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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_000165950
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NYC 9/11 Public Portal Document

REPORT-ADDIIIUNAL UAIA STRUCTURAL F^E, TRANSPORTATION FIRE, NON STRUCTURAL FIRE OR EMERGENCY / DATE AND TIME / BOX IGNITION / STRUCTURE / AREA OF ORIGIN ALARM RECEIVED / LOCATION

6 06-25-86 0320 1 OCSIt B U 12 33 38 43 NUMBER X A STREET NAME D lINCl HVPHFNI/<^/ D R IE MOBILE PROPERTY E S s ^JlTEM ------ 61 54 MAKE MODEL 79 SERIAL NO LICENSE STATE

L«°141 111 9/ I ‘’T ±59 112 65 171 IT? 177 83 188

c 0 s. 2^ 707 219 276 231 236 139 OPERATIONS

injury to -.eu-bers: it. ..vheam, -ad. 131 ..edici± leave by .c - .G can c on J t. xLcrrasJUi, Ing. 5 >^prc±n left inctiLder dedicei Leave by . ..e CJ. CITIC

;hicf Cfficcrs at acene: iJ etiCCO, City . ide Coj... ..end chief ..eyes, I'lvision 1 ^aiTier, .att. 2 birschfield, Latt. 6.6 • icvler, aaf. autt, ...G. ...obincon. dur. of acalth er. ethers at aceno: at. dii orenao, crt .mth. iClice 1 .cthcrlrigtcn, . .lie wettina, Gen. .-Tict., xiclG.-an oonct. -c ;oley, -ur. cf dire invest.

/ /-■

z- 1 Ct B.C. D.C. PAGE 7 # bn. DIV. rni . cCa ci;r .J. af / G3;?b. cy . eyes rOF

TYPE FULL NAME TIME OF ARRIvaT TYPE FULL NAME TIME OF ARRIVAL

AnaaiMicTDATtUE muD&MV NYC-WTC_000165950

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NYC-WTC_000165950Source: NYC Law Department, mirrored locally

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