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Incident Report – 11/29/2021
4145 Samuelson Rd, Rockford, IL 61109

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Summary

On November 29, 2021, Rockford Fire Department responded to an EMS call at 4145 Samuelson Rd, Rockford, IL 61109, a high school/junior high school/middle school.

The alarm was received at 12:26 PM, 3 suppression and 2 EMS personnel arrived at 12:31 PM, and the last unit was cleared at 12:48 PM. The time to arrive was 5 minutes and the total incident time was 22 minutes.

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

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Location

Type Street address
Address 4145 Samuelson Rd, Rockford, IL 61109
County Winnebago County
State IL
City ROCKFORD
Zip Code 61109
Property Use High school/junior high school/middle school

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: 22 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station 011
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Alarms 0
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 advanced life support (ALS)
Second Action Taken Transport person

Metadata

Incident Key IL_WJ111_11292021_0028475_0
State Illinois
Fire Department ID WJ111
Incident Date 11/29/2021
Incident Number 0028475
Exposure Number 0
NFIRS Version 5.0
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