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O SACHUSETTS FIRE INCIDENT REPORT
':" ': « DEPARTMENT Revise
" ... . .. .. ......... For"10 ID Repoansreearmen
In '•en If E Date Da Alarm ArrivalIn Service
J000113 Fire 002/ 2/ 96 y JFrIday16:44 16:47 17:05
SITUATION FOUND ACTION TAKEN 7M MUTUAL AID
B Spill, Leak w/ No Ign 4 1 >< Remove Hazard
FIXED PROPERTY USE (OCCUPANCY) > IGNITION FACTOR
C Paved Public Street `''`9 6 2 NO FIRE ..... 0
CORRECT ADDRESS ZIP CODE CENSUS TRACT
D SUDBURY AVE FRONT #50 1 0 2 6 0 1 000030
O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT.
N/A
OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE
F 12 TOWN OF BARNSTABLE MAIN STREET HYANNIS MA
G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP.
177=13 RESP. 0
SHIFT HAZ MAT PRESENT? TANK. RESP. MOTHER RESP.
D — 0
RESCUE 827 No. SUBSTANCE 1 14 2 1142
1 : SPEC. EQUIP. USED?
O 20 FIRE
SERVICE 0 «< 0 OTHER 0 0 <
MOBILE PROPERTY TYPE
VEHICLE STOLEN?
ESTIMATED TOTAL INSURANCE CO.
DOLLAR LASS
,, TOTAL INS. CLAIM PD
0 0
30 YEAR MAKE MODEL COLOR LICENSE NO. VIN#
40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO.
IN IGNITION
O COMPLEX JAREA OF EQUIP INVOLVED IN IGN.
ORIGIN
FORM OF HEAT IGNITION MATERIAL FORM TYPE
IGNITED
METHOD OF LEVEL OF ORIGIN mber of Stories CONSTRUCTION TYPE
Nu
O EXTINGUISHMENT . Ij ...
EXTENT OF DAMAGE Flame .. Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE
op F7"M
O
Material generating FORM TYPE
no Material
smoke
AVENUE OF SMOKE TRAVEL
R
WEATHER
CONDITIONS
Officer in Charge: Date
ERIC FARRENKOPF CAPTAIN 2/ 2/9 6
Comments for this incident have been printed on an additional comments page.
Comments for Incident: 96 000113 Exposure: 00 Date: 2/2/96
6RECEIVED A CALL FROM RESCUE 827 FOR AN ENGINE TO RESPOND TO THE MVA IN FRONT OF#50 SUDBURY AVE(R-
299)FOR AN ANTIFREEZE SPILL.
RESPONSE:ENGINE 826 CAPT E. FARRENKOPF,LT CADRIN, F/F REX.
UPON ARRIVAL HAD AN APPROX 1 GALLON ANTIFREEZE SPILL IN THE SNOW ON THE ROAD WAY.DISCONNECTED THE
BATTERY TO THE VEHICLE AND REMOVED THE SNOW/ANTIFREEZE AND PLACED IT ON THE FLATBED THAT REMOVED THE
VEHICLE(BUCKLERS TOWING)FOR DISPOSAL
ENGINE 826 TO OTS 1712
ERIC FARRENKOPF CAPTAIN
02/02/96