Incident Report – 06/12/2001 1109 E Lake Pl, Fort Collins, CO 80524
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Summary
On June 12, 2001, Poudre Fire Authority responded to an EMS call at 1109 E Lake Pl, Fort Collins, CO 80524, a non-mixed use, 1-or-2 family dwelling.
The following action was taken during the incident: provide basic life support (BLS).
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Location
| Type | Street address |
| Address | 1109 E Lake Pl, Fort Collins, CO 80524 |
| County | Larimer County |
| State | CO |
| City | FORT COLLINS |
| Zip Code | 80524 |
| Mixed Use | Not mixed use |
| Property Use | 1 or 2 family dwelling |
| Detector Alerted Occupants | Unknown |
| Hazardous Material Released | None |
Response
| Incident Type | EMS call, excluding vehicle accident with injury |
| Department Station | S03 |
| Mutual Aid Given/Received | None |
| Resources Include Mutual Aid | No |
| Shift | C |
| Alarms | 0 |
| District | 30L |
Personnel
| Support Personnel | 0 |
| EMS Personnel | 7 |
| Other Personnel | 0 |
Fire Department
| Name | Poudre Fire Authority |
| Department Type | Mostly career |
| Address | 102 Remington St Fort Collins, CO 80524-2834 |
| Phone | (970) 416-2892 |
| Website | https://www.poudre-fire.org/ |
Actions Taken
| First Action Taken | Provide basic life support (BLS) |
Metadata
| Incident Key | CO_06960_6122001_0005252_0 |
| State | Colorado |
| Fire Department ID | 06960 |
| Incident Date | 06/12/2001 |
| Incident Number | 0005252 |
| Exposure Number | 0 |
| NFIRS Version | 5.0 |
EMS Report
Patient Description
| Provider Impression/Assessment | Other impression/assessment |
| Patient Age | 73 |
| Patient Gender | Female |
Injury Types
| Cause of Illness/Injury | Other cause |
Procedures Used
| Procedure Used | No treatment |
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