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Incident Report – 07/04/2021
3092 Samuelson Rd, Rockford, IL 61109

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Summary

On July 4, 2021, Rockford Fire Department responded to an EMS call at 3092 Samuelson Rd, Rockford, IL 61109, a 1-or-2 family dwelling.

The alarm was received at 10:53 AM, 3 suppression and 2 EMS personnel arrived at 10:59 AM, and the last unit was cleared at 11:11 AM. The time to arrive was 6 minutes and the total incident time was 18 minutes.

The following action was taken during the incident: provide basic life support (BLS).

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Location

Type Street address
Address 3092 Samuelson Rd, Rockford, IL 61109
County Winnebago County
State IL
City ROCKFORD
Zip Code 61109
Property Use 1 or 2 family dwelling

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: 18 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station 007
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Alarms 1
District 002

Personnel

Support Personnel 3
EMS Personnel 2
Other Personnel 0

Fire Department

Name Rockford Fire Department
Department Type Career
Address 204 S 1ST St
Rockford, IL 61104
Phone (779) 500-6501
Website https://rockfordil.gov/city-departments/fire/

Actions Taken

First Action Taken Provide basic life support (BLS)

Metadata

Incident Key IL_WJ111_07042021_0015313_0
State Illinois
Fire Department ID WJ111
Incident Date 07/04/2021
Incident Number 0015313
Exposure Number 0
NFIRS Version 5.0
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