Date
Time of Alarm
Time On-Scene
Time Available
Address
Occupant/RP
Phone
Occupancy Type
Room/Apt#
Fire OIC
Situation Found
Action Taken
Apparatus
	Truck 1 Tender 1 E-2 E-3 E-5 E-6 R-7 E-8 B-9 POV Ambulance
Other
Members On-Scene
	Baar - Ron 610 (635) Balentine- Rick 611 (636) Bauer- Frank 677 Beklik- Roya 663 Bestic- Jeff 638 Bradshaw- Bruce 621 (652) Brands- Michael 648 Burnaman- Josh 649 Clapper- Willard Jr. 639 Fredericks- Joe 647 Gonzales- Anne 650 Grob- Darryl 601 Haisfield- Michael 679 Haman- Mike 646 Herr- Paul 657 Holloway- Roy 656 Hollowell- Roger 658 Hopkins- Chris 626 (653) Josselyn- Ken 620 (678) Knight- Amy 673 Lathrop- Parker 623 (659) Lawler- Michael 690 Legersky- Jan 604 Lyons- Michael 627 (645) McEnteer- Bill 651 Melville- Craig 625 (661) Nichols- Brian 603 Olsen- Chris 664 (605) Potter- Brandon 691 Ruggieri- Lisa 665 Schubert- Jan 672 Simmons- John 643 Smiddy- Erin 667 Smiddy- Kevin 622 (662) Stricklen- Clancy 668 Tracey- Michael 669 Van Walraven- Ed Marshal 1 Voorhees- Peter 624 (674) Walbert- Dave 666 Watson- David 675 Wilson- Fred 660 Wisener- Greg 670 Zachary- Marc 676
Drill Credit	Yes     No
Person Filling Out Report
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