gig IMAGETREND
SERVIBE BRIDGE

Wayne Fire Department
3300 3 Wayne Road. Wayne, Mi 48184
Phone: Fax:

 

   
     
   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suppression

3

Additional Action Taken 

Hazardous condition. other I

 



Contents$ I 

MM DD 
A I08249 I [Ml I 102 ?01 ?2019 I I1 I 19-0318 I0 I 1 
MUTUAL AID Basrc .
FROM

FWD Slate incident Dale Elalian Indclenl MAW immature
Luge-energy c?Mil 5669 I100 I
?ea 3 [5625 I I Lincoln 
Numhemilepost Ple?: Street or Highway Blaze! Type 
In frontal IWayoe  Ml i Ham 
Rear Of AthSuital?eem C?y Stats leCatle
Adjacent to I
Directions Cross Street. Directions or National Grid, as 
US National Grid
Incident Type E1 Dates and Times E2 Shifts and Alarms
I Carbon monoxide Incident I I It: Hour Min sec mm"
l?_J -- - -- - - Checkmate: Ma?MaMaysrequlred 33? ear I?l I?l
Aid Given or Received Iggy; Alarm 2019 I I 13:43:00 I 3m;
arm Dale. 
1X Mutual aid received a: -. Arrival E3 Special Studies
0 0 2019 I 18:55:00 I -
2 Automatic aid received I 08251- Westiand FD I . 1 
I CONTROLLED optional, ompllorw?dhnd lire:
3 Sild sliver-l Control I I I I Special study in: Spedaislmy Velue
4 Automatic aid given tU ?t Laswrirr CLEMED required except tires
as I 02 I 02 I 2019 I I 3
5 Other and given Cleared
None .
Aetioris Taken G1 Resources G2 Estimated Dollar Losses and Values
:22 .ememem I: ?tness? Lossesiismm None
Taken us Apparams Person-:3} Property 

 

 

 

34 ??9?th '3 EMS Pee-moment? VALUE: ovum:
Addinuuvmuvu Taken in] Other I I I I Property 3 I I
$03: comm? 3 I I
Completed Modules H1 Casualties None '5 H3 Hazardous Materials Release I Mixed Use Property
?3?2 . I 0 Special HazMat actions required or spill 55 gal. 00 Mixed use. olher
Structure Fire-3 Death 
. Fire I I I I 2_ 1 Natural gas: slow leak. no even. or HazMal actions 10 Assembly use
civilian Fire Gas-4 gent-ice 2 Propane gas Less than a 21 lb. tank 2?3 "53
Fire Samoa (335Gasoline - vehicle fuel tank or portable container 33 Medical use
EM . 4 Kerosene - fuel-bunting oqutpmentlpoitabie storage 40 Residential use
Hamm?? H2 Detector 
5 Diesel fuelrftiel oil - vehicle ?iel tankrporlable 51 Row of stores
MdLand Fire-8 
1 Detector alerted occupants - 5 Householdro?ico solvent or memicat spill 53 Enclosed mall
Apparatus-9 2 Detector did not alert occupants . 7 Motor all - from engine or poltatiie twnlainer 58 Easiness and residential use
Unknown 8 Paint - spills less than 55 gallons 59 Of?ce use
A 11 None Industrial use
53 Mtitary use
85 Farm use
- NN N01 mixed use

 

 

 

 

 

 

 

Properly Usa
Structures
13? Church. mosque. synagogue, tampki, chapel
161 Restaurant or cafeteria

162 Bar or 
213 Elementary school, including kindergarten
215 High schoot?oninr high school

241 Adult education center, mtlega classroom
311 24-hour cars Nursing homes, 4 or more persons
331 Hospital - medical or 

Outside

124 Ptayground
?55 Crops or orchard

639 Forest. timberland. woodland
til]? Outside material storage area
919 Dump. sar'ritargII land?ll

931 Open land or ?eld

341 Clinic. clinic-type in?nnary

342 Doctor, dentist or oral surgeon of?ce
361 Jail, prison {notjuvon?e)

419 1 or 2 faintly.r dwelling

429 Mia?am?y dwal?ng

439 Boardingr?rooming house, residential hoteis
449 Hotelimoiei, commercial

459 Residentiat board and care

454 Barracks. dormitory

519 Food and beverago solos. grocery store
93-6 Vacant lot

938 Graded and oareMor ptols otland

9&3 Lake. river, stream

951 Ra?roau right-of?way

960 Street. other

961 or divided highway

962 Residential street. road or rasidantiat driveway

539
571
579
5'99
515
629
YOU
819
832
891

981
984

Household goods. sales. repairs

Service station, gas similar:

Motor Vehtda or boat sales. services. repair
Business chine

Electric-generating plant

Laboratory or science laboratory
Manufacturing. processing

Livestock. poultry storage

Parking garage. genera! vehicle:
Warehouse

Construction silo
industrial plant yard - area

Look I: and enter a
Prop Use code and 429
a ton only Igor:

have OTdIestt a 09*

Pmpeny Us: Hort. I Multifamily dwelling I

Property Use Description

Property Use

 

 

K1 Involved
Locomotion

Business Name ?tApplioahlo}

Area Code

l"L 

Phone Nunher

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mimosa? IAnthony 1 LJ IFteming 
magg?ffl?risl Mn, Ms. Mrs. First Name MI Last Name Sun?s:
Mm?me?sm I5825 I I I Iiincoln I I I I I
Pre?x stream- Highway street Type Sam
I I I IWayne
Post D?ioe Bo?rt npusmrerRm City
IMI [43134 
Slate ?pCode
K2 Owner I I I I
[owl Opltan Business Name Area Coda Pmna Nun-Ibo!
Checkih'sbox?same
address aainctdanl I IAi?Rt?IOl?iy . I Fleming
L?ml?lia?mli Mr.,Ma..Mrs. Fidaltteme IMt?l La??arm I ISul?rI I
dupr?rcaleaddresslnu, 5625 Numbsr Pre?x Street or Highway Street Tyros suf?x
I IWarne 
Post?moa Bolt ApUSultIath-Iom city
IMI I4srs4 
stain 
Authorization
I 36 I I Andrew Stager I I Capt 2019 I
D?oer tn charge 10 Signature Position or rank Assignment Mona-I Day Year
56 I I Jason Reeves I I LieutenanUParamsdicI 2019 I
Murmur Maldng report In Signam Posltton or rank Month Day Year

 

 

 

 

 

 

 

 

LI Remarks

Lozzal Option
Station 5 was dispatched to the above location. PD on scene with a possible C0 incident" Upon arrival ES and R5 met Wayne PD at the Bravo side
door wall which was in the open position. PD advised FD of the in room on the 2nd tioor FD took initial CO readings on the RKI 2012 (4) gas monitor

and found over 100 PPM within the ?rst 32" into the structure and no audible?aianns sounding from the residence. Crews made entry for rapid extrication of patient. Female victim
was .tnitial air monitoring of upstairs bedroom
showed levels over the capability of the monitor (in excess of 500 PPM).
R5 crew performed primary search of ?oor and basement locating a male victim in the baseman
Initial air monitoring of basement showed levels of 134 PPM. Male victim 
and then transported to Beaumont Wayne Hospital. See EMS report for more detail. 

Structure was secured by Wayne PD and Wayne Air monitoring was conducted of the entire unit revealing high CO readings throughout some areas in excess of the
capabilities of the air monitor Thermostat turned off. doors and windows were opened and the structure was ventilated using passive horizontal ventilation Once CO readings
were at safe levels entry was made again to obtain an EKG on female victim. Beaumont Wayne Hospital was contacted for Time of death. See EMS report for more detail.
(Reference Wayne PD incident #1 9-1420)

FD checked the adjoining unit (5629 Lincoln) for presence of CO. Positive readings were found in the 50ppm range no CO detector was present in the home. The thermostat was
turned off and the home was ventilated until no farther CO readings were noted.

it was then determined the other 2 units' in that building also needed to be checked for CO. 5637 Lincoln. 2 units south of incident location. checked, FD found no CO readings.

3rd unit south of incident location, 5645 Lincoln, residents were not home, maintenance unlocked the door for FD access. initial CO readings were as follows: 1st ?oor were 30
ppm, 2nd ?oor C0 readings were 54 and basement CO levels were 168 (with baSement door closed at the top of the stairs). No CC detector was noted. Thermostat
turned down, power was turned off to boiler along with natural gas. Pilot on hot water heater turned to off position and circuit breaker for boiler was turned off as well. Residence
was ventilated until CO readings Were zero, residence secured and left in care of maintenance.

WIth high CO readings in 3 out of 4 units in that particular building. FD was concerned of a complex wide CO issue. Speaking with maintenance staff, they could not advise if every
unit was equipped with a CO detector. Further discussion with maintenance revealed the complex was having issues with the tops of chimneys icing up due to the extremely cold
temperatures. Investigation of various rooftops showed signs of icing on various chimneys.

Due to positive CO readings and lack of CO detectors in the units of the initial building the decision was made to inspect each unit in the complex for CO to assure no further life
safety hazard existed. A command post was established at the leasing of?ce. all off duty personnel were called in as well as additional resources requested from Consumers
Energy. Westland FD, Wayne PD, inkster PD and Garden City PD. Teams of 2 personnel (1 FD and 1 PD) were assembled and given air monitors to conduct a door to door
sweep of every unit in the complex. Each team was assigned buildings in the complex and advised to report back to command of any CD readings and the location. Consumers
Energy arrived on scene at 2333 hours (work order #to4?51?334}.

Air sampling was conducted for the presence of CD in every unit in the complex. Any residence with positive readings. thermostats were turned off and the residents were
evacuated. A temporary shelter for displaced residents was established in the leasing of?ce. Any unit in which there was no answer, entry was made with the assistance of
maintenance.

Once all 267 units within the complex were inspected, all units with a positive reading for CO were documented and a full list was provided to management. A debrie?ng was then
held with FD command. complex management, PD and consumers. A plan was then formulated on how to mitigate the situation and get residents back in their homes.
Management brought in chimney contractors to clear ice from around the chimney preventing ice obstructions that were identi?ed as a possible contributing factor to CO levels.
Consumer's energy remained on scene to work with management, maintenance and the contractors to restore heat to units and assure no further CO dangers existed.

Once it was determined there was no longer a life safety hazard and the mitigation plan was implemented. incident was terminated. turning the scene over to management and
Consumers.

Please see additional narrative for a list of units with positive CO readings.

AJS

  
 
   
 

Patient?was treated

 

 

 

 

 

 

MM Di} 
A [08249  Ml  I It 19-0318
MUTUALAID
FROM

WESTLAND

       
   

 

NFIRS-B
EMS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOID Slate incident Date Stalion Incident Number Exposure
3 Mo lhI'D Minute
Member of Patients Patient Number . Date?'rmex Time Anived at Patient 61216315619 laug?g
Choctii?mtt date Time of Patient Transfer - I I
Use a separate form for and: patient as Nana date
Provider Impra ssiont'Assessme nt 17 Cardiac 25 Hypothennia 33 Seizore
18 Chest pain 26 Hypovotemie 34 Apparent some} assault
on Impressiordassessmeni, other 19 Diabetic 27 Inhalation injury. toxic gases 35 Siingr?hiie
Abdominalpato 29 Do not resuscitate 28 Obvious dealt: 36 Strokeictm
11 Airway obstrudion 21 Etectrowtico 29 Ovatdoseipoisoning 3T Syncope. fainting
12 Aliergic reaction, excludes stings 8r venomous trite 22 Gwen" ?"555 3? 33 T?aum
3 Altered level of consciousness 23 Hemorrttagiogrhleeding 31 Respiratory attest NN Nonet'no patient or refused treatment
14 Behavioral mentei status, dismdor Hypertherrnia 32 Respiratory ?was
15 Burns
16 Cardiac arrest
E1 Age or Date of Birth 1 Race G1 Human Factors Contributing to Injury 2: Gz other Factors
65 Months [for {tarot-tie} - .
Other, includes multiracial Check nl applicable be"! {1'19? Eggp?n?g?md
?95 0R 1 White 1 Asleep, no known impairment attire
2 Black or African American 2 Unconscious 1 Acctdontat
301 [1 953 3 American Indian or Alaska native 3 impaired by alcohol 2 Self-inflicted
?Wit?. 4 Asian 4 Possibiy impaired by other drug or chemical 3 in?icted. ?Oi self-in?icted
E2 Gender 5 Native Hawaiian or other Paci?c [stander 5 mentaliy disabled None
1 Main 2 Female Undetermined 6 Physicatty disabled
. . .. . . .. . Physicaliy restrained
F2 Ethnicity Unattended or unsupervised person
None
)4 Non Hispanic or Latino
I 1 Hispanic or Latino
H1 Body Site of Injury 5' H2 Injury Type H3 Cause of tilness?njury
Ltstup in ?ve body sites Liaiom injury site [or each body matted under 5 
I i I I I Cause 
L__l i [Cause other I
I Procedure Used Safety Equipment 3: Cardiac Arrest
no procedures used, other 13 Extrication $333?? ?ot'i?o'?r'ie? m?
at Airway insertion 14 tntudaiion (EGTA) _3 0 Safety equtpment. Other
02 Anti-shock trousets 15 Intubeiion (ET) 1 Safety. Seal. balls .4.. . iipne-atrtval arrest. was I: .t
on Assisted vent?ation is lorivmetapy 2 Chiid safety seat 1 Witnessed
04 Bleeding ocntmi 17 Medications therapy 3 Airbag By ?and? CPR
35 Bum can, 15 0mm mm? - t; Helmet 5 2 Post arrival arrest
I36 Cardiac pacing 19 Obstetan careideltvery . 5 Protective clothing initial Arrest 
Cardioversion {italic}. manual an F'ieanival instructions 6 Flotation (I
or ohosuaodorninai thrust 21 Restrained patient None 1 V-FibN-Tach
do we 22 sorted immob?ization 3 Undetemilned -. Undetermined
10 23 Splinter: exbem?riies .
11 by A50 24 Suwonrasptrale
12 EKG monitoring NN No treatment
L1 Initial Level of Provider L2 Highest Level of Care Patient Status EMS Disposition
Provided on Scene 
Other health care provider Other health care provider 3 1 Improved it Other
1 First responder 1 First responder - 2 Remained same 1 FE) transport to emergency care facility 
2 EMT-B (Basic) 2 EMT-B (Basic) 5 transpod
a EMT-I (Intermediate) 3 EMT-I (Intermediate) 3 a transport with FD attendant
4 EMT-P {Paramedic} 4 EMT-P {Paramedic} - 1 page on transfer 4 Nonemergency transfer
No training No care provided at Not transported under EMS

 

 

 

 

 

   

 

   
   
   

 

 

 

 

tint on 
A ?3249 3 I I02 ?2019 I l1 19-0318 to 
MUTUAL AID EMS
FROM
WESTLAND
FUND State Incident Beta station Incident timber Exposure
Number Of Patients Patient Number Datel'l'tmex Time Arrived at Patient ?3313333619 Hang?

Use a separate form [or each patient

Impressioniessessment. other
10 Abdominai pain
11 Airway obstruction

12 Allergic reaction, exciudes stings venomous bite

13 Altered level of consciousness

14 Behavioral - mentet status. disorder

15 Burns
16 Cardiac arrest

Provider ImpressioniAssessment

l2_l

1? ?Cardiac 

3 Chest pain

19 Diabetic 

25 Do not resuscitate

21 Electruculinn

22 General Itiness

23 Hemorrhegingibteeding
24 Hyperthermia

Checkifsarne date Time of Patient Transfer

Marian-n die:

25 Hypothermia

23 Hypovritemia

Inhalation injury? toxic cases
28 Obvious death

29 Overdoseipoisoning

so Pregnancyioa

31 Respiratory arrest

32 Respiratory distress

l02i?01i?2019 l19?l4 I

Apparent sexual essauit
Slingrbite

Stmkeictm

Syncope? fainting

Seizure

Trauma

Nonerno patient or refused treatment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E1 Age or Date of Birth . 1 Race .5 G1 Human Factors Contributing to injury 62 other Factors
tine to
I as! I E: Other. inctudes multiraciat Check alapplloa . . mic, aim?iz acid
0R 1 White 1 Asteep, no known impairment oo in .
121,031 954 _f 2 Black or African American 2 Unconscious . I Acciciental
l?-J 3 American Indian or Alaska native 3 Possibly impaired by 5139?? 2 Seat-inflicted
. . . mnm??w 4 Asian 4 Possibly impaired by other drug or chemicat 3 In?icted, self-in?icted
E2 Gender 5 Native Hawaiian or other Paci?c Islander 5 menta?y disabled None
1 Male 2 Female Undetermined 6 Physicatly disabled
. . . . . . .. Physicaity restrained
F2 Ethnicity 8 Unattended or unsupervised person
1 None
it Non Hispanic or Latino
_2 1 Hispanic or Latino
H1 Body Site of Injury H2 Injury Type H3 Cause of tilness?njury
Lislup to live body Sites - List one injury 53a [or each trod}r Site hated under cause oft?nessitniury
Procedure Used Safety Equipment Cardiac Arrest

oo Procedures used. other 13 Emiceltoa c?m?gokom?? m?k 3? Wm?? m?
5 1 Pre?amvat arrest
in Money insertion 14 Intubatlon (earn) 0 Safety other
02 trousers 15 Intonation (ET) '3 1 Safety, seat betts w? '1
(13 Assisted ventilation t6 Iorlv? therapy 2 Child safety seat I Winessed
or: Bleeding controt 17 Medications therapy -i 3 Airbag 2 Bystander CPR
05 am care 13 Oxygen therapy 4 Helmet 2 Post arrival arrest
06 Cardiac pacing 19 Obstetrical carei'ctelivery 5 clothing Initial Arrest 
D'i Cerdioversion (defib). manual 20 Prearrivel instructions 5 5 Flotation dSVin-t initia! arrest other
as Chesh?ahdominal thrust 21 Restrained patient I Nana 1 V?Fle-Tach
up can 22 Spinal immobilization Undetermined Undetermined
to 23 SWted extremities 
11 De?hiillatton by A50 24 auctionrosptrate
12 EKG moniton?og NN No treatment

 

 

L1 Initial Level of Provider

0 Other heatth care provider

1 First responder

2 EMT-B (Basic)

3 EMT-I (Intennediate)
4 {Paramedic}
No training

 

 

.3 L2 Highest Lave! of Care Patient Status EMS Disposition
vatded on Scene 
0 Other heaith care provider - 1 Im ved Other
3 1 First responder 3: 1 FD transport to emergency care facility 
2 EMT-B (Basic) 3 Worsened 2 Non$D transport
. 3 (Intermediate) I mm: a tranSpor?r with PD attendant
. 4 {Paramedic} . 4 Non-emergency transfer
NO care provided 2?s. ?0 pulse on trans?r N01 transported under EMS

 

 

 

A {03249

FDID Slate

MM no YWY
102 [101 1?2919 I [1 1

19?031 3

   
     
   

FROM

MUTUAL AID

WESTLAND



 

NFIRS-7
Hazmat

 

 

 

 

 

 

 

 

 

 

Incident Date stallen Inoidenl Nurrlaer Expense Haz No.
HazMat  1015 I Division 2.2 Non-?ammabie [6330-08-0 1 

'9 UNNumber we Ream-1n "um Name Carbon monomde 
C1 Container C2 Estimated Container Capacity D1 Estimated Amount Released E1 Physicat State
Type None When Reteased
INone I 1 50"?
Capacity: by volume or weight Amount Released: by value: or weight 2 Liquid
ContainerType
3 Gas
.. C3 Units: Capacity ?mm? D2 Units: Released Undetermined
materials? Use VOLUME WEIGHT VOLUME WEIGHT E2 I sad I 
. et?i?ene?ehsste: . . 11 Ounces {squid} 21 Ounces {111919111}. 11 Ounces {liquid} 21 Ounces {weight}. a ?a 
12 Gallons 22 Pounds 12 Gatlons 22 Pounds Air
13 Barrels (42 get} 23 Grams 13 Barrels {42 gal} 23 Gram mm.?
14 Liters 24 Kilograms 3-: Liters 24 Kilograms
:5 Cubic feet 15 Cubic feet
16 Cubic meters 16 Cubic meters

 

 

 

 

. Completell?ieremamder
of this form only for the

5 *1?de this insistent; ..
F1 Released From
Cited: al app?mhla m?

BelawGrede
1 additional-um:

I I Slow ol Retease

2 Outside arm

?rst of the hazardous material '3

F2 Population Density
1 Urban center- Densely populated

2 Suburban - Predominantly eingie?familv
residential}

3 Rural Scattered small communities and farms
Gt Area Affected
1 Square feet

2 Blocks

3 Square miles

Enter
1 I I I 

 

 

63 Estimated Number of

G2 Area Evacuated gamma

otter
Meamment

1 Square feet
2 Blocks
3 Square miles

People Evacuated



G4 Estimated Number of
Buildings Evacuated

I Ethane

I If ?re or explosion is involved with a
release, which ?rst?

1 Ignition l}
2 Release

Undetermined
Causeof Release I

1 intentional

2 Unintentional release

3 Container or containment faiture

4 Act of nature

5 Cause under investigation

0 Cause undetermined after investigation

 

 

 

Equipment Involved
in Release


Equipment involved In release
Brand I
Model I

Serial! I

 

Mobile Property
tnvotved in Release

0 Habitat Disposition

Year I I



Mable property tnvoaved

I

Home murmur type

Mable properly make

meet

License Plate!

DDT numbe?lcc numr

 

Year

I 

1 Completed by ?re service only

2 Completed with ?re service present
3 Released to local agency
4 Released to county agency
I 5 Released to state agency
6 Released to federal agency
3' Released to private agency
a Released to property owner or manager
HazMat Civilian Casualties
Deaths



Injuries

 

 

 

 

 

 

 

 

 

   
     
   

 

   

    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 08249 I IM: I 1021101 ?2019 [1 190319 I0 I
MUTUAL AID Apparatus
FROM or
WESTLAND Resources
FDID Shale Inddn??t Data Station Inddenl Number Exposure
Apparatus or Resource EDates and Times Number 07 Apparatus Use ilibstitzz-ns Taken
same dale ?Alarm date on the ?asicMadIda {Black El} People astral-?012: adianafnr each amman? mad!
I . Dispatch 0301:2019 1043 Santa Other . I 22 I I 40 I
TypeI11 I Arrival 31856 i 3* LEEMS
0199* II0301 I . I
. '10 0.3.1 021.011.2019 1343' 5.8m?? Other '22 .. . 
TypeI10 I Arrival? :020302019 21856 Lil?J {5 su?mssm '019? [0202:2019 II0301 I 
. . .. . . {Dispatch >0 02100-20129? .. "ij?a'm .. .. . . 6503*?? .. . 'dthe'r'? as . . '40
Type 119 -: Arrivai 3214? 5' 53 l??l suppressmn 
I I . EMS
Clear ?3032019 II0301 I 
I 023002019 2239 I I. 5 I I 73' 
TypeI 92 I i Arriva' $0013 i 53 Supp'955i?" I_l  I I
0?68? I 020332019 II 0301 

 

 

 

 

 

A

MM DD WY

199249 102l 01ll2019 11 I 19-9319 .
MUTUALAID
FROM

WESTLAND

I



 

Stale Inddonl Dale Elation

lncidanl Newer

Ekpom

NF 
Personne

 

 

 

 



TVPBI I

Number of

Apparatus or Resource
People

{Dates and Times 11139911119999 .5311:

Check "the same dale ashlarm dale on the Bash Module (Block El}

_1 mnmwear

33333333 1 9219112919
3333! 19219112919
03333.1?; 9219212919

3333?". . . .
?1843 ESentg
[[1859 - 
[[9391]

3015-5 . ..

 

 

 

3333333333.. .. ..



R333 0363333.. 
Reeves Jason 

LIeutenanifPaiamedlc

        

Apparatus Use
ONE box for each
gapparalus In ludlca?le its main use .pemn?e
:31 me incidenl.



33333 333.33 .. .. 

Slager A?n? . ?C?apt? 22 . 40 .

":Aetions Taken
Uslup In: ae?ans?oreadl appuatus and each

..omef I 22 .40 ..

SuppresSIon

EMS Lil 1?1

.3333333333Number of

?mgr: is 9999 ?SenE;
People

Apparatus or Resource ?Bates and Tunas

Cheekl?llhe same dale as Alarm dale on [he Basic Mamie [Block E11
?omDajfn?eer 
03133133 9219112919
Arrival 9219112919
Charmin-9219212919

. . . . . . . . . 5
?1848 1 Sent 1
?1856 1 


Bank Or Grade

12-54 . ..

7333' 19 1

 

 

--
Makes, Cullen 

 
 

3333333333. .. 
. 22. .

 

Iautsrzant 30?

 

?1Apparatus Use
:Cheok ONE box for each
1.95m mum

is: l1e-lneiden1-

)4 EMS
..

Flre?ghlerlParamedm .. 1122 . 3&1] .. ..: 

"Actions Taken

.?elu up lo 4 ectionefor each apex-ales and each
Remain use. Personnel.

Suppressuon 33

L?uAeti?on Takes 

 

 



. 

?46?
313
so
31 . .

Number of
People

111.11.191.11; 9999 Sen! 

Apparatus or Resource {Slates and Times

cited: irlhe same dale as Nam dale on ?as Bash Module (Black El}
Mnnli?DayNea!

0333333 9219112919
3333' 9219112919
0'33 Hull-9219212919

3.3333333 . ..
2133 1 Sent?
?2147
[19391 i

33333 Or 6.3333. . .. . ..33333 T3333 .
L?Eu?emnupa?amedic .. .. . . 
03333.i3 .. .. W85.
Capm'mpa?amewP . .. 36

Paramedic ?85 

Eng 8 I
Ty33  11 I

 

 

 


03?33 

 
   
  
 
  
 

 

'40

 

      



?Apparatus Use
1cm one box 1m

3X Suppression

we?. . 

Actions Taken

and: {lamp lo 4 adions?or sash appaealus am! each
slim lndlee?l: H3 main use ?era-n rune]
em.

. .Omer ??39
EMS lil

.?33333 333.33. . 3.3333 T3333. 

   

   

3 3? 3? 3? 33

 

 

 





Number of

1115:9911 isomo Sent 
People

Apparatus or Resource EBates and Times

Check ?lhe em dale as on the Bash: um {Block ?11

Bis33333 9219112919
3333? 1 9219212919
Clear 9219212919

. .
2239 I _:Sent?
[19913 "g 3?
"9391 

3312993 I

7333' 92 I

 

 

 

333333333 . . 
nepuwcme'r .. '73

Name. 

155.30.13.51 113? 
Schneider Jeremie

?3Apparatus Use

A?g?o? 15mm . .. ..

?.Actions Taken

Ichesk ONE box {are listen to 4 adionsloreach apparalus and each
1:1qu Inn Ila main use. spamml

A 73

Suppress-1m

EMS 

3333333333.. .23 .3333." 3333.3.

 

 

 

 

 

19-0318
MUTUAL AID

NFIRS-1 I
a
Supplementa

MM DD 
AI08249 I IMII [1 

    

 

   

 

 
   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FROM
WESTLAND
Slate Mdanl Dal: SHEEN: lnddonl Number Emma
K1 PersonfEnlity Involved I I I I I I
anl Euslnese Nam ?l'Applieable] Area Code Phone Number
?ig?s?i?m Gwendolyn Fleming
?li?m?xm 5] tin. Ms. Mr: IFlier! Name INTI [list Name I ?5?ul?x I
dupa?rmlap address line: I 5525 I I I I Linea!? I I I I I
Number Pre?x Biz-eel or Highway street Type 8m
1 II  Wayne
Poet Ollioe Box npUSI-?lai?oom C?r
IMI 1 143134 
Slale Zip Code
K1 Personlanrity Involved I Huntinglon Management xt16 I
Lnral Business Name ?r?pplimble} Area Code Phone Number
Kim Patterson
?ll? (5:312:16. BL Zun, Ma? Mr: [?rst Mama {not Name I l?'rul?x I
dupllula address lhas. I 25480 I I I I Tetegragh I I I I
Number Pre?x Shelor Highway Sheet Type Suf?x
[South?eld 
Pad omen Box ApUStiletRDom (my
IBM [43033 
Zip Code
K1 Persoanntity Involved Huntington Management 7262 I
Local Oplion Business Name IllApp?ml-te) Ares Code Phone Number
Carrie Ward
?ag? {$333221 Mrs! Name I Ll_j ILad Nam: I law: I
I 575? I IN I Hickory Hollow I I I I I
Number Stealer: Highway Street Type 5m
1 ll 1 Wayne 
Post Ol?ee rm Apusmarnoam Elly
m: I [43134 
Stale Zp Code
K2 I I I I
Local Dollar: Business Name (ll Apmoahlel area Code Phone Number
gdhagrgfam?m Gwendolyn Fleming
IML. Mrs! Eire-t Name I llast Name I?ul?l i
?Wmmsim [5525 I [Lincoln I I 
Number Pre?x Steel or Highway 51:29le am
i ii ?Wayne 
Pnel Dl?oe Box ApUSulolRoorn Olly
IMI 143134 
Slate Code

 

 

 

 

MM DD WYY
A {08249 1 3 I02 ?01 H2019 I I1 1 29-0313 '0 I NFIRS-1S ll
MUTUAL AID Supplementa

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FROM
WESTLAND
Stale lnddehi Data Staliun Incfdent Nurnher Exposure
E3 Supplemental Special Studies
Local Dp?all? 5 dyII'aPue 23:3?:wa Small? g?gailoe 33$?on
51:1 1 NH Till I I
2511'? we.? $31,123 zoom 3553330: 20%: 

 

 

 

Additional Remarks
mull Option

5519 Hickory HoIIow- 13 
5720 Hickory HoIIow 21 
5623 Hickory HoEIow- 5 
5714 Hickory holiow

5787 WiIson - 20 

5781 NEW - 5 

32296 Hamilton - Dryer issue
5790 Amy - 150 

5633 Hoover - 9 

32120 Van Born 20 

5785 Amy 500 

5675 Hoover - 20 

5770 Maxine - 25 

5790 Maxine - 6 

5778 Amy -113 

32128 Hamilton - 50 

5774 Amy - 78 

5615 Hoover - 9 

5621 Hoover - 4 

32092 Hamilton - 18 

32087 Hickory HoIIow- 10 
5701 Hoover - 40 

5695 Hoover - 5 

5778 Maxine - 20 

5783 Maxine - 7 

32140 Van Born - 14