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Incident Report – 12/05/2022
18th Ave, Clearlake, CA 95422

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Summary

On December 5, 2022, Lake County Fire Protection District responded to an EMS call at 18th Ave, Clearlake, CA 95422, a 24-hour care nursing home (four or more persons).

The alarm was received at 6:36 AM, 2 EMS personnel arrived at 6:36 AM, and the last unit was cleared at 6:36 AM.

The following actions were taken during the incident: provide basic life support (BLS) and transport person.

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Location

Type Street address
Address 18th Ave, Clearlake, CA 95422
County Lake County
State CA
City Clearlake
Zip Code 95422
Property Use 24-hour care Nursing homes, 4 or more persons
Detector Alerted Occupants Unknown
Hazardous Material Released None

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

  • Last Unit Cleared

    Last unit cleared at

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station 70
Mutual Aid Given/Received None
Resources Include Mutual Aid No

Personnel

Support Personnel 0
EMS Personnel 2
Other Personnel 0

Fire Department

Name Lake County Fire Protection District
Department Type Mostly volunteer
Address 14815 Olympic Dr
Clearlake, CA 95422-9522
Phone (707) 994-2170

Actions Taken

First Action Taken Provide basic life support (BLS)
Second Action Taken Transport person

Metadata

Incident Key CA_17005_12052022_022365_0
State California
Fire Department ID 17005
Incident Date 12/05/2022
Incident Number 022365
Exposure Number 0
NFIRS Version 5.0
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