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Incident Report – 06/16/2015
13263 Perignon Pl, Apple Valley, CA 92308

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Summary

On June 16, 2015, Apple Valley Fire Protection District responded to an EMS call at 13263 Perignon Pl, Apple Valley, CA 92308, a boarding/rooming house/residential hotel.

The alarm was received at 2:20 PM, 4 suppression personnel arrived at 2:25 PM, and the last unit was cleared at 2:57 PM. The time to arrive was 5 minutes and the total incident time was 37 minutes.

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

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Location

Type Street address
Address 13263 Perignon Pl, Apple Valley, CA 92308
County San Bernardino County
State CA
City APPLE VALLEY
Zip Code 92308
Property Use Boarding/rooming house, residential hotels
Detector Alerted Occupants Unknown

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 5 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 37 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station 332
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift C

Personnel

Support Personnel 4
EMS Personnel 0
Other Personnel 0

Fire Department

Name Apple Valley Fire Protection District
Department Type Career
Address 22400 Headquarters Ave
Apple Valley, CA 92307-4304
Phone (760) 247-7618
Website https://avfpd.org/

Actions Taken

First Action Taken Provide advanced life support (ALS)

Metadata

Incident Key CA_36015_06162015_1505033_0
State California
Fire Department ID 36015
Incident Date 06/16/2015
Incident Number 1505033
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Other impression/assessment
Patient Age 61
Patient Gender Female
Patient Race White

Injury Types

Cause of Illness/Injury Other cause

Procedures Used

Procedure Used No treatment
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