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Incident Report – 08/04/2021
850 Maple Dr, Independence, OR 97351

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Summary

On August 4, 2021, Polk County Fire District No. 1 responded to an EMS call at 850 Maple Dr, Independence, OR 97351, a 1-or-2 family dwelling.

The alarm was received at 4:39 AM, 2 EMS personnel arrived at 4:52 AM, and the last unit was cleared at 5:06 AM. The time to arrive was 13 minutes and the total incident time was 27 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 850 Maple Dr, Independence, OR 97351
County Polk County
State OR
City Independence
Zip Code 97351
Property Use 1 or 2 family dwelling
Detector Alerted Occupants Unknown
Hazardous Material Released None

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 13 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 27 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station 90
Mutual Aid Given/Received None
Resources Include Mutual Aid No

Personnel

Support Personnel 0
EMS Personnel 2
Other Personnel 0

Fire Department

Name Polk County Fire District No. 1
Department Type Mostly volunteer
Address 1800 Monmouth St
Independence, OR 97351
Phone (503) 838-1510
Website https://www.polkno1.org/

Actions Taken

First Action Taken Provide advanced life support (ALS)
Second Action Taken Transport person

Metadata

Incident Key OR_00472_08042021_212720_0
State Oregon
Fire Department ID 00472
Incident Date 08/04/2021
Incident Number 212720
Exposure Number 0
NFIRS Version 5.0
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