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Home My WebLink About0009 PINE STREET - Health rY Iss 20 , , e y , C xx. r r , y , v - i c r > a � c MASSACHUSETTS FIRE INCIDENT REPORT 1 r. < > DEPARTMENT Revised r'.DID# Report Form N annis Fire Department "<MF x Date Alarm Arrival In Service Incident09008/29/97 Day IFriday00 :44 00 :49 01 :52 SIT T O FO ACTION TAKEN MUTUAL AID B Spill, e o Ign 4 1 Remove Hazard ""'4 FIXED PERTY USE (OCCUPANCY) IGNITION FACTOR C Paved Public Street OCORRECT ADDRESS ZIP CODE CENSUS TRACT D PINE STREET 0 2 6 0 1 50 O1 1 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. M.V.A.: SEE RESCUE O/S r, E 12 OWNER NAM (LAST, FIRST, MI) ADDRESS TELEPHONE SEE RESCUE REPORT G 13 METHOD OF ALARM CO. DIST. © PERSONNEL ENG RESP. AERIALS RESP. 3 RESP. 0 SHIFT HAZ MAT PRESENT? TANK. RESP. - OTHER RESP. ,.....2 B 2 Telephone (Tie-line) NO. AL SUBSTANCE 0 0 1 : SPEC. EQUIP. USED? O 2 0 FIRE c PATAT.TrPTFq 'q SERVICE 0 OTHER O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. jCLAIM'PDj 0 � VIN#0 0 YEAR MAKE MODEL COLOR LICENSE NO. 30 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX AREA OF EQUIP INVOLVED IN IGN. j{ ORIGIN FORM OF HEAT IGNITION -- MATERIAL FORM TYPE © IGNITED OMETHOD OF r7= LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE EXTINGUISHMENT EXTENT OF DAMAGE Flame ........ Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE 0 op Material generating FORM TYPE no Material smoke WEATHER AVENUE OF SMOKE TRAVEL R CONDITIONS Officer in Charge: Date FARRENKOPF, C. CAPTAIN 8/ 2 9/9 7 Comments for this incident have been printed on an additional comments page. Comments for Incident: 97 000849 Exposure: 00 Date: 8/29/97 BARNSTABLE,�OLICE CALLED REQUESTING RESCUE AND EXTRICATION AT A ROLLOVER ON PINE STREET OFF WEST MAIN. ,R MNrS aiV SC.ENE,VEHICLE ON ROOF Wf i H ONE MALE OCCUPANT INSIDE,LEAKING TRANSMISSION AND RADIATOR �ID. INVESTIGATING ACCIDENT FOR EXTRICATION OCCUPANT ROLLED DOWN PASSENGER SIDE WINDOW AND CRAWLED OUT, NO NEED FOR EXTRICATION. ASSISTED BUCKLERS WRECKER WITH RIGHTING VEHICLE AND CLEAN-UP. COVERED SPILLS WITH SAND. RESCUE TRANSPORTED OCCUPANT FOR EXAM. RESCUE 828 AND RESCUE 821. WEATHER CONDITION:CLEAR, WARM,WIND OUT OF THE SOUTHEAST ABOUT 4 MPH, T 670 F. FARRENKOPF, C. CAPT. 08/29/97.