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Document / 11 pages

FDNY fire incident report form, undated

Machine-extracted title · confidence 90%

Blank or partially filled FDNY form for recording details of a structural, transportation, or non-structural fire incident.

NYC-WTC_000165944–000165954
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Scanned page image, NYC-WTC_000165949
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NYC 9/11 Public Portal Document ivi-uuoua I (uo; REPORT-AUDI I lUNAL UAIA STRUCTURAL FIRE, TRANSPORTATION FIRE, NON STRUCTURAL FIRE OR EMERGENCY / DATE AND TIME / BOX IGNITION / STRUCTURE / AREA OF ORIGIN J J .I t A 11 lY o IU t» ALARM RECEIVED y/lOCATION //"I/'"71/1 6 06 -2^ -36 0320 1 OCoU- 1 6 12 33 38 43 A NUMBER D lINCl HYPHENI STREET NAME D R IF MOBILE PROPERTY E S s ^JlTFM 54 R. make MODEL 79 SERIAL NO LICENSE STATE

[®°141 ±47 I 53 59 ±65 1 71 132 77 183 1 88

c o s. '"unT™^"Tt^i9? 201 207 219 225 231 236 189 OPERATIONS

.-ng. .-tretched handliXie frou hng, 6 puhpcr 1. o,.i.irated on hth 1 6th lloors of fire building# •Tig* 33 -tood fast on 13th iioor of fire buUaing. I -.ng, 16 ..-trctched iicndline frosi -.ng, iC a operated on .tch'..ans shack / A cotside building aatarials, LiiG* 28 assisted hiig. 5 in stretching hcnJlinc to 4th floor of fire building. lad. 6 o-tcod fast. Lad, iS .assisted in streteliing handline £: aade .oecocsaiy overhaul on 2nd h 5th flcL rs. lad. 1'1$ tiperatsd foacr Lad. ipe cn during oatorior elevator, --c.de exa<i ination : cverhauL. of exterior of building. 131 .ads ozat .tion or 12 u 13th floors. fatt. 2 supervised ♦ -ng. 33J -ng. 2b-, lad. 131 on >th d 13th .floors. f-f.b. 1 btocd ^ast. * ash her. -tool Fast. Injiiiy to icifocrs: tv 2 cGsiaine , .ng, 7 Lac oration/^.ban zf cyers , . ng. 7 contusion . ack xf’ Le'iCs -ad. 131 ..prain reft - no B C. '1 st D.C. 1 St PAGl BN. DIV. “ir b-OF, TYPE FULL NAME TIME OF ARRIVAL TYPE FULL NAME TIME OF ARRIVAL □L ADMINISTRATIVE COMPANY NYC-WTC_000165949

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NYC-WTC_000165949Source: NYC Law Department, mirrored locally

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