Professional Documents
Culture Documents
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BRIDGE
I RC271
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Slatt
11 2o16
I I MOF2 I
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1201601 684
hOd'tt'illl~t
S111ion
, NFIRS-1
Basic
E.rpcl""
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Location Type
X Street address
Intersection
In front of
Rear or
12200
~1/LBepoct
I L.J
I 69TH AV
Prer:.
I I MOLINE
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Adjacent to
Directions
US National Grid
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Monlh
Day
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Year
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Dalt .
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I
FDIC
E2
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l.li:lni;t'(k CICCO
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Incident Type
Thri'"lnci:!trtN~
Arrival
1o1:24:44
Controlled
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Cleared
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Actions Taken
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l2..j I Eme rgency medical services, other
G2
Resources
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lolodulotllu'-".
Pr.m.arrk:tionTaktt~!1)
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EMS
Other
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Completed Modules
Fire-2
Sln!cture
Fir~3
Civiian Fll'e
Cas.~
H1
Fire
Service
Civilian
EMS--6
Wldlend Fire-8
~on--11
Injury
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Detector
H.uMat7
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X Perunnd--10
Casualties
Death
R~l.lrtdlc:;on~f.tH .
f1SI Non
HJ
0
Property S
Contents S
None
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PRE-JNCIDEcN-T_V_A_L_U_E_:_o-~-...,-.---'
Property
Contents S
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J
10
Assembly use
20
Educational use
JJ
Medical Ue
40
Ruidentialv se
51
Row of stores
53
Endosed mil
58
Unknown
59
Office use
Non
60
Industrial use
63
M ilit~ryuse
65
Fa"" use.
NN
Not mixed
U511!:
Paee 1 of 4
Property Use
Structures
t 31
161
Restaurant
162
Bar ornlghtdub
Of
cafeteria
21 J
215
High
schooV.~.mior
342
571
~l!:fVI C~
361
579
419
I or2familydwelling
599
Business office
429
Muttifamily cf'rwlling
615
Electric-generating plant
439
629
449
Hotel/motel, comm!:rcia/
700
Manufacturing , processing
2.C 1
459
819
46.(
882
331
519
891
warehouse
936
Va.cantlol
981
Construction site
Playground
938
984
lnd\Jstrialplanlylltdllrea
Outside
655
Crops or orchard
946
669
951
Ra ilroad right-of-way
l ooltup ancfl!nt.tr:a
PrapciT)'U..ecodeancf
ciHCripcionllfWylf)'CIU
807
960
Street, other
Nw.NOTU!K.kedl
961
962
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ely
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lo~tioti(Stctionllj.
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dupble:addl'll!ufne,.,
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Station 12
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M=nth
[hy
Remarks
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Ph<:nt' ll lll'nber
ru
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loeoiOp<lon
10
m Code
U L
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f Airaaft taxiway
I L_j -L_J-L_j
K2
Property use
Pn:lptiT)'UWBc.E.
919
931
~t~~ --- ..
311
12-t
T12 arrived first and began pt care pt was carried down from airplane by pts body guard. T12 drove A13 to hospital.
'l't'1r
I RC271
IRes~~rcesll
FO<O
Apparatus or Resource
loldrU91"tilOOOO
IDIAMB13
Type l 76
Dispatch X
04/15/2016
Arrival
04/15/2016
Type l 12
Sent
Number of
People
11 o117
11 o126
04/15/2016
ll 0216
04/15/2016
Arrival
04/15/2016
Clear
04/15/2016
11 o117
11 o124
11 o151
Apparatus Use
Actions Taken
l~raivf.IO~f:Z'..e ArnM\UW
allhe~rt.
Holoi7Ui1
Dispatch X
Clear
IDI TK12
at Ahrmda~c Oft
Other
Sent
l__2_j
Suppression
X EMS
Other
Sent
L..2_j
X Suppression
EMS
L_j
L_j
L_j
L_j
L_j
L_j
L_j
L_j
Pa!!e 3 of 4
I RC271
1 ~V
lnciHnl C4tt
FD<D
Apparatus o r Resource
I VV I vv-.
loc:id t tf.HU!T'bct
Sent
Dates an d Times
Number of
People
!!~~!'!':!'
IDI AMB 13
Type l76
Pe rso nn eii D
Arrival
Clea r
1o4t15t2016
1o4t15t2o1s
1o4t15t2016
2709
Apparatus or Resource
11 o1 17
11 o126
11 o216
----- - -
Name
FrederikSen. JuStiil
. scirily. Kevin
2698
Dispatch X
Rank Or Grade
Sent
ID I TK12
I
I
Type l 12
Person neiiO
2672
2625
2682
Actio n Taken
Action Taken
Actio n Take n
L_j
L_j
' FFP
FFP
Sent ;
Number of
Apparatus Use
Actions Take n
ChK:kOO E bo1 f n ch
lJQ upao.Caaicm lioruc.h appilrlhH ar.d r ad'l
lpp.ar11M IO h!'<2!ci:srr.&int:u pen.onntl
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--~~~JY~-
citiier
Sen t
1o4t15t2o16
Arrival
X I 04/15/2016
11 o124
Clear
X I 04/15/2016
11 o151
Name
LJ
LJ
Suppression
X EMS
Actions Taken
iJJtuplo( 1ctionl: fDtndlpparato.AJndu.;t,
Other
L1......J
Peo ple
Apparatus Use
C hc-d:ON E bo:l:fotru:h
ltthe ioddtfL
Hc~rn.ttl
Ra nk Or Gra d e
Action Taken
L...2._j
Actio n Taken
X Suppression
EMS
Act ion Taken
L_j
L_j
Actio n Taken
Heiler, Jotin
i-ioUiemga,-scott
Leone~ MarCo
Paee 4 of 4
1630-Bth Ave
Moline, I L 6 126 5
I!
--
I
II
I
Unit Personnel
Zr;w
- M
- em
_ b_e_r - - - - - - - - - - - - - - - - - *Crew
i - - -- - - -
M embe ;L;v~-,-----
iParamedic
_Frederiksen, Justin
'Ra nds, Austin
_Paramed ic
------- --------
- --~~~Me;b~~~ -
-- ------- ----- - -- -- -
-~------------------i-;P-ri_m_a_ry
_C:__a-re-g-iv...;e:...r-----------------1
-Sorby,
- '--------------------+------Kevin
Paramedic
.. _
Page: 1
Date Printed : 04/22/2016 11:23
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Date Printed: 04/22/2016 11:23
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Page: 3
Date Printed: 04/22/2016 11:23
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Page: 4
Date Printed: 04/ 22/2016 11:23