HomeMy WebLinkAbout0576 OLD STAGE ROAD - Health 576 Old Stage Road
Centerville
A= 191 —019
/// S M E A D
No.H163OR
UPC 10259
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jUI",17/200" 08, 30 COMM PIPE DEPARTMENT FAX No, 5087902385 P. OCl
ell'.:,,I°ll"E:RVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT
DEPARTMENT OF FIRE-RESCUE & EMERGENCY SERVICES
'I S75 F:alrnouth Road, Rte. 28 Emergency Number:
Cent::;rvil;e, MA,02632-3117
790-2375 John M. Farrington
(5,08)790-2385 Fire Prevention/Administration Chief of Department
NI.: (508)957-8239 Dispatch Center
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17/200'-/':'i'1' 08: 30 COMM FIDE DEPARTMENT FAX No, 5087902385 P. 002
ML% UU Y Y Y Y L Dolero
1 07-0002051 000
07 15 2007 �� � � ❑chan4e I❑No Activity Basic
State yp4 InciQcnt Date * Station Incident Number * Exposure71r
ewn..=.ee=, --. �•.. -....®- ❑check
tale box to Indicate tbst the eddreea for ctda incident is previdod on the wildland rare Census Tract _
t.w,k :Looc[3. j.E''n1k Nodule In ata[inn B"AlternatEve LOCati O SDeci Cicaeioo"- UeaI only CON wlldland i1Fea-
���;,Stl:-.:��a1: allChaE:F3a • �-�.�- d1
�_�It,t:•.lx;tl•:[:t:ltxn. Numbez _]OLD/Ptilepost Prerl:i- Street of }tighway Street Type Suffix
In ;I::c:ra:t: ,:•f I CENTERVILLE I IU 102 632 -L,
]_G Beat l:t
l�Qt_/3ulce/Room City State Zip Code
Croce street or direeEione. as a licable
Date & Times F;2
Midnight is 0000 Shift-1; Alarle.S;
o
c ' Month Day Year Hr Min see Local a on
burning I check boxes it F:-
dates are the
nc1:ler': ';y�3 same ae Alert, 4LPRSi always required 3 C:gM13
1�- _ - - Date. 07 15 2007 19:16:07 L—•_ �•�
9N5, c'I� _i3 �.•].'i'�F99 c>a• Received* •�• = L� I ( Shift or Alarms n3atricC
1l� Flatoon
FRRTVAL required, unless canceled or did not arrive
1 o]Ny;.tual alc', s;a zv.Lved I-�L� ❑ Arrival * 07 15 L 20071 19� -42:01 I �i'3 -- -'
,!� !-gyp U.�GI92 ti,: ai.,J. 1:ecv. Their FDID Their
W :e:titOLa1 6.'LGf. g:il7Ein state CONTROLLED Optional, Except for wildland fires Special Studies I
L.]
Local Op lion
Sd ❑l�,t.:.rtmEt!a.:'' 1:,3 given I ❑Controlled L� L
- � C the (3 t�i;vrar. Their LAST UNIT CLEARL•D, required except for wildland fires L II
•] r. a:i Incident Number Last unit Special dlpeciel -I
I fill LJ 1 2��19:42:18 � Stuffy TDN ;Rudy value
! 7
G1 Resources * G2 Estimated Dollar Losses 6: tPa].ues
❑ check this box and skip Chia LOSSES: ReGuired for all fires if known. Optional
aectlon if an apparatus or
for non fires. Hone.
Personnel form is used.
86i l.Fn:_'c:rae: codes
Apparatus Personnel Property $1 Id 000 J C1001 El
crirory Actir-r. lace» (1)
Suppression L—� 0001 Contents $1 000 ,L_000 (-I
EMS I u PRE-INCIDENT VALUE: optional
;zridi•;ional b>ra:..on Tak•.n 12) .
Other L 00011 � J property 0001_122J El
2A:dll:lcna2 iu:C:i:n Takr+n (3) ❑ check box if resource counts
include aid received resources. Contents 000 ,L—C,00 L]
::�r,m :I.�:�;,a,A�kl)dt:).lras 111*Casualties❑Non® �3 Fiazardou9 Materials Release I Mixed Use Rl:operty
Deaths Injuries N ❑ 10
None Not nixed
Fire
St;rll t.ul+5-:! Assembly a:e
I I 1 ®Natural Gate: aloe leak, no a "A"'er Resat action' 20 Educatior! C19A e
Sezviae L� I _ I Med$Cal
��C::tv i.l Eire �:?es..-4PropanePropae gas: <u nn lb. + k lea in some sea grill) 33 11190
rD Civa ien!� u3 ❑Ga9oline: .blue 40 Residential use
4 P°F"�e"°r°'�®Kerosene: ruin 1,ruing agoilmn.e°: 51 Row of sto::res
Detector 53 Enclosed m+t:ii
!-3�`ia`lii� Re¢uired for confined Pirea. 5 []Diesel fuel/fuel 0";'vQDlola rani Tank or perwala 58 Bus, b Rcnel:.dQntial
v7-.A.Alar-d Ti.i'_:-13 6 Household solvents: 59 Office u: 3
--. 1❑Detector alerted eceupanta ❑ LovooJoffioa vpillr cloonap only
J"'q . 60 Industria use❑ l per
•[lr Z?€Ir'.i..I(a C7 E1 -),Pj I m 63 military tj•ile
t�Detaetor did not alert the 8 ®Paint: from paint casu totaling<is gall°nc
Z 65 Esl'm 1130
I�Zii9:J:1-lS [,1 L�Unknovn 0 ❑Other: oyecicl s°.mb c'6.ions x-,wed nr spill>599"., 00 Other ni:,ca4:', use
Pica]t le
F ro:Per is- i)W e-Ir Structures 34.1 Q Cli ni•c,clinic type infsrmary 539 ❑Household goods,sales,rel:eirs
342❑boctor/dentist office 579 ❑Honor vahicla/boat sa16n:;;'ropair
1.31 �J:ihu_ I, hl.aac : of worship 361❑prison or jail, not juvenile 571 ®Gas or service station
161, EP%estau_nmit or cafeteria 419®1-or 2-gamily dwelling 599 []Business office
12 1as.x, ^a rel n ox nightclub 429❑Multi-family dwelling 615 ❑Electric generating plan'::
�s :3 C`]f leui,rY::xy sc°hool or kindergarten 439❑Rooming/boarding house 629 ❑Laaboratosy/scionce lab
21=a .1 Evi.glt ,ar,1 c o:L c r junior high 449❑commercial hotel or motel 700 ❑Manufacturing plant
241 �C.c,l.:l�lra:, sid:a;.t education 459❑Residential, board sod care 819 ❑Livestook/poultry storage(barn)
' y/barracks -rosidoitisl parkirg Siarag®31Z CJ as Cst for the agmd 464❑Dormitoz ❑
?i 1- EIRCell;•..'eta 5190Food and beverage sales 891 ❑Warehouse
Out sfcTe _ 936®vacant lot 981 ❑construction site
j••;1,4 Ell)l-t,;r_"SYnet ox park 938 ❑Graded/care for plot of land 984 ® Industrial plant yard
+655 ElCrop:s ,_c. -1-11—d 946 ❑Lake, river., Stream
Lookup and enters ProDetey Use code only 11
(r 69 Ell?—,a bt. f ti) erland} 951 QRailroad right of wady you have NOT .-hacked a Property Use bo::;
F107 [-l(XltflDlir :3,rorage area 960 ❑Other street Property Use 1419
jt')11Tij? 1):: sianlit:ary landfill 961 ❑Highway/divided highway 1 or 2 fambl lli
93" E:.I,open .ir--A nr field 962 []Residential[]Residentialstr t/drivaway Y We si g
NFIya 1 Rev s on 7):i. j
,..., ,r...• re.•-,�rt�m-,s- D191(1 Q'!/1S/T.l1Q'/ 11l-1:102(1D'
08; 30 COMM FIRE DEPARTMENT FAX No, 5087902385 PAE
Involved
l,ccal Opt:i— Buoineas name lit applicable) Area Code Phone Number
0Che.:,k Th.1.3 Boa It Mr.,Ms., Mrs. First Name HI Last Name Suffix
a am'
t addre:se III, - ' I
inc:ic'.rnt 'ioca.2irr,n. 1 --TRon ::xip !.ha, C,tea:
6ur:Acata ::Kc::.:." Nu =er Prefix Street or Highway Streat Type 9UfLlX
lin'lo.
Poet Office Box II Apt./sulta/Room city
" I I_1
state Zip Coda
��v )Esixo yeop.:® involved? Check this box and attach Supplemental Fo=s WFIR8-18) as necessary
�;b.e Q,Vcmi.er wo as person involved' I I
--1 :::ien chuck: this box ana skip
'.'1oe rest of this section.
Local Cption Business name (It Applicabla) Area code Phone Number
I I " I ► u
0cs—_k ::hi.a- 4. Mr—Me., Mrs. First Name Mi Last Name Suffix
••:ant a:WVC:s
dc;pl`c:vP:e'P09.rE!:ifr Nsmbar Prefix streee or Yiphwey Street Type SUfLAX
1.i,netr, I I� ' --.�
(Post Office Box Apt./Suite/Room city
BCate Zip Coda
Opt'.W.
#:L8 GLENEAGLE DRIVE
:508-743-7851
01C
Pats. 0
rcro,sby 9-007/07/15 19:42:01 - 321 AT EVENT MANNING IS 1
rcrols:)y 2007/07/15 19:19:45
]']UdOP TN OF 18 GLENEAGLE - POSSIBLY ON OLD STAGE ROAD
i rc:.Lo7�a, A07/07/15 19.36.45
BURNING - VIOLATION ISSUED
Diap�:lr.c.'ak.!d n 3:?l for a reported SWOP. Spoke to RP's from both *18 and 430 Glean Eagle Fir
. who di.r_ecte.i3 me to the home of 576'OJdyStage�Road? Both RP's told me that the resident Las
been burning trash year round and they have called to report him in the past... I
went to the residence were I observed Mr Richard Thomas was burning brush in an woodstc:v•e in
bi.s. cs.aad.'.. H'':� sated to me that he was burning brush that he was not able to do during :h!):ush
1 Seast�? be.ec;!).isea of a medical condition. He denied burning trash, however the smoke in t:hc
Yiad an odor of a trash fire. I had Mr Thomas extinguish his fire and gave:
In addition I told him that his woodstove was not installed to code and he
Wei" Y• I:t i_U .is(: `.t anymore. Once I returned to quarters we found out that there has been. at
LE:a.3'r_ t A(, 1:':hE, call to this property with at least on violation issued.
07/16/2007 C)7 :0'7:59 sgreene
i
8301, 1 GREENE, SEAN I ICAPT I ` L 0 7j L.L6J �_ 20071
c!ffi=�:: 1.r. r-'n:,r!)e ID signature position or rank Assignment Month Day Y,aer
chuck. f 07 3-6 2007
,u if 8301:1.__.._�.�� GREENS, SEAN I CAPT I U U �_,
swnu: Position or rank. Rasighment Month Day tear
es nY.',lcoz Kamb`r nMk:in, report ID Signature
in e;harge.
t;GJCI`i F":fr'z n�D�r�;r,�•)r. 01920 07/15/2007 07-d702051