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Incident Report – 12/29/2016
1101 Tennyson Dr, Modesto, CA 95351

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Summary

On December 29, 2016, Modesto Fire Department responded to an EMS call at 1101 Tennyson Dr, Modesto, CA 95351, a 1-or-2 family dwelling.

The alarm was received at 10:00 PM, 3 suppression personnel arrived at 10:06 PM, and the last unit was cleared at 10:19 PM. The time to arrive was 6 minutes and the total incident time was 19 minutes.

The following action was taken during the incident: provide advanced life support (ALS).

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Location

Type Street address
Address 1101 Tennyson Dr, Modesto, CA 95351
County Stanislaus County
State CA
City MODESTO
Zip Code 95351
Property Use 1 or 2 family dwelling
Detector Alerted Occupants Unknown

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 6 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 19 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station 02
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift B
District MCS

Personnel

Support Personnel 3
EMS Personnel 0
Other Personnel 0

Fire Department

Name Modesto Fire Department
Department Type Career
Address 409 12TH St
Modesto, CA 95354-2401
Phone (209) 572-9590
Website https://www.modestogov.com/149/Fire-Department

Actions Taken

First Action Taken Provide advanced life support (ALS)

Metadata

Incident Key CA_50040_12292016_0045325_0
State California
Fire Department ID 50040
Incident Date 12/29/2016
Incident Number 0045325
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Altered level of consciousness
Patient Age 32
Patient Gender Male
Patient Race White

Human Factors

Human Factor Possibly impaired by alcohol
Human Factor Possibly impaired by other drug or chemical

Procedures Used

Procedure Used No treatment
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