polkow, Matthew Captain 92335 Williams, Joseph Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 08 22 2024 Fire Station 4 (FS4) 24-04658 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Engine 4 found a staff member of the school waiting for us and walked us to the exact classroom of the patient. Engine to the classroom was about a 3-minute walk. Engine 4 found an 11-year-old female student that was showing indications of a post seizure individual. Teacher stated he witnessed the incident along with the student sitting next to her. Both of them indicated she had what looked like a seizure. Engine 4 assessed patient and received a good history from school staff members. Patient was found tired but in a stable condition. SLAS arrived and we waited for the parents to arrive for further direction. Parents decided to refuse further care and transport. Refusal of transport was singed. See EPCR for further medical information. Engine 4 returned to service. A Page 6 of 6 NFIRS -1 Basic 40060 CA 11 22 2024 Fire Station 4 (FS4) 24-06702 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 11 22 2024 15:13 Arrival 11 22 2024 15:17 Controlled Last Unit Cleared 11 22 2024 15:34 Shifts and Alarms B FZ4 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: E4 dispatched code 2 to the report of a medical emergency, one patient treated and refused transport, see ePCR. E4 became available without further incident. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 46955 Hoover, Nicholas Fire Captain Fire Station 4 11/23/2024 Officer In Charge ID Signature Position or Rank Assignment Date 46955 Hoover, Nicholas Fire Captain Fire Station 4 11/23/2024 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 11 22 2024 Fire Station 4 (FS4) 24-06702 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:11/22/2024 15:13 Arrival:11/22/2024 15:17 Clear:11/22/2024 15:34 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 11 22 2024 Fire Station 4 (FS4) 24-06702 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:11/22/2024 15:13 Arrival:11/22/2024 15:17 Clear:11/22/2024 15:34 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 46955 Hoover, Nicholas Captain 99162 Kraemer, Luke Firefighter 90841 Weis, Trevor Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 11 22 2024 Fire Station 4 (FS4) 24-06702 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 dispatched code 2 to the report of a medical emergency, one patient treated and refused transport, see ePCR. E4 became available without further incident. A Page 6 of 6 NFIRS -1 Basic 40060 CA 01 27 2025 Fire Station 4 (FS4) 25-00669 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 01 27 2025 13:36 Arrival 01 27 2025 13:40 Controlled Last Unit Cleared 01 27 2025 14:01 Shifts and Alarms B FZ4 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 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: 210-Schools, non-adult, other Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. Owner Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix Number Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code Remarks: e3 responded to a male student with possible broken arm. See pcr for details. PT was TX to SVH by SLAS. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 36520 Gatton, Christopher Fire Engineer 01/28/2025 Officer In Charge ID Signature Position or Rank Assignment Date 36520 Gatton, Christopher Fire Engineer 01/28/2025 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 01 27 2025 Fire Station 4 (FS4) 25-00669 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:01/27/2025 13:36 Arrival:01/27/2025 13:40 Clear:01/27/2025 14:01 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 01 27 2025 Fire Station 4 (FS4) 25-00669 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:01/27/2025 13:36 Arrival:01/27/2025 13:40 Clear:01/27/2025 14:01 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 99552 Morrison, Keith Firefighter 36520 Gatton, Christopher Captain 99188 Thoele, Brendan Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 01 27 2025 Fire Station 4 (FS4) 25-00669 0 FDID State Month Day Year Station Number Exposure Primary Narrative: e3 responded to a male student with possible broken arm. See pcr for details. PT was TX to SVH by SLAS. A Page 6 of 6 NFIRS -1 Basic 40060 CA 02 24 2025 Fire Station 1 (FS1) 25-01248 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 02 24 2025 11:25 Arrival 02 24 2025 11:33 Controlled Last Unit Cleared 02 24 2025 11:50 Shifts and Alarms A FZ4 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 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: MR-1 responded code 3 to a report of a medical. On arrival MR-1 assessed one pt. See further pt information in the PCR. EMR-1 completed the assignment and returned. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 44555 Hasch, Nathan Captain 02/24/2025 Officer In Charge ID Signature Position or Rank Assignment Date 44555 Hasch, Nathan Captain 02/24/2025 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 02 24 2025 Fire Station 1 (FS1) 25-01248 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:02/24/2025 11:27 Arrival:02/24/2025 11:33 Clear:02/24/2025 11:50 Sent 2 Suppression EMS Other ID:T1 Type:12-Truck or aerial Dispatch:02/24/2025 11:25 Arrival: Clear: Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 02 24 2025 Fire Station 1 (FS1) 25-01248 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:02/24/2025 11:27 Arrival:02/24/2025 11:33 Clear:02/24/2025 11:50 Sent 2 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 44555 Hasch, Nathan AR 99187 Sensenbach, Mickey AR ID:T1 Type:12-Truck or aerial Dispatch:02/24/2025 11:25 Arrival: Clear: Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 70995 Pratt, Jason Captain 70100 Polkow, Matthew Engineer 99186 McAninch, Scott Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 02 24 2025 Fire Station 1 (FS1) 25-01248 0 FDID State Month Day Year Station Number Exposure Primary Narrative: MR-1 responded code 3 to a report of a medical. On arrival MR-1 assessed one pt. See further pt information in the PCR. EMR-1 completed the assignment and returned. A Page 6 of 6 NFIRS -1 Basic 40060 CA 03 13 2025 Fire Station 1 (FS1) 25-01625 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 03 13 2025 12:36 Arrival 03 13 2025 12:47 Controlled Last Unit Cleared 03 13 2025 12:51 Shifts and Alarms C FZ4 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 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 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: Cancelled upon arrival. Authorization 88690 Vasquez, Mark Fire Captain 04/04/2025 Officer In Charge ID Signature Position or Rank Assignment Date 88690 Vasquez, Mark Fire Captain 04/04/2025 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 03 13 2025 Fire Station 1 (FS1) 25-01625 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:03/13/2025 12:38 Arrival: Clear: Sent 2 Suppression EMS Other ID:T1 Type:12-Truck or aerial Dispatch:03/13/2025 12:41 Arrival:03/13/2025 12:47 Clear:03/13/2025 12:51 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 03 13 2025 Fire Station 1 (FS1) 25-01625 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:03/13/2025 12:38 Arrival: Clear: Sent 2 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 100076 McClanahan, Maren AR 100069 DeLeuw, Casey AR ID:T1 Type:12-Truck or aerial Dispatch:03/13/2025 12:41 Arrival:03/13/2025 12:47 Clear:03/13/2025 12:51 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 61580 Mason, Ryan Engineer 88690 Vasquez, Mark Captain 90841 Weis, Trevor Engineer A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 03 13 2025 Fire Station 1 (FS1) 25-01625 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Cancelled upon arrival. A Page 5 of 5 NFIRS -1 Basic 40060 CA 04 23 2025 Fire Station 4 (FS4) 25-02536 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 23 2025 16:58 Arrival 04 23 2025 17:02 Controlled Last Unit Cleared 04 23 2025 17:08 Shifts and Alarms C FZ4 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 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: 121-Ballroom, gymnasium 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: E4 respoonded to above location for a medical pendant activation. Dispatch provided the GPS coordinates and E4 found the female to be in the gymnasium of Laguna Middle School. E4 personnel met with responsible and it was an unintentional activation. No further action taken and E4 cleared incident. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 50050 Jeckell, Matthew Fire Captain 04/23/2025 Officer In Charge ID Signature Position or Rank Assignment Date 50050 Jeckell, Matthew Fire Captain 04/23/2025 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 04 23 2025 Fire Station 4 (FS4) 25-02536 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:04/23/2025 16:58 Arrival:04/23/2025 17:02 Clear:04/23/2025 17:08 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 04 23 2025 Fire Station 4 (FS4) 25-02536 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:04/23/2025 16:58 Arrival:04/23/2025 17:02 Clear:04/23/2025 17:08 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 50050 Jeckell, Matthew Captain 100077 Greenelsh, Nathaniel Firefighter 99187 Sensenbach, Mickey Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 04 23 2025 Fire Station 4 (FS4) 25-02536 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 respoonded to above location for a medical pendant activation. Dispatch provided the GPS coordinates and E4 found the female to be in the gymnasium of Laguna Middle School. E4 personnel met with responsible and it was an unintentional activation. No further action taken and E4 cleared incident. A Page 6 of 6 NFIRS -1 Basic 40060 CA 06 20 2025 Fire Station 4 (FS4) 25-03727 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 06 20 2025 10:03 Arrival 06 20 2025 10:07 Controlled Last Unit Cleared 06 20 2025 11:00 Shifts and Alarms B FZ4 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 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: E4 T1 MR1 BC2 dispatched code 3 to the report of a medical emergency, one patient was treated who had experienced a medical emergency on the roof of a middle school where he was working. Moving ladder slide technique used to lash patient on backboard to a 24' extension ladder, where he was lowered to personnel at ground level who received him and transferred him to the gurney. Care continued by MR1 to the hospital, see ePCR. All units became available without further incident. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 62800 MacDonald, John 06/21/2025 Officer In Charge ID Signature Position or Rank Assignment Date 46955 Hoover, Nicholas Fire Captain Fire Station 4 06/21/2025 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 06 20 2025 Fire Station 4 (FS4) 25-03727 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:06/20/2025 10:14 Clear:06/20/2025 10:35 Sent 1 Suppression EMS Other ID:E4 Type:11-Engine Dispatch:06/20/2025 10:03 Arrival:06/20/2025 10:07 Clear: Sent 3 Suppression EMS Other ID:MR1 Type:70-Medical & rescue unit, other Dispatch:06/20/2025 10:05 Arrival:06/20/2025 10:09 Clear:06/20/2025 11:00 Sent 3 Suppression EMS Other 33-Provide advanced life support (ALS) ID:T1 Type:12-Truck or aerial Dispatch:06/20/2025 10:06 Arrival:06/20/2025 10:13 Clear:06/20/2025 10:37 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 06 20 2025 Fire Station 4 (FS4) 25-03727 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:06/20/2025 10:14 Clear:06/20/2025 10:35 Sent 1 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 62800 MacDonald, John Battalion Chief ID:E4 Type:11-Engine Dispatch:06/20/2025 10:03 Arrival:06/20/2025 10:07 Clear: Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 109136 Emerson, Luke Firefighter 46955 Hoover, Nicholas Captain 54183 King, John Engineer ID:MR1 Type:70-Medical & rescue unit, other Dispatch:06/20/2025 10:05 Arrival:06/20/2025 10:09 Clear:06/20/2025 11:00 Sent 3 Suppression EMS Other 33-Provide advanced life support (ALS) Personnel ID Name Rank Role Attend Actions Taken 99163 Martin, Ted AR 109138 Van De Walker, Gegi Firefighter 38890 Gonzalez, Steven Fire Captain ID:T1 Type:12-Truck or aerial Dispatch:06/20/2025 10:06 Arrival:06/20/2025 10:13 Clear:06/20/2025 10:37 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 100076 McClanahan, Maren Engineer 70100 Polkow, Matthew Captain 90841 Weis, Trevor Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 06 20 2025 Fire Station 4 (FS4) 25-03727 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 T1 MR1 BC2 dispatched code 3 to the report of a medical emergency, one patient was treated who had experienced a medical emergency on the roof of a middle school where he was working. Moving ladder slide technique used to lash patient on backboard to a 24' extension ladder, where he was lowered to personnel at ground level who received him and transferred him to the gurney. Care continued by MR1 to the hospital, see ePCR. All units became available without further incident. A Page 6 of 6 NFIRS -1 Basic 40060 CA 07 30 2025 Fire Station 4 (FS4) 25-04453 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 745-Alarm system activation, no fire - unintentional 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 30 2025 07:55 Arrival 07 30 2025 07:59 Controlled Last Unit Cleared 07 30 2025 08:07 Shifts and Alarms C FZ4 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown ID#Value Actions Taken 86-Investigate Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 1 3 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ 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: Fire alarm activation, Alpha Fire Contractor working on system testing. Authorization 14845 Barrett, Richard Fire Captain 07/30/2025 Officer In Charge ID Signature Position or Rank Assignment Date 14845 Barrett, Richard Fire Captain 07/30/2025 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 30 2025 Fire Station 4 (FS4) 25-04453 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:07/30/2025 07:55 Arrival:07/30/2025 07:59 Clear:07/30/2025 08:07 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 07 30 2025 Fire Station 4 (FS4) 25-04453 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:07/30/2025 07:55 Arrival:07/30/2025 07:59 Clear:07/30/2025 08:07 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 50050 Jeckell, Matthew Captain 100077 Greenelsh, Nathaniel Firefighter 99187 Sensenbach, Mickey Engineer A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 07 30 2025 Fire Station 4 (FS4) 25-04453 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Fire alarm activation, Alpha Fire Contractor working on system testing. A Page 5 of 5 NFIRS -1 Basic 40060 CA 10 02 2023 Fire Station 4 (FS4) 23-05870 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 10 02 2023 13:23 Arrival 10 02 2023 13:27 Controlled Last Unit Cleared 10 02 2023 13:51 Shifts and Alarms C FZ4 Shift or Platoon Alarms District Special Studies 9244 4 - Unknown 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: 200-Educational, other Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. Owner Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix Number Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code Remarks: Minor sustained minor injury from falling while playing with friends. See ePCR for assessment. Mother arrived on scene POV. School representatives present. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 38890 38890 Fire Captain 10/02/2023 Officer In Charge ID Signature Position or Rank Assignment Date 100069 100069 10/02/2023 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 10 02 2023 Fire Station 4 (FS4) 23-05870 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:10/02/2023 13:23 Arrival:10/02/2023 13:27 Clear:10/02/2023 13:51 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 10 02 2023 Fire Station 4 (FS4) 23-05870 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:10/02/2023 13:23 Arrival:10/02/2023 13:27 Clear:10/02/2023 13:51 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 100069 DeLeuw, Casey Firefighter 38890 Gonzalez, Steven Captain 99187 Sensenbach, Mickey Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 10 02 2023 Fire Station 4 (FS4) 23-05870 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Minor sustained minor injury from falling while playing with friends. See ePCR for assessment. Mother arrived on scene POV. School representatives present. A Page 6 of 6 NFIRS -1 Basic 40060 CA 10 17 2025 Fire Station 4 (FS4) 25-06199 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 10 17 2025 14:58 Arrival 10 17 2025 15:02 Controlled Last Unit Cleared 10 17 2025 15:22 Shifts and Alarms A FZ4 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 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: Medical - Pt mom signed AMA. Authorization 92710 Witt, James Captain 10/18/2025 Officer In Charge ID Signature Position or Rank Assignment Date 92710 Witt, James Captain 10/18/2025 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 17 2025 Fire Station 4 (FS4) 25-06199 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:10/17/2025 14:58 Arrival:10/17/2025 15:02 Clear:10/17/2025 15:22 Sent 3 Suppression EMS Other A Page 3 of 5 NFIRS -10 Personnel 40060 CA 10 17 2025 Fire Station 4 (FS4) 25-06199 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:10/17/2025 14:58 Arrival:10/17/2025 15:02 Clear:10/17/2025 15:22 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 100076 McClanahan, Maren Firefighter 92710 Witt, James Captain 92335 Williams, Joseph Engineer A Page 4 of 5 NFIRS -1S Supplemental 40060 CA 10 17 2025 Fire Station 4 (FS4) 25-06199 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Medical - Pt mom signed AMA. A Page 5 of 5 NFIRS -1 Basic 40060 CA 11 03 2025 Fire Station 4 (FS4) 25-06626 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 11 03 2025 18:39 Arrival 11 03 2025 18:43 Controlled Last Unit Cleared 11 03 2025 19:41 Shifts and Alarms A FZ4 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 4 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ 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: E4 and BC1 responded code 3 to the dispatched area for a report of a medical emergency. E4 arrived in the area and found multiple vehicles pulled to the side of the road with one patient sitting on the sidewalk. It was reported by the patient that while attempting to cross the street he was struck by a vehicle. E4 paramedic and crew assessed the patient on scene. The patient denied transportation to the hospital via ambulance. The patient signed refusal of transport form and was left on scene with PD. E4 cleared the scene and returned. See PCR for further patient care information. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 73250 Renner, David Fire Captain 11/04/2025 Officer In Charge ID Signature Position or Rank Assignment Date 73250 Renner, David Fire Captain 11/04/2025 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 11 03 2025 Fire Station 4 (FS4) 25-06626 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:11/03/2025 18:42 Arrival:11/03/2025 18:46 Clear:11/03/2025 19:41 Sent 1 Suppression EMS Other ID:E4 Type:11-Engine Dispatch:11/03/2025 18:39 Arrival:11/03/2025 18:43 Clear:11/03/2025 19:06 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 11 03 2025 Fire Station 4 (FS4) 25-06626 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:11/03/2025 18:42 Arrival:11/03/2025 18:46 Clear:11/03/2025 19:41 Sent 1 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 41550 Hais, Ray Battalion Chief ID:E4 Type:11-Engine Dispatch:11/03/2025 18:39 Arrival:11/03/2025 18:43 Clear:11/03/2025 19:06 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 100069 DeLeuw, Casey Firefighter 73250 Renner, David Captain 92335 Williams, Joseph Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 11 03 2025 Fire Station 4 (FS4) 25-06626 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 and BC1 responded code 3 to the dispatched area for a report of a medical emergency. E4 arrived in the area and found multiple vehicles pulled to the side of the road with one patient sitting on the sidewalk. It was reported by the patient that while attempting to cross the street he was struck by a vehicle. E4 paramedic and crew assessed the patient on scene. The patient denied transportation to the hospital via ambulance. The patient signed refusal of transport form and was left on scene with PD. E4 cleared the scene and returned. See PCR for further patient care information. A Page 6 of 6 NFIRS -1 Basic 40060 CA 11 12 2025 Fire Station 4 (FS4) 25-06824 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 745-Alarm system activation, no fire - unintentional 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 12 2025 22:45 Arrival 11 12 2025 22:49 Controlled Last Unit Cleared 11 12 2025 23:18 Shifts and Alarms B NA FZ4 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 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: Engine 4 dispatched code 3 to a carbon dioxide alarm at local junior high school. Upon our arrival E4 was met by construction workers who stated they were polishing concrete which set off the smoke detector. E4 made access to the alarm panel which could not be reset. E4 made contact with Deep Blue alarm company who could not assist. The alarm was silenced and was left in trouble mode per Deep Blue. No hazards were found. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 70995 Pratt, Jason Fire Captain 11/13/2025 Officer In Charge ID Signature Position or Rank Assignment Date 70995 Pratt, Jason Fire Captain 11/13/2025 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 11 12 2025 Fire Station 4 (FS4) 25-06824 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:11/12/2025 22:45 Arrival:11/12/2025 22:49 Clear:11/12/2025 23:18 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 11 12 2025 Fire Station 4 (FS4) 25-06824 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:11/12/2025 22:45 Arrival:11/12/2025 22:49 Clear:11/12/2025 23:18 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 100076 McClanahan, Maren Firefighter 70995 Pratt, Jason Captain 99161 Hutslar, Dane Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 11 12 2025 Fire Station 4 (FS4) 25-06824 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Engine 4 dispatched code 3 to a carbon dioxide alarm at local junior high school. Upon our arrival E4 was met by construction workers who stated they were polishing concrete which set off the smoke detector. E4 made access to the alarm panel which could not be reset. E4 made contact with Deep Blue alarm company who could not assist. The alarm was silenced and was left in trouble mode per Deep Blue. No hazards were found. A Page 6 of 6 NFIRS -1 Basic 40060 CA 11 18 2025 Fire Station 4 (FS4) 25-06950 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 745-Alarm system activation, no fire - unintentional 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 18 2025 00:11 Arrival 11 18 2025 00:15 Controlled Last Unit Cleared 11 18 2025 00:41 Shifts and Alarms B NA FZ4 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 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: Engine 4 dispatched code 3 to an CO alarm sounding at local junior high school. Per dispatch, a resident called in the alarm because they could hear it from their home. The alarm did not notify dispatch. Upon our arrival an audible CO alarm was sounding. E4 made access into the school and silenced the alarm. E4's crew searched the school and room 414 where the alarm panel showed "smoke detector, room 414." No hazards were found but room 414 was under construction and looked newly painted. The school representative was called and was informed of the alarm. Deep Blue who has the alarm account was contacted and stated they would put the alarm on test so it wouldn't notify dispatch. E4 told Deep Blue that the alarm did not notify Dispatch and that it was a local resident that called it in. Deep Blue stated they would send a technician out in the morning. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 70995 Pratt, Jason Fire Captain 11/18/2025 Officer In Charge ID Signature Position or Rank Assignment Date 70995 Pratt, Jason Fire Captain 11/18/2025 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 11 18 2025 Fire Station 4 (FS4) 25-06950 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:11/18/2025 00:11 Arrival:11/18/2025 00:15 Clear:11/18/2025 00:41 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 11 18 2025 Fire Station 4 (FS4) 25-06950 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:11/18/2025 00:11 Arrival:11/18/2025 00:15 Clear:11/18/2025 00:41 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 100076 McClanahan, Maren Firefighter 70995 Pratt, Jason Captain 30791 Doolin, Luke Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 11 18 2025 Fire Station 4 (FS4) 25-06950 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Engine 4 dispatched code 3 to an CO alarm sounding at local junior high school. Per dispatch, a resident called in the alarm because they could hear it from their home. The alarm did not notify dispatch. Upon our arrival an audible CO alarm was sounding. E4 made access into the school and silenced the alarm. E4's crew searched the school and room 414 where the alarm panel showed "smoke detector, room 414." No hazards were found but room 414 was under construction and looked newly painted. The school representative was called and was informed of the alarm. Deep Blue who has the alarm account was contacted and stated they would put the alarm on test so it wouldn't notify dispatch. E4 told Deep Blue that the alarm did not notify Dispatch and that it was a local resident that called it in. Deep Blue stated they would send a technician out in the morning. A Page 6 of 6 NFIRS -1 Basic 40060 CA 12 09 2025 Fire Station 4 (FS4) 25-07432 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 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 12 09 2025 08:31 Arrival 12 09 2025 08:37 Controlled Last Unit Cleared 12 09 2025 09:11 Shifts and Alarms A FZ4 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: E4 responded to above location for a male with traumatic injury. Pt was assessed and treated by paramedics. Care TOT SLAS for transport to ER for further evaluation. For more information, see SLOFD and SLAS ePCR. E4 cleared incident. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 50050 Jeckell, Matthew Fire Captain 12/09/2025 Officer In Charge ID Signature Position or Rank Assignment Date 50050 Jeckell, Matthew Fire Captain 12/09/2025 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 12 09 2025 Fire Station 4 (FS4) 25-07432 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:12/09/2025 08:31 Arrival:12/09/2025 08:37 Clear:12/09/2025 09:11 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 12 09 2025 Fire Station 4 (FS4) 25-07432 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:12/09/2025 08:31 Arrival:12/09/2025 08:37 Clear:12/09/2025 09:11 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 46543 Hicks, Judson Firefighter 50050 Jeckell, Matthew Captain 99161 Hutslar, Dane Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 12 09 2025 Fire Station 4 (FS4) 25-07432 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 responded to above location for a male with traumatic injury. Pt was assessed and treated by paramedics. Care TOT SLAS for transport to ER for further evaluation. For more information, see SLOFD and SLAS ePCR. E4 cleared incident. A Page 6 of 6 NFIRS -1 Basic 40060 CA 12 12 2025 Fire Station 4 (FS4) 25-07503 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 11050 LOS OSOS VLY-Valley Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 611-Dispatched and cancelled en route 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 12 12 2025 10:09 Arrival Controlled Last Unit Cleared 12 12 2025 10:12 Shifts and Alarms B FZ4 Shift or Platoon Alarms District Special Studies ID#Value Actions Taken 93-Cancelled en route 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: E4 initiated a code 3 response towards the given address for a report of a fire alarm activation. During response dispatched informed E4 to cancel response. E4 returned to the station without incident. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 73250 Renner, David Fire Captain 12/12/2025 Officer In Charge ID Signature Position or Rank Assignment Date 73250 Renner, David Fire Captain 12/12/2025 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 12 12 2025 Fire Station 4 (FS4) 25-07503 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:12/12/2025 10:09 Arrival: Clear:12/12/2025 10:12 Sent 3 Suppression EMS Other A Page 4 of 6 NFIRS -10 Personnel 40060 CA 12 12 2025 Fire Station 4 (FS4) 25-07503 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:E4 Type:11-Engine Dispatch:12/12/2025 10:09 Arrival: Clear:12/12/2025 10:12 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 73250 Renner, David Captain 50826 Johnston, Kenneth Engineer 100076 McClanahan, Maren Firefighter A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 12 12 2025 Fire Station 4 (FS4) 25-07503 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 initiated a code 3 response towards the given address for a report of a fire alarm activation. During response dispatched informed E4 to cancel response. E4 returned to the station without incident. A Page 6 of 6 Incident Location:11050 LOS OSOS Valley Incident Date:01/09/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-00189 Shifts or Platoon:A Dispatch Point:35.263094,- 120.696234 Call Arrival:01/09/2026 16:52:54 Call Answered:01/09/2026 16:52:54 Call Created:01/09/2026 16:52:54 Alarm:01/09/2026 16:54:04 First Unit Arrival:01/09/2026 16:58:26 Incident Clear:01/09/2026 17:54:23 In Service:01/09/2026 16:55:43 Zone Number:FZ4 Dispatched Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401 Incident Date:01/09/2026 Incident Point:35.263094,- 120.696234 NERIS Incident ID:FD06079086|26 - 00189|1767977 574 Incident ID:26-00189 Primary Incident Type:Public Service - Alarms (Non Medical) - Fire / Smoke Alarm Response Mode To Scene:Code 3 Primary Station:Fire Station 4 (FS4) Shifts or Platoon:A Incident Number:26-00189 Incident Date:01/09/2026 Deploy NERIS Print Report Details Reported by Dispatch Dispatch Timeline Location as Reported by Dispatch Unit Response as Reported by Dispatch Dispatch Unit Responses Dispatch Unit NERIS ID Dispatch Unit Name Dispatch Unit Dispatch Time Dispatch Unit Enroute to Scene Time Dispatch Unit on Scene Time Dispatch Unit Incident Clear Time Dispatch Apparatus or Resource In Ser vice Date Time FD0607908 6S007U000 E4 16:54:04 16:55:58 16:58:26 17:54:23 17:54:23 Incident Details Page 1 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:01/09/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Alarm:01/09/2026 16:54:04 First Unit Arrival :01/09/2026 16:58:26 Incident Clear:01/09/2026 17:54:23 Zone Number:FZ4 Incident Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401- Location Use Type:Education - K - 12 Schools Incident Location In Use:Yes Location Used as Intended:Yes Incident Action Taken:Provide Services - Restore/Reset Alarm System Member Making Report - Signature:Williams, Joseph Officer in Charge - Signature:Renner, David Member Making Report:92335 Officer in Charge:73250 Incident Number:26-00189 Incident Date:01/09/2026 Incident Timeline Incident Location Incident Location Use Incident Actions Incident Authorization Incident Narratives Primary Narrative:E4 responded as dispatched to a fire alarm sounding at Laguna Middle school. E4 arrived on scene and was met at the front office door by staff who advised that they had not seen any smoke or fire and had already acknowledged and silenced the alarm. E4 made access to the alarm panel to find 2 locations on site with detectors that had activated. Both areas indicated on the alarm panel were searched by E4 crew members and no smoke, fire or hazards were found. E4 attempted to reset the alarm system at the panel with no success. Alarm system monitoring service was contacted directly over the phone by E4. All attempts to reset were unsuccessful and alarm technician was dispatched to scene. E4 left scene in care of maintenance staff until service technician could arrive. E4 completed assignment and cleared the scene. Unit Response Incident Unit Responses Unit NERIS ID Unit Name Apparatus ID Unit Dispatch Time Unit Enroute to Scene Time Unit on Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time FD06079086S007U000 E4 E4 16:54:04 16:55:58 16:58:26 17:54:23 17:54:23 Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Personnel Time Out Kaperonis, George Firefighter 01/09/2026 16:54:04 01/09/2026 17:54:23 Renner, David Captain 01/09/2026 16:54:04 01/09/2026 17:54:23 Page 2 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:01/09/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-00189 Incident Date:01/09/2026 Unit NERIS ID Unit Name Apparatus ID Unit Dispatch Time Unit Enroute to Scene Time Unit on Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Personnel Time Out Williams, Joseph Engineer 01/09/2026 16:54:04 01/09/2026 17:54:23 Casualty/Rescue People Involved Page 3 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:03/03/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-01410 Shifts or Platoon:A Dispatch Point:35.263094,- 120.696234 Call Arrival:03/03/2026 08:15:11 Call Answered:03/03/2026 08:15:11 Call Created:03/03/2026 08:15:11 Alarm:03/03/2026 08:17:30 First Unit Arrival:03/03/2026 08:22:10 Incident Clear:03/03/2026 08:42:56 In Service:03/03/2026 08:39:21 Zone Number:FZ4 Dispatched Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401 Incident Date:03/03/2026 Incident Point:35.263094,- 120.696234 NERIS Incident ID:FD06079086|26 - 01410|1772554 511 Incident ID:26-01410 Primary Incident Type:Medical - Injury / Trauma - Motor Vehicle Collision Response Mode To Scene:Code 3 Primary Station:Fire Station 4 (FS4) Shifts or Platoon:A Incident Number:26-01410 Incident Date:03/03/2026 Deploy NERIS Print Report Details Reported by Dispatch Dispatch Timeline Location as Reported by Dispatch Unit Response as Reported by Dispatch Dispatch Unit Responses Dispatch Unit NERIS ID Dispatch Unit Name Dispatch Unit Dispatch Time Dispatch Unit Enroute to Scene Time Dispatch Unit on Scene Time Dispatch Unit Incident Clear Time Dispatch Apparatus or Resource In Ser vice Date Time FD0607908 6S007U000 E4 08:17:30 08:19:21 08:22:10 08:39:21 08:39:21 Incident Details Page 1 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:03/03/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Alarm:03/03/2026 08:17:30 First Unit Arrival :03/03/2026 08:22:10 Incident Clear:03/03/2026 08:42:56 In Service Date Time:03/03/2026 08:39:21 Zone Number:FZ4 Incident Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401- Location Use Type:Roadway/Access - Street Incident Location In Use:Yes Location Used as Intended:Yes Incident Action Taken:Emergency Medical Care - Patient Assessment Member Making Report - Signature:Renner, David Officer in Charge - Signature:Renner, David Member Making Report:73250 Officer in Charge:73250 Incident Number:26-01410 Incident Date:03/03/2026 Incident Timeline Incident Location Incident Location Use Incident Actions Incident Authorization Incident Narratives Primary Narrative:E4 responded code 3 to the dispatched address for a report of a motor vehicle collision with injuries. E4 arrived on scene to find 4 vehicles involved with moderate damage to two vehicles and one occupant still in the drivers seat. The driver of the other vehicle was standing on the sidewalk and declined any medical evaluation. E4 paramedic assessed the patient on scene and upon arrival of SLAS was assisted onto the gurney and loaded into the ambulance. Patient care was transferred to SLAS. E4 then began scene clean up using kitty litter to absorb motor oil that had been released from one of the vehicles. Once the scene was cleaned no further assistance was needed of E4 by PD. E4 cleared the scene and returned. See PCR for further patient care information. Unit Response Incident Unit Responses Unit NERIS ID Unit Name Apparatus ID Unit Dispatch Time Unit Enroute to Scene Time Unit on Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time FD06079086S007U000 E4 E4 08:17:30 08:19:21 08:22:10 08:39:21 08:39:21 Page 2 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:03/03/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-01410 Incident Date:03/03/2026 Unit NERIS ID Unit Name Apparatus ID Unit Dispatch Time Unit Enroute to Scene Time Unit on Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Personnel Time Out Personnel Hours Spent Renner, David Captain 03/03/2026 08:17:30 03/03/2026 08:39:21 0.36 Williams, Joseph Engineer 03/03/2026 08:17:30 03/03/2026 08:39:21 0.36 Sabatino, Jacob Firefighter 03/03/2026 08:17:30 03/03/2026 08:39:21 0.36 Casualty/Rescue People Involved Page 3 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:03/04/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-01442 Shifts or Platoon:A Dispatch Point:35.263094,- 120.696234 Call Arrival:03/04/2026 14:15:15 Call Answered:03/04/2026 14:15:15 Call Created:03/04/2026 14:15:15 Alarm:03/04/2026 14:16:05 Incident Clear:03/04/2026 14:18:12 In Service:03/04/2026 14:18:12 Zone Number:FZ4 Dispatched Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401 Incident Date:03/04/2026 Incident Point:35.263094,- 120.696234 NERIS Incident ID:FD06079086|26 - 01442|1772662 515 Incident ID:26-01442 Primary Incident Type:No Emergency - Cancelled Response Mode To Scene:Code 3 Primary Station:Fire Station 4 (FS4) Shifts or Platoon:A Alarm:03/04/2026 14:16:05 Incident Number:26-01442 Incident Date:03/04/2026 Deploy NERIS Print Report Details Reported by Dispatch Dispatch Timeline Location as Reported by Dispatch Unit Response as Reported by Dispatch Dispatch Unit Responses Dispatch Unit NERIS ID Dispatch Unit Name Dispatch Unit Dispatch Time Dispatch Unit Incident Clear Time Dispatch Apparatus or Resource In Ser vice Date Time FD06079086S00 7U000 E4 14:16:05 14:18:12 14:18:12 Incident Details Incident Timeline Page 1 of 2 Incident Location:11050 LOS OSOS Valley Incident Date:03/04/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Clear:03/04/2026 14:18:12 In Service Date Time:03/04/2026 14:18:12 Zone Number:FZ4 Incident Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401- Incident Action Not Taken:Cancelled Member Making Report - Signature:Renner, David Officer in Charge - Signature:Renner, David Member Making Report:73250 Officer in Charge:73250 Incident Number:26-01442 Incident Date:03/04/2026 Incident Location Incident Actions Incident Authorization Incident Narratives Primary Narrative:E4 was dispatched for a report of a fire alarm activation at the given address. Before initiating response E4 was cancelled by dispatch. E4 remained in quarters and did not respond. Unit Response Incident Unit Responses Unit NERIS ID Unit Name Apparatus ID Unit Dispatch Time Unit Incident Clear Time Apparatus or Resource In Service Date Time FD06079086S007U000 E4 E4 14:16:05 14:18:12 14:18:12 Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Personnel Time Out Personnel Hours Spent Renner, David Captain 03/04/2026 14:16:05 03/04/2026 14:18:12 0.04 Hutslar, Dane Firefighter 03/04/2026 14:16:05 03/04/2026 14:18:12 0.04 Williams, Joseph Engineer 03/04/2026 14:16:05 03/04/2026 14:18:12 0.04 Casualty/Rescue People Involved Page 2 of 2 Incident Location:11050 LOS OSOS Valley Incident Date:03/06/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-01488 Shifts or Platoon:B Dispatch Point:35.263094,- 120.696234 Call Arrival:03/06/2026 13:20:47 Call Answered:03/06/2026 13:20:47 Call Created:03/06/2026 13:20:47 Alarm:03/06/2026 13:21:39 First Unit Arrival:03/06/2026 13:24:14 Incident Clear:03/06/2026 13:49:11 In Service:03/06/2026 13:47:53 Zone Number:FZ4 Dispatched Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401 Incident Date:03/06/2026 Incident Point:35.263094,- 120.696234 NERIS Incident ID:FD06079086|26 - 01488|1772832 047 Incident ID:26-01488 Primary Incident Type:Medical - Injury / Trauma - Fall Response Mode To Scene:Code 3 Primary Station:Fire Station 4 (FS4) Shifts or Platoon:B Incident Number:26-01488 Incident Date:03/06/2026 Deploy NERIS Print Report Details Reported by Dispatch Dispatch Timeline Location as Reported by Dispatch Unit Response as Reported by Dispatch Dispatch Unit Responses Dispatch Unit NERIS ID Dispatch Unit Name Dispatch Unit Dispatch Time Dispatch Unit Enroute to Scene Time Dispatch Unit on Scene Time Dispatch Unit Incident Clear Time Dispatch Apparatus or Resource In Ser vice Date Time FD0607908 6S007U000 E4 13:21:39 13:21:54 13:24:14 13:47:53 13:47:53 Incident Details Page 1 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:03/06/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Alarm:03/06/2026 13:21:39 First Unit Arrival :03/06/2026 13:24:14 Incident Clear:03/06/2026 13:49:11 In Service Date Time:03/06/2026 13:47:53 Zone Number:FZ4 Incident Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401- Location Use Type:Education - K - 12 Schools Incident Location In Use:Yes Location Used as Intended:Yes Incident Action Taken:Emergency Medical Care - Patient Assessment; Emergency Medical Care - Patient Referral Member Making Report - Signature:Nason, William Officer in Charge - Signature:Nason, William Member Making Report:66265 Officer in Charge:66265 Incident Number:26-01488 Incident Date:03/06/2026 Incident Timeline Incident Location Incident Location Use Incident Actions Incident Authorization Incident Narratives Primary Narrative:Engine 4 arrived on scene for a student who fell and hurt his ankle. Pt denied any treatment or transport. See attached EMS PCR for further patient information. Unit Response Incident Unit Responses Unit NERIS ID Unit Name Apparatus ID Unit Dispatch Time Unit Enroute to Scene Time Unit on Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time FD06079086S007U000 E4 E4 13:21:39 13:21:54 13:24:14 13:47:53 13:47:53 Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Personnel Time Out Personnel Hours Spent McClanahan, Maren Firefighter 03/06/2026 13:21:39 03/06/2026 13:47:53 0.44 Johnston, Kenneth Engineer 03/06/2026 13:21:39 03/06/2026 13:47:53 0.44 Nason, William Captain 03/06/2026 13:21:39 03/06/2026 13:47:53 0.44 Page 2 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:03/06/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-01488 Incident Date:03/06/2026 Unit NERIS ID Unit Name Apparatus ID Unit Dispatch Time Unit Enroute to Scene Time Unit on Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time Casualty/Rescue People Involved Page 3 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:04/08/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-02313 Shifts or Platoon:A Dispatch Point:35.263094,- 120.696234 Call Arrival:04/08/2026 16:20:14 Call Answered:04/08/2026 16:20:14 Call Created:04/08/2026 16:20:14 Alarm:04/08/2026 16:21:19 First Unit Arrival:04/08/2026 16:24:06 Incident Clear:04/08/2026 16:24:44 In Service:04/08/2026 16:24:44 Zone Number:FZ4 Dispatched Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401 Incident Date:04/08/2026 Incident Point:35.263094,- 120.696234 NERIS Incident ID:FD06079086|26 - 02313|1775690 414 Incident ID:26-02313 Primary Incident Type:No Emergency - Cancelled Response Mode To Scene:Code 3 Primary Station:Fire Station 4 (FS4) Shifts or Platoon:A Incident Number:26-02313 Incident Date:04/08/2026 Deploy NERIS Print Report Details Reported by Dispatch Dispatch Timeline Location as Reported by Dispatch Unit Response as Reported by Dispatch Dispatch Unit Responses Dispatch Unit NERIS ID Dispatch Unit Name Dispatch Unit Dispatch Time Dispatch Unit Enroute to Scene Time Dispatch Unit on Scene Time Dispatch Unit Incident Clear Time Dispatch Apparatus or Resource In Ser vice Date Time FD0607908 6S007U000 E4 16:21:19 16:22:27 16:24:06 16:24:44 16:24:44 Incident Details Page 1 of 2 Incident Location:11050 LOS OSOS Valley Incident Date:04/08/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Alarm:04/08/2026 16:21:19 First Unit Arrival :04/08/2026 16:24:06 Incident Clear:04/08/2026 16:24:44 In Service Date Time:04/08/2026 16:24:44 Zone Number:FZ4 Incident Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401- Incident Action Not Taken:Cancelled Member Making Report - Signature:Polkow, Matthew Officer in Charge - Signature:Polkow, Matthew Member Making Report:70100 Officer in Charge:70100 Incident Number:26-02313 Incident Date:04/08/2026 Incident Timeline Incident Location Incident Actions Incident Authorization Incident Narratives Primary Narrative:Engine 4 was canceled by city fire en- route to incident. Unit Response Incident Unit Responses Unit NERIS ID Unit Name Apparatus ID Unit Dispatch Time Unit Enroute to Scene Time Unit on Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time FD06079086S007U000 E4 E4 16:21:19 16:22:27 16:24:06 16:24:44 16:24:44 Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Personnel Time Out Personnel Hours Spent McClanahan, Maren Firefighter 04/08/2026 16:21:19 04/08/2026 16:24:44 0.06 Kaperonis, George Engineer 04/08/2026 16:21:19 04/08/2026 16:24:44 0.06 Polkow, Matthew Captain 04/08/2026 16:21:19 04/08/2026 16:24:44 0.06 Casualty/Rescue People Involved Page 2 of 2 Incident Location:11050 LOS OSOS Valley Incident Date:05/07/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-02945 Shifts or Platoon:C Dispatch Point:35.263094,- 120.696234 Call Arrival:05/07/2026 08:57:45 Call Answered:05/07/2026 08:57:45 Call Created:05/07/2026 08:57:45 Alarm:05/07/2026 08:58:34 Incident Clear:05/07/2026 09:03:15 In Service:05/07/2026 09:03:15 Zone Number:FZ4 Dispatched Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401 Incident Date:05/07/2026 Incident Point:35.263094,- 120.696234 NERIS Incident ID:FD06079086|26 - 02945|1778169 465 Incident ID:26-02945 Primary Incident Type:No Emergency - False Alarm - Accidental Alarm Response Mode To Scene:Code 3 Primary Station:Fire Station 4 (FS4) Shifts or Platoon:C Incident Number:26-02945 Incident Date:05/07/2026 Deploy NERIS Print Report Details Reported by Dispatch Dispatch Timeline Location as Reported by Dispatch Unit Response as Reported by Dispatch Dispatch Unit Responses Dispatch Unit NERIS ID Dispatch Unit Name Dispatch Unit Dispatch Time Dispatch Unit Enroute to Scene Time Dispatch Unit Incident Clear Time Dispatch Apparatus or Resource In Service Date Time FD06079086S 007U000 E4 08:58:34 08:59:46 09:03:15 09:03:15 Incident Details Incident Timeline Page 1 of 2 Incident Location:11050 LOS OSOS Valley Incident Date:05/07/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Alarm:05/07/2026 08:58:34 Incident Clear:05/07/2026 09:03:15 In Service Date Time:05/07/2026 09:03:15 Zone Number:FZ4 Incident Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401- Location Use Type:Education - K - 12 Schools Incident Location In Use:Yes Location Used as Intended:Yes Incident Action Not Taken:Cancelled Member Making Report - Signature:Jeckell, Matthew Officer in Charge - Signature:Jeckell, Matthew Member Making Report:50050 Officer in Charge:50050 Incident Number:26-02945 Incident Date:05/07/2026 Incident Location Incident Location Use Incident Actions Incident Authorization Incident Narratives Primary Narrative:Canceled by dispatch Unit Response Incident Unit Responses Unit NERIS ID Unit Name Apparatus ID Unit Dispatch Time Unit Enroute to Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time FD06079086S007U000 E4 E4 08:58:34 08:59:46 09:03:15 09:03:15 Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Personnel Time Out Personnel Hours Spent Jeckell, Matthew Captain 05/07/2026 08:58:34 05/07/2026 09:03:15 0.08 Greenelsh, Nathaniel Firefighter 05/07/2026 08:58:34 05/07/2026 09:03:15 0.08 Sensenbach, Mickey Engineer 05/07/2026 08:58:34 05/07/2026 09:03:15 0.08 Casualty/Rescue People Involved Page 2 of 2 Incident Location:11050 LOS OSOS Valley Incident Date:05/13/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-03088 Shifts or Platoon:C Dispatch Point:35.263094,- 120.696234 Call Arrival:05/13/2026 09:41:45 Call Answered:05/13/2026 09:41:45 Call Created:05/13/2026 09:41:45 Alarm:05/13/2026 09:42:49 Incident Clear:05/13/2026 09:47:08 In Service:05/13/2026 09:47:08 Zone Number:FZ4 Dispatched Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401 Incident Date:05/13/2026 Incident Point:35.263094,- 120.696234 NERIS Incident ID:FD06079086|26 - 03088|1778690 505 Incident ID:26-03088 Primary Incident Type:No Emergency - False Alarm - Accidental Alarm Response Mode To Scene:Code 3 Primary Station:Fire Station 4 (FS4) Shifts or Platoon:C Incident Number:26-03088 Incident Date:05/13/2026 Deploy NERIS Print Report Details Reported by Dispatch Dispatch Timeline Location as Reported by Dispatch Unit Response as Reported by Dispatch Dispatch Unit Responses Dispatch Unit NERIS ID Dispatch Unit Name Dispatch Unit Dispatch Time Dispatch Unit Enroute to Scene Time Dispatch Unit Incident Clear Time Dispatch Apparatus or Resource In Service Date Time FD06079086S 007U000 E4 09:42:49 09:43:39 09:47:08 09:47:08 Incident Details Incident Timeline Page 1 of 2 Incident Location:11050 LOS OSOS Valley Incident Date:05/13/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Alarm:05/13/2026 09:42:49 Incident Clear:05/13/2026 09:47:08 In Service Date Time:05/13/2026 09:47:08 Zone Number:FZ4 Incident Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401- Location Use Type:Education - K - 12 Schools Incident Location In Use:Yes Location Used as Intended:Yes Incident Action Not Taken:Cancelled Member Making Report - Signature:Jeckell, Matthew Officer in Charge - Signature:Jeckell, Matthew Member Making Report:50050 Officer in Charge:50050 Incident Number:26-03088 Incident Date:05/13/2026 Incident Location Incident Location Use Incident Actions Incident Authorization Incident Narratives Primary Narrative:Canceled by dispatch on arrival to school Unit Response Incident Unit Responses Unit NERIS ID Unit Name Apparatus ID Unit Dispatch Time Unit Enroute to Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time FD06079086S007U000 E4 E4 09:42:49 09:43:39 09:47:08 09:47:08 Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Personnel Time Out Personnel Hours Spent Jeckell, Matthew Captain 05/13/2026 09:42:49 05/13/2026 09:47:08 0.07 Greenelsh, Nathaniel Firefighter 05/13/2026 09:42:49 05/13/2026 09:47:08 0.07 Sensenbach, Mickey Engineer 05/13/2026 09:42:49 05/13/2026 09:47:08 0.07 Casualty/Rescue People Involved Page 2 of 2 Incident Location:11050 LOS OSOS Valley Incident Date:05/14/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-03110 Shifts or Platoon:A Dispatch Point:35.263094,- 120.696234 Call Arrival:05/14/2026 08:12:37 Call Answered:05/14/2026 08:12:37 Call Created:05/14/2026 08:12:37 Alarm:05/14/2026 08:13:40 First Unit Arrival:05/14/2026 08:19:09 Incident Clear:05/14/2026 08:48:43 In Service:05/14/2026 08:48:43 Zone Number:FZ4 Dispatched Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401 Incident Date:05/14/2026 Incident Point:35.263094,- 120.696234 NERIS Incident ID:FD06079086|26 - 03110|1778771 557 Incident ID:26-03110 Primary Incident Type:Medical - Illness - Sick Case Response Mode To Scene:Code 3 Primary Station:Fire Station 4 (FS4) Shifts or Platoon:A Incident Number:26-03110 Incident Date:05/14/2026 Deploy NERIS Print Report Details Reported by Dispatch Dispatch Timeline Location as Reported by Dispatch Unit Response as Reported by Dispatch Dispatch Unit Responses Dispatch Unit NERIS ID Dispatch Unit Name Dispatch Unit Dispatch Time Dispatch Unit Enroute to Scene Time Dispatch Unit on Scene Time Dispatch Unit Incident Clear Time Dispatch Apparatus or Resource In Ser vice Date Time FD0607908 6S007U000 E4 08:13:40 08:15:36 08:19:09 08:48:43 08:48:43 Incident Details Page 1 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:05/14/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Alarm:05/14/2026 08:13:40 First Unit Arrival :05/14/2026 08:19:09 Incident Clear:05/14/2026 08:48:43 In Service Date Time:05/14/2026 08:48:43 Zone Number:FZ4 Incident Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401- Location Use Type:Education - K - 12 Schools Incident Location In Use:Yes Location Used as Intended:Yes Incident Action Taken:Emergency Medical Care - Patient Assessment Member Making Report - Signature:Renner, David Officer in Charge - Signature:Renner, David Member Making Report:73250 Officer in Charge:73250 Incident Number:26-03110 Incident Date:05/14/2026 Incident Timeline Incident Location Incident Location Use Incident Actions Incident Authorization Incident Narratives Primary Narrative:E4 responded code 3 to the dispatched address for a report of a medical emergency. E4 arrived on scene and found one juvenile patient sitting on a chair inside a classroom with multiple school staff members on scene. Staff on scene reported that the patient fainted in class and that her guardian had already been contacted and was responding to the scene. E4 paramedic and crew assessed the patient on scene. No unstable vitals were found on scene. The patient's mother arrived on scene and denied transportation to the hospital via ambulance. SLAS was released from scene. The patient's mother signed refusal of transport form and E4 cleared the scene. See PCR for further patient care information. Unit Response Incident Unit Responses Unit NERIS ID Unit Name Apparatus ID Unit Dispatch Time Unit Enroute to Scene Time Unit on Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time FD06079086S007U000 E4 E4 08:13:40 08:15:36 08:19:09 08:48:43 08:48:43 Page 2 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:05/14/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-03110 Incident Date:05/14/2026 Unit NERIS ID Unit Name Apparatus ID Unit Dispatch Time Unit Enroute to Scene Time Unit on Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Personnel Time Out Personnel Hours Spent Renner, David Captain 05/14/2026 08:13:40 05/14/2026 08:48:43 0.58 Kraemer, Luke Engineer 05/14/2026 08:13:40 05/14/2026 08:48:43 0.58 Hutslar, Dane Firefighter 05/14/2026 08:13:40 05/14/2026 08:48:43 0.58 Casualty/Rescue People Involved Page 3 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:08/24/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-05358 Shifts or Platoon:C Dispatch Point:35.263094,- 120.696234 Call Arrival:08/24/2026 07:20:18 Call Answered:08/24/2026 07:20:18 Call Created:08/24/2026 07:20:18 Alarm:08/24/2026 07:21:55 Incident Clear:08/24/2026 07:27:43 In Service:08/24/2026 07:27:43 Zone Number:FZ4 Dispatched Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401 Incident Date:08/24/2026 Incident Point:35.263094,- 120.696234 NERIS Incident ID:FD06079086|26 - 05358|1787581 218 Incident ID:26-05358 Primary Incident Type:No Emergency - False Alarm - Accidental Alarm Response Mode To Scene:Code 3 Primary Station:Fire Station 4 (FS4) Shifts or Platoon:C Incident Number:26-05358 Incident Date:08/24/2026 Deploy NERIS Print Report Details Reported by Dispatch Dispatch Timeline Location as Reported by Dispatch Unit Response as Reported by Dispatch Dispatch Unit Responses Dispatch Unit NERIS ID Dispatch Unit Name Dispatch Unit Staffing Reported Dispatch Unit Dispatch Time Dispatch Unit Enroute to Scene Time Dispatch Unit Incident Clear Time Dispatch Apparatus or Resource In Ser vice Date Time FD0607908 6S007U000 E4 3 07:21:55 07:24:35 07:27:43 07:27:43 Incident Details Incident Timeline Page 1 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:08/24/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Alarm:08/24/2026 07:21:55 Incident Clear:08/24/2026 07:27:43 In Service Date Time:08/24/2026 07:27:43 Zone Number:FZ4 Incident Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401- Location Use Type:Education - K - 12 Schools Incident Action Taken:Investigation Member Making Report - Signature:Jeckell, Matthew Officer in Charge - Signature:Jeckell, Matthew Member Making Report:50050 Officer in Charge:50050 Incident Number:26-05358 Incident Date:08/24/2026 Incident Location Incident Location Use Incident Actions Incident Authorization Incident Narratives Primary Narrative:E4 responded to above location for a fire alarm manual pull. On arrival E4 was flagged down in front of the school by a male and reported that construction work being done and accidental activation was the cause of the alarm. No further action taken and E4 cleared incident. Unit Response Incident Unit Responses Unit NERIS ID Unit Name Apparatus ID Unit Staffing Reported Unit Dispatch Time Unit Enroute to Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time FD06079086S007U000 E4 E4 3 07:21:55 07:24:35 07:27:43 07:27:43 Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Personnel Time Out Personnel Hours Spent Jeckell, Matthew Captain 08/24/2026 07:21:55 08/24/2026 07:27:43 0.1 Greenelsh, Nathaniel Firefighter 08/24/2026 07:21:55 08/24/2026 07:27:43 0.1 Sensenbach, Mickey Engineer 08/24/2026 07:21:55 08/24/2026 07:27:43 0.1 Casualty/Rescue People Involved Page 2 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:08/24/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Dispatch Call Answered Date Time: 08/24/2026 07:20:18 Dispatch Alarm Date Time: 08/24/2026 07:21:55 Aid Given or Received: No Primary Incident Type: No Emergency - False Alarm - Accidental Alarm Incident Street Number: 11050 Incident Street Name: LOS OSOS Incident Number:26-05358 Incident Date:08/24/2026 TRT Header Total Response Time Exceeded Question Answer Notes This form is required any time a code 3 incident total response time that is not mutual or automatic aid exceeds 7 minutes. Please check the times in the worksheet header and verify that they are correct, and answer all questions below. If incorrect times were input (ie. you forgot to hit ARRVD on the MDC) you must update both the NFIRS time tab for the first arriving unit overall times, as well as the apparatus power tool time for the individual unit. Both are measured. The first unit arrived at scene is what is measured for travel time. Was the call processing time greater than 60 seconds? (time 911 received vs. dispatched time) Yes Was the travel time (enroute to first unit arrived) of the first arriving unit greater than 4 minutes? No Did you verify that all apparatus time and incident times were correct, and that any MDC button errors or dispatch errors were fixed? Yes Which time standards were exceeded?Call Processing Time (60 seconds or Less) What additional reasons, if any, caused the total response time to be exceeded (ie. weather delay, mechanical issue, etc.) none Page 3 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:08/24/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-05361 Shifts or Platoon:A Dispatch Point:35.263094,- 120.696234 Call Arrival:08/24/2026 08:53:59 Call Answered:08/24/2026 08:53:59 Call Created:08/24/2026 08:53:59 Alarm:08/24/2026 08:54:50 Incident Clear:08/24/2026 08:57:14 In Service:08/24/2026 08:57:14 Zone Number:FZ4 Dispatched Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401 Incident Date:08/24/2026 Incident Point:35.263094,- 120.696234 NERIS Incident ID:FD06079086|26 - 05361|1787586 839 Incident ID:26-05361 Primary Incident Type:No Emergency - Cancelled Response Mode To Scene:Code 3 Primary Station:Fire Station 1 (FS1) Shifts or Platoon:A Incident Number:26-05361 Incident Date:08/24/2026 Deploy NERIS Print Report Details Reported by Dispatch Dispatch Timeline Location as Reported by Dispatch Unit Response as Reported by Dispatch Dispatch Unit Responses Dispatch Unit NERIS ID Dispatch Unit Name Dispatch Unit Staffing Reported Dispatch Unit Dispatch Time Dispatch Unit Incident Clear Time Dispatch Apparatus or Resource In Service Date Time FD06079086S 007U000 E4 3 08:54:50 08:57:14 08:57:14 FD06079086S 006U016 T1 4 08:54:50 Incident Details Incident Timeline Page 1 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:08/24/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Alarm:08/24/2026 08:54:50 Incident Clear:08/24/2026 08:57:14 In Service Date Time:08/24/2026 08:57:14 Zone Number:FZ4 Incident Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401- Incident Action Not Taken:Cancelled Member Making Report - Signature:Renner, David Officer in Charge - Signature:Renner, David Member Making Report:73250 Officer in Charge:73250 Incident Number:26-05361 Incident Date:08/24/2026 Incident Location Incident Actions Incident Authorization Incident Narratives Primary Narrative:T1 initiated response for an emergency at the given address. While responding dispatched cancelled T1's response. T1 returned to the station without incident. Unit Response Incident Unit Responses Unit NERIS ID Unit Name Apparatus ID Unit Staffing Reported Unit Dispatch Time Unit Incident Clear Time Apparatus or Resource In Ser vice Date Time FD06079086S007U000 E4 E4 3 08:54:50 08:57:14 08:57:14 Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Personnel Time Out Personnel Hours Spent Jeckell, Matthew Engineer 08/24/2026 08:54:50 08/24/2026 08:57:14 0.04 Kaperonis, George Firefighter 08/24/2026 08:54:50 08/24/2026 08:57:14 0.04 Renner, David Captain 08/24/2026 08:54:50 08/24/2026 08:57:14 0.04 FD06079086S006U016 T1 T1 4 08:54:50 Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Pratt, Jason Captain 08/24/2026 08:54:50 100069 Firefighter 08/24/2026 08:54:50 Polkow, Matthew Engineer 08/24/2026 08:54:50 Emerson, Luke Engineer 08/24/2026 08:54:50 Casualty/Rescue Page 2 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:08/24/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-05361 Incident Date:08/24/2026 People Involved Page 3 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:08/25/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-05400 Shifts or Platoon:A Dispatch Point:35.263094,- 120.696234 Call Arrival:08/25/2026 18:00:33 Call Answered:08/25/2026 18:00:33 Call Created:08/25/2026 18:00:33 Alarm:08/25/2026 18:26:00 First Unit Arrival:08/25/2026 18:37:18 Incident Clear:08/25/2026 18:57:49 In Service:08/25/2026 18:57:49 Zone Number:FZ4 Dispatched Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401 Incident Date:08/25/2026 Incident Point:35.263094,- 120.696234 NERIS Incident ID:FD06079086|26 - 05400|1787706 033 Incident ID:26-05400 Primary Incident Type:Public Service - Citizen Assist - Lost Person Response Mode To Scene:Code 2 Incident Number:26-05400 Incident Date:08/25/2026 Deploy NERIS Print Report Details Reported by Dispatch Dispatch Timeline Location as Reported by Dispatch Unit Response as Reported by Dispatch Dispatch Unit Responses Dispatch Unit NERIS ID Dispatch Unit Name Dispatch Unit Staffing Reported Dispatch Unit Dispatch Time Dispatch Unit Enroute to Scene Time Dispatch Unit on Scene Time Dispatch Unit Incident Clear Time Dispatch Apparatus or Resource In Service Date Time FD060790 86S006U0 29 BC1 1 18:26:00 18:37:13 18:37:18 18:57:49 18:57:49 Incident Details Page 1 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:08/25/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Primary Station:Fire Station 1 (FS1) Shifts or Platoon:A Alarm:08/25/2026 18:26:00 First Unit Arrival :08/25/2026 18:37:18 Incident Clear:08/25/2026 18:57:49 In Service Date Time:08/25/2026 18:57:49 Zone Number:FZ4 Incident Location:11050 LOS OSOS Valley City, State, Postal Code:San Luis Obispo, CA 93401- Location Use Type:Education - K - 12 Schools Incident Action Taken:Non Structure Search - Wide Area / Outdoor Search Member Making Report - Signature:Flatos, Alec Officer in Charge - Signature:Flatos, Alec Member Making Report:34590 Officer in Charge:34590 Incident Number:26-05400 Incident Date:08/25/2026 Incident Timeline Incident Location Incident Location Use Incident Actions Incident Authorization Incident Narratives Primary Narrative:BC1 was contacted by a youth football coach who noted that one of the players had left to use the restroom. The player was then seen sneaking away from the football field at the junior high school. Multiple parents and coaches had been searching for approximately 30 minutes. After doing a quick foot search, BC1 contacted PD to respond for a missing child. BC1 gave a report with the subject's mother to Officer Ybarra. PD commenced search. BC 1 assisted in driving possible routes the child may have taken home. PT found the subject safe, walking on Buckley Road. PD returned the child home. BC1 cleared. Unit Response Incident Unit Responses Unit NERIS ID Unit Name Apparatus ID Unit Staffing Reported Unit Dispatch Time Unit Enroute to Scene Time Unit on Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time FD06079086S006U029 BC1 BC1 1 18:26:00 18:37:13 18:37:18 18:57:49 18:57:49 Page 2 of 3 Incident Location:11050 LOS OSOS Valley Incident Date:08/25/2026 Incident City, State, Postal Code:San Luis Obispo, CA 93401 Incident Number:26-05400 Incident Date:08/25/2026 Unit NERIS ID Unit Name Apparatus ID Unit Staffing Reported Unit Dispatch Time Unit Enroute to Scene Time Unit on Scene Time Unit Incident Clear Time Apparatus or Resource In Service Date Time Incident Unit Response Personnel Personnel Name/ID Personnel Rank Or Grade Personnel Time In Personnel Time Out Personnel Hours Spent Flatos, Alec Battalion Chief 08/25/2026 18:26:00 08/25/2026 18:57:49 0.53 Casualty/Rescue People Involved Page 3 of 3