HomeMy WebLinkAboutMiscellaneous - 132 GREENE STREET 4/30/2018 132 GREEN
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AT tm | tF�Ome Min / � � �__ ._ _____________ O ____ - vi| fdid | incident no. { exp | date | day Warm tar'v
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� i situation round | | +ction taken | ) AIWA u/ d |
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| fixed property | | ignition factor.
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| correct address i zi |' code / census |
__________________i__�1845___ . _____|
| | occup. namc last, firs�, mz } te ] ephon" | room or /ot /
| | owner name 1ast, first, mz | addre�s | telp['hon" i
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--__-�__.--_______-___-- _ |-(- ) �AM��-' _i
| | method of alarm | | district | shift | no. alarms !
G |
|[} _FIHE l��P [ i_1 _i___1_____
| Wire service | #tankers ! #engznes | #aerzal app | 4 nther veh/c! es }
H | i
__ ��i_��d__i'� �
L� ___|__�_i
| hazardous material | substance | special equip used |
� | numbers of injuries | number of fatalities | rescues |
I |
� _ _' _-0i_'- - _|
| mobile property | | vehicle sto/ en ? | estimated tutal do) lar |
J | N INED _N
| insurance company | total insurance | c1aiw �a/'| }
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| | year | make | model | color | lic no | vin# |
| 0_1 ______ __ |
| | if equip involved | year | maKe | model | serzal no |
|
- _______ .................. ... _|
| complex | | area of origin | equip inv in ignition |
K | 0A|__EI]UIP _lNVLl_I /- Z0�1
| form of heat ignition | material ipnited | furm | type \ |
L | ______ All-_{_VN Lill 4 _dF MA{ U i WN |
| method of extinguishment i | level of fire origin | }
M | E ETERMINED _ 1_ W_|
| numbers of stories | | construction type | |
| NO^ -STD EPOR[ED __ i N _|
| extent of flame damage | | extent of smoke damage | |
� N
| detector performance | | sprinkler performance | |
P | -
| if smoke spread / material qenerating | form / | type | f
| beyond room | most smoke : | | NW |
� R | weatherditi |
con ons
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| -------------------- | entries contained in this report are intended for \
| CLEAR AND COLD | The sole use of the Qate fire marshal. Estimat |
| } ions & evaluations made herin represent "MOS [ |
| | LIKELY" & "MOS [ PRO8A8LU cause & effect. Any |
| | representation as to the conditions outside the |
| i State Fire Marshals Office is neither intended nor |
| member making report | implied |
| UWAIRMARREATRY