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Home My WebLink AboutUtility Plan, issue.Vail Mountain View on Gore Creek Utilities Plan October 15, 2008 There was a gas line broken at this project today by the earthwork and utilities subcontractor WVC. This is the forth time utilities have been damaged by this subcontractor on this project. Three times were gas, and once was electric. The project was evacuated and emergency crews responded and repaired the line. Also during the incident an excavation was observed that was of a depth that required a trench box. This excavation was for the completion of the water main and installation of a permanent fire hydrant to replace the temporary hydrant on the east side of the project. While no one was working in the excavation at the time, there was evidence of recent (same day) water line work, and no trench box or ladder was present. This excavation requires a trench box for work to continue and due to wet soils, backfill as soon as possible is important. The gas line that was struck is a temporary gas line installed by Arby Inc., a subcontractor for Excel Energy. This line runs along the South, East, and West sides of the project. For the past week Excel and RA Nelson had been working to determine if this line could be used for the permanent gas line. The tracer wire had been compromised and WVC over the past 3 days had been in the process of potholing to find and repair tracer wires, and to confirm the location of the gas line. Based on the condition of the tracer wire and the pipeline, and the lack of adequate bedding material, it was determined that the gas line may have been compromised and it was decided that it would be prudent to replace the South portion of the line. The west portion had already been replaced, and the east run needed to be replaced due to conflicts with a sewer main. RA Nelson's Safety Director is conducting an investigation and will be issuing a formal report today. OSHA responded to a complaint and was onsite 10/15 and again 10/16. WVC has been put on formal notice that they are in default under the terms of their subcontract and in breach of RA Nelson's safety plan. WVC personnel worked with RA Nelson supervisors and management to develop the enclosed plan for completing the work. We believe that with the appropriate change in attitude by WVC, the project is best served by allowing them to complete their contract, but only if the appropriate changes are made. The completion of the utility work on this project is complicated and requires careful coordination and planning. The remaining work consists of: 1. Install 2 fire hydrants, one at the top of the driveway and one near the location of the temporary fire hydrant on the east end. 2. Clean flush and flow test the water mains 3. Install the sanitary sewer along the east end of the project The sanitary sewer to be installed and the temporary gas main on the east end of the site are in the same area. The permanent gas main runs parallel to the building and out of the alignment of the new sewer service. We believe that the most prudent sequence of work is to get the permanent gas main installed ASAP and abandon the temporary line. This will enable us to install the deep sewer without endangering the temporary gas line and will take a potentially compromised gas line out of service. We believe that the best solution to the water hydrant excavation is to rapidly complete this work and get the excavation filled in. The trench box has been installed and the excavation has been clearly marked with caution tape. RA Nelson's excavation permit process will be used for all remaining work on this project. This is a daily pre - planning and communication tool that should prevent future problems and provide accountability for proper planning and coordination. Please see attached work plan documents and excavation permit for additional information. We appreciate the ongoing help and value the working relationship that we have established and intend to continue with all town personnel. Mike Cuthbertson Vail Valley Regional Manager Vail Mountain View Utility action plan As we are all aware we have encountered several issues of concern at the Mountain View project including the gas line break which occurred today 10- 15 -08. In order to mitigate any further incidents RA Nelson will propose the following plan and process for the remainder of the utilities on this project. Below I have outlined this process for your review and approval. WATER LINE 1. Currently the water line on the east side has been excavated and is ready for the fire hydrant installation. The trench box has been installed and RA Nelson and WVC will insure this work is performed to all the required safety measures and OSHA standards. 2. It is our plan to install the hydrant on 10 -16 -08 including the required thrust blocks and backfill this area after your inspection of this work. 3. Upon completion of this work WVC will proceed with the excavation and installation of the fire hydrant at the drive entrance to the garage. 4. The excavation in this area will be approximately 8' deep so the trench box will again be utilized and the installation will take place on 10 -16 -08 and 10- 17 -08. 5. Upon completion of this hydrant and thrust block we will again backfill this area after your inspection and approval of this installation. 6. This will complete the water line installation and we will then start plans for the clean and flush of the water mains and will coordinate this work with the Fire Dept. GAS LINE 1. The existing temp gas service was cut today while attempting to install the new gas service above the existing line. In order to properly coordinate this work it is necessary to install the permanent line in its proper location prior to the excavation and installation of the sewer line. 2. The progress as of today is as follows. The west tie in has been hand excavated and the trench along the south side of the building is excavated. In order to continue with this work we will need to complete the following work. 3. WVC will need to excavate from the exposed break around the corner to the north following the building and crossing the site approximately 50' to the north. 4. At the south east corner of the site the final grade has not been established due to missing walls. At this location the exposed pipe will be sleeved with schedule 40 pipe and protected with barricades from damage until the final grading is achieved. This will take approximately 2 weeks to complete the final grade in this area 5. By installing the new line now and before the new sewer is installed the benefits and safety mitigation are as follows. 6. Currently the temp gas service is directly over the sewer service excavation. By moving this line over now we will not have to encounter this line until we cross it at the new tie in. 7. At the cross over location we will leave this area partially exposed and covered with road base. In this way we can easily identify the cross over location during the sewer line excavation. 8. If we are allowed to continue this work on 10 -16 -08 we can have this work installed and backfilled in 2 days. SEWER SERVICE LINE 1. The third and last line to install is the sewer service line. This line runs from the south east side of the site to the north along the project. 2. This excavation will be approximately 16' deep and will require a trench box for this excavation and installation. 3. With the gas line installed shallow to the west we will only need to cross this line perpendicular to at the tie in location. 4. Currently if we are allowed to proceed with this plan we will be prepared to start the excavation and installing of the sewer service on Monday and will take approximately 4 days to complete this work. In closing RA Nelson will insure proper supervision and safety enforcement of this work at all times during this process. Any construction deviations or changes to this plan will not take place without prior approval of the TOV and / Vail Fire Prevention District. Regards Paul Burbidge General Superintendent Vail Mountain View PAT Jai it je Or IRK FS - — �rgFys:.m- �*+w- tmVtt'"bv�i.�x"v "�s'�.rw .x-' •$Y • —_ u', � -� ; F � r•� j rr 1 �g 33 - J:r f� 3 it i �11'MIIR I � 8 d3 3 Y. �rgFys:.m- �*+w- tmVtt'"bv�i.�x"v "�s'�.rw .x-' •$Y • —_ u', � -� ; F � r•� j rr 1 �g 33 - J:r f� 3 it i �11'MIIR I � 8 (10/15/2008) Mike McGee - Scan 001.pdf _Page 1 FACILITY LOCATION SKETCH :/�lli6'1'�iDUllrl 1 (719) 471 -0229 acf�rtors, L[c. TICKET # Z Z ;�) Area #: LOG #: Footage: ADDRESS: t�3L / ' ice/ ✓ �L ' I �/j EXCAVATOR: How Marked: O Paint Dfleas O NylM MIskere - Pdrd# Time Arrived Time Completed PRPMY OWNED FACILITIIS MAYBE IN DIG AREA. THESE INCLUDE, BUT ARE NOT LIMITED M SECONDARY ELECTRIC, WATER, AND AFTER METER GAS SERVICES. R IS THE EXCAVATORS RESPONSIBILITY TO GET THESE MARKED. 40AIARKS PROVIDED BY UNDERGROUND LOCATORS ARE COURTESY ONLY WITH NO WARRANTY. NORTH O DIG ALERT One or more of the following high profile facilities has been located In or near your dig area. Please pot hole and verify location. _.. fi iSf ? 0 Electric Feeder ct >tN O Fiber Optic 0 Duct Run 0 H.P. Gas O fi00 Pair or - Greater. Telephone - 0 4` or Bigger Gas 0 Watch &Protect/ r' 4 �'' ` Standby Required r2 Please l 71-0229 tint � to sc hedu le a e. EXCAVATOR .NOTIFIED Name ' J Date AM PM ' Time .-• E - Electric G ^^ G - Gas TV - CATV Crl-;n- [ AtS T___ T - Telephone +�--- W - Water , F/O - Fiber Optic - DR - Duct Run S - Sewer ' LDCDE MARKS ARE ONLY GOOD FOR 30 DAYS OR WHILE VISIBLE. CALL FOR RE-Ml IF PAINT MARKS ARE DESTROYED OR WEIDNERED. YOURTICKETIS NOT VALID :IFHARKS ARE:DESTROYFD. SKMHiS "APPROXIMATE: 1SAMES HORIZONTALLY FROM'EXTERIOR.SDE OF THE FACILITY IS CONSIDERED A "CORRECT LOCATION: EXTENDED JOB AGREEMENT .:THIS Ourcompanyand l reethetthisonginellocate ticket is an extended job and that boated will be COMMENTS done on day- today basis: No excavating will ' : take piecelwNh Vie dig r s received by o ur PRINT LOCATORS NAME y i L- % i DATE Excavators Signature Signature of person on job site (10/15/2008) Mike McGee - Scan 001.pdf Page 1 j PAINT-tAt Signature t J DATE`��ayarors SVgneriire ` MM DD yyyy DDelete NFIRS -1 r� 03745 20 10 1 l 15J 1 2008 1002 108- 028900" 000 Change Basic FDID * State * Incident Date * Station Incident Number * Exposure * ❑ No Activity (deck this box to Indicate that the address for this incident is p—ided on the wildland Fire census Tract I I BLocation* ❑Module In Section B "Alternative Location Specification-. Use only for wildland fires. ICJ ®Street address 4421 IS 1 (FRONTAGE I 1 D 1� ❑Intersection Number /Milepost Prefix Street or Highway Street Type suffix ❑In front of (Vail I CO 81657 -1� ❑Rear Of Apt./Suite/Room City State Zip Code []Adjacent to I ❑Directions Cross street or directions, as apnlicable C Incident Type * Midnight is 0000 $l Date & Times �+ 2 Shift & Alarms 412 (Gas leak (natural gas or LPG) I Check boxes if Month Day Year Hr Min Sec dates are the same as Alarm ALARM always required Date. Alarm * 10 15 2008 11:03:39 Local option JB I " 001 shift or Alarms District incident Type D Aid Given or Received* Platoon ARRIVAL required, unless canceled or did not arrive E 3 1 ❑Mutual aid received 111 ® Arrival * 10 15 20081111:06:08 U U 2 ❑ Automatic aid recv. Their FDID Their State CONTROLLED Optional, Except for wildland fires Special Studies 3 ❑Mutual aid gives ' I 1 U IL��I Local Option 4 ❑Automatic aid given I I nCoatrolled 1 J I I 5 ❑Other aid given Their LAST UNIT CLEARED, required except for wildland fires Unit Special Special incident Number N Hone Last ' � 5� ® L 10 L--) 2008 14 :41 :11 stray IDs Study Value Cleared F Actions Taken * Gl Resources * G2 Estimated Dollar Losses & Values ®Check this box and skip this LOSSES: Required for all fires if known. Optional section if an Apparatus or Personnel form is used. for non fires. Hone 43 (Hazardous materials Apparatus Personnel Property $I I , 1 000 , 1 000 Primary Action Taken (1) Contents $1 , 000 , 000 El USuppression I EMS PRE-INCIDENT VALUE: Optional Additional Action Taken (2) I I I other I 0003 0001 Property $1 , 000 000 Additional Action Taken (3) ❑ Check box if resource counts aid received resources. Contents , 000 000 $1� LUG , LUJ El Completed Modules Hl*Casual ties[:]None H3 Hazardous Materials Release I Mixed Use Property NN Not Mixed ❑Fire -2 Deaths Injuries N ❑None 10 Assembly use ❑structure -3 Fire I ' II II 1 ❑Natural Gas: slow leak, no eveuatiee or HasMet actions 20 Education use []Civil Fite CaB. -4 Service U I� 2 ❑Propane gas: <u lb. took fee in hose Hag g =i111 33 Medical use Fire Serv. Cas. -5 ❑ Civilian�J 3 Gasoline: vehicle feel tank or portable container ❑ 40 51 Residential use Row of stores ❑8M8 -6 4 ❑Kerosene: fuel burning nquipeent or portable storage 53 Enclosed mall Detector ❑HazMat -7 for Confined Fires. 5 ❑Diesel fuel /fuel Oil:oahicle fuel tank or portable 58 BUS. & Residential ❑wildland Fire -8 Required 1 ❑Detector alerted occupants 6 []Household solvents: hoes /office spill, cleanup only 59 6 0 Office use Industrial use ®Apparatus -9 7 ❑Motor Oil: free engine or portable container 63 Military use ®Personnel -10 2 ❑Detector did not alert them 0 e []Paint: free paint cane totaling < ss gallons 65 Farm use UgArson -11 ❑Unkaorn 0 ❑Other: Special HasMat actions required or spill > 559a1., 1 00 Other mixed use please cosplete the HazMat fora 341 ❑Clinic, clinic type infirmary 539E] Household goods, sales, repairs J Property Use* Structures 342E]aoctor /dentist office 579 ElMotor vehicle /boat sales /repair 131 ❑Church, place of worship 361 ❑Prison or jail, not juvenile 571 ❑ Gas or service station 161 [:]Restaurant or cafeteria 41901-or 2- family dwelling 599 [:]Business office 162 ❑Bar /Tavern or nightclub 429 ❑Multi - family dwelling 615 ❑ Electric generating plant 213 ❑Elementary school or kindergarten 439 ❑Rooming /boarding house 629 ❑ Laboratory /science lab 215 ❑High school or junior high 449 ❑commercial hotel or motel 700 E] Manufacturing plant 241 ❑ College, adult education 459 [:]Residential, board and care 819 ❑Livestock /poultry storage (barn) 311 ❑Care facility for the aged 464 ❑Dormitory /barracks 882 ❑Hon - residential parking garage 331 ❑Hospital 519 [:]Food and beverage sales 891 []Warehouse Outside 936 ❑ Vacant lot 981:0 Construction site 124 []Playground or park 938 ❑Graded /care for plot of land 984 ❑ Industrial plant yard 655 ❑Crops or orchard 946 [-]Lake, river, stream Lookup and enter a Property Use code only if 669 ❑Forest (timberland) 951 ❑Railroad right of way you have NOT checked a Property Use box: 807 ❑ Outdoor storage area 960 ❑ Other street Property Use 1981 919 ❑gyp or sanitary landfill 961 ❑Highway /divided highway I (Construction Site 931 O land or field ❑ pen 962 Residential street /driveway ❑ NFIRS -1 Revision 03/11/99 Vail Fire 03745 10/15/2008 08- 0289004 K1 Person /Entity Involved I I 1 - 1J 1 Local Option Business name (if applicable) Area Code Phone Number U ❑Check This BOX if Mrr.s (First Name I Mi I Last Name I suffix same address as incident location. I I U I I Then skip the three I I u duplicate address Number Prefix Street or Highway Street Type Suffix lines. Post Office Box Apt. /Suite /Room City uI -I State Zip Code More people involved? Check this box and attach Supplemental Forms (NFIRS -lS) as necessary Ka owner Same as person involved? Then check this box and skip The rest of this section. Business name (if Applicable) Area Code Phone Number Local Option I I ( I U ( I ❑Check this box if Mr.,Ms., Mrs. First Name MI Last Name Suffix same address as incident location. I I I I I u u Then skip the three Number Prefix Street or Highway Street Type Suffix duplicate address lines. I I I 1_ Apt. /Suite /Room City Post Office Box u u -u State zip Code L Remarks Local Option EXCAVATER HIT 2 IN GAS LINEOUTSIDE THE BUILDINGALSO CALLED IN BYROB PARRISH 748- 7684CALLING FROM THE JOBSITEAIRED VPDTWO MORE CALLS FROM SITEPD NEEDED FOR TRAFFICCALL EXCELNO WAY TO MITIGATE THIS GAS LINE BREAK. CONSTRUCTION WORKERS ON SCENE HAVECONTACTED EXCEL ENERGY, AND THEY'RE EXPECTING A 2 -3 HOUR RESPONSE.FYI PER APOLLO PARK COMMAND.EXCEL ENERGY NUMBERMOVED TRAF TO ES1 FOR THIS INCIDENTE2 COMMAND REQUESTS ES 1 FOR THIS INCIDENT.THEY DON'T NEED THE PD TO CLOSE DOWN THE ROAD. THEY HAVE PRETTY GOOD DISTANCE ONTHAT.EXCEL ENERGY NUMBER IS800- 698 -7811E VAIL;A: @APOLLO PARK A " AT: 10/15/08 11:13:58217 AND 251 CLEAR AWAITING REQ FROM FIRE FOR ROAD CLOSUREPER COMMAND /UTILITIES ARE SHUT OFF - THIS INFO FROM AN ELECTRICIAN.PER 405, GAS LINE ON SOUTH SIDE, NEED TO KNOW DIRECTION OF GAS TRAVEL -EAST ORWESTCALLING EXCELON LINE WITH ROB @EXCELCOMMAND GAVE AN UPDATE OF SITUATIONTHEY HAVE A GUY IN MINTURN & WILL CONTACT HIM TO SEE IF HE CAN GO OVER TO VAILHE WILL CALL BACK WITH AN ETA2 INCH PLASTIC LINE W/ A SLIT IN IT W/ MODERATE GAS LEAKAGE /APPROXIMATELY 10OPSI.COMMAND WANTS MOSES, OR AN OFFICER TO MEET HIM AT STAGING UP ON TOP.AJ IN MINTURN WITH EXCEL ON LINE, HE WILL CONTACT JAKE FARBER TO CONTACT USDIRECTPER AJ, JAKE CONTACTED FIRE DIRECTLYPER 405, EXCEL DID CONTACT THEM DIRECTPER 460, THEY NEED HELP SECURING THE BIKE PATH. HE WILL CALL DOWN THERE TIL HELPARRIVES.THERE ARE CONTRACTORS COMING BACK ONTO THE SCENE FROM THAT LOCATION.THIS IS BEHIND THE APOLLO PARK.WANTS ABMI FOR REHAB & EVALAPOLLO PARK STAGING REQUESTS AN AMBULANCE FOR REHAB CHECK ON THE FIRE FIGHTERS.MED 1 COPIED DIRECT.NO TONES DONE.MED1 ON ESIEXCEL ON SCENESCENE TURNED OVER TO 460, ALL UNITS STAGIONGESI CLEARBRUSH 2 IS ACTUALLY B2ITHEY ARE CL THE SCENE AND GOING TO STATION 2AT 1227, 402 ADVISED THAT 460 HAS TAKEN COMMAND OF THIS SCENE, AND THAT ALLOTHER UNITS ARE CLEAR, AND RETURNING TO ST 2TO PUT 460 ON THE CALLASSIGN CASE NUMBER460 NEEDS PHONE NUMBER FOR RA NELSON CONSTRUCTIONCORRECTION ON MED2 /THEY WERE NEVER ON THIS CALL.CLEARED OF APOLLO PARK; THEN ENROUTE TO STATION 2LEAVE CALL OPEN FOR NOW L Authorization ISPEL0001 ISpell, James G I1CP istation 2 1 1 10 1 LL5J 1 2008 I Position or rank Assignment Month Day Year Officer in charge ID Signature Box °�f F1 I MCGE0001 I McGee, Michael J I JDC station 2 I 10� 15 2008 same Position or rank Assignment Month Day Year as Officer Member making report ID Signature in charge. Vail Fire 03745 10/15/2008 08- 0289004 ' MM DD YYYY 03745 CO 10 15 2008 002 1 08- 0289004 000 complete Narrative FDID ,A, State * Incident Date * Station Incident Number * Exposure Narrative: EXCAVATER HIT 2 IN GAS LINEOUTSIDE THE BUILDINGALSO CALLED IN BYROB PARRISH 748- 7684CALLING FROM THE JOBSITEAIRED VPDTWO MORE CALLS FROM SITEPD NEEDED FOR TRAFFICCALL EXCELNO WAY TO MITIGATE THIS GAS LINE BREAK. CONSTRUCTION WORKERS ON SCENE HAVECONTACTED EXCEL ENERGY, AND THEY'RE EXPECTING A 2 -3 HOUR RESPONSE.FYI PER APOLLO PARK COMMAND.EXCEL ENERGY NUMBERMOVED TRAF TO ES1 FOR THIS INCIDENTE2 COMMAND REQUESTS ES 1 FOR THIS INCIDENT.THEY DON'T NEED THE PD TO CLOSE DOWN THE ROAD. THEY HAVE PRETTY GOOD DISTANCE ONTHAT.EXCEL ENERGY NUMBER IS800- 698 -7811E VAIL;A: @APOLLO PARK A " AT: 10/15/08 11:13:58217 AND 251 CLEAR AWAITING REQ FROM FIRE FOR ROAD CLOSUREPER COMMAND /UTILITIES ARE SHUT OFF - THIS INFO FROM AN ELECTRICIAN.PER 405, GAS LINE ON SOUTH SIDE, NEED TO KNOW DIRECTION OF GAS TRAVEL -EAST ORWESTCALLING EXCELON LINE WITH ROB @EXCELCOMMAND GAVE AN UPDATE OF SITUATIONTHEY HAVE A GUY IN MINTURN & WILL CONTACT HIM TO SEE IF HE CAN GO OVER TO VAILHE WILL CALL BACK WITH AN ETA2 INCH PLASTIC LINE W/ A SLIT IN IT W/ MODERATE GAS LEAKAGE /APPROXIMATELY 10OPSI.COMMAND WANTS MOSES, OR AN OFFICER TO MEET HIM AT STAGING UP ON TOP.AJ IN MINTURN WITH EXCEL ON LINE, HE WILL CONTACT JAKE FARBER TO CONTACT USDIRECTPER AJ, JAKE CONTACTED FIRE DIRECTLYPER 405, EXCEL DID CONTACT THEM DIRECTPER 460, THEY NEED HELP SECURING THE BIKE PATH. HE WILL CALL DOWN THERE TIL HELPARRIVES.THERE ARE CONTRACTORS COMING BACK ONTO THE SCENE FROM THAT LOCATION.THIS IS BEHIND THE APOLLO PARK.WANTS ABMI FOR REHAB & EVALAPOLLO PARK STAGING REQUESTS AN AMBULANCE FOR REHAB CHECK ON THE FIRE FIGHTERS.MED 1 COPIED DIRECT.NO TONES DONE.MED1 ON ESIEXCEL ON SCENESCENE TURNED OVER TO 460, ALL UNITS STAGIONGESI CLEARBRUSH 2 IS ACTUALLY B2ITHEY ARE CL THE SCENE AND GOING TO STATION 2AT 1227, 402 ADVISED THAT 460 HAS TAKEN COMMAND OF THIS SCENE, AND THAT ALLOTHER UNITS ARE CLEAR, AND RETURNING TO ST 2TO PUT 460 ON THE CALLASSIGN CASE NUMBER460 NEEDS PHONE NUMBER FOR RA NELSON CONSTRUCTIONCORRECTION ON MED2 /THEY WERE NEVER ON THIS CALL.CLEARED OF APOLLO PARK; THEN ENROUTE TO STATION 2LEAVE CALL OPEN FOR NOW --------------------------- 10/15/2008 15:09:25 mjmcgee Deputy Chief Report Arrived on scene . Reported to Staging. Assigned to evacuate B Building of Apollo Park. No one responded to knocks on doors. Returned to staging. After Ambi arrived, cleared by Command for Investigation. Identified Operator as Anthony Alan Fischer, DOB 08/09/80, CDL 97- 112 -0621, 5926 W 93 Ave, Westminster, CO 80031, dba WVC. Fischer claimed to be the competent person. WVC holds a Town of Vail On approach to the site of the gas line cut, I observed a 8 - 9 ft deep hole in and around work involving a fire hydrant. The hole was cut 1:1, wet, and tools were observed in the bottom of the hole. No trench box or ladder was present. -------------------------------------------------------------------------------- 10/15/2008 21:39:06 jgspell E 2 responded from Station 2 on a report of a gas line break at 442 S. Frontage Rd. E. Arrived to hear from job supervisors that a two inch flexible line had been cut. ETA from Excell was relayed to E 2 as up to 3 hours due to a problem with the responding vehicle. Evacuated job site of approximate 70 workers and staged them at Ford Park. Confirmed utilities to be shut off and made entry into affected area. Found two inch flexible gas line Vail Fire 03745 10 /15 /lDUa ua- ULU7uV4 MM DD YYYY 03745 CO 10 15 2008 002 08- 0289004 000 Complete Narrative FDID * State * Incident Date * Station Incident Number * Exposure Narrative: at the bottom of a 2 foot by 2 foot trench. Condition report revealed the possibility of mitigating the break utilizing fire department clamps. Establish command location, staging and called for additional resources for RIT and possible Rehab. Sent four firefighters and a supervisor on air into the area for clamping procedures. RIT and Safety issues were addressed and gas was shut off at the break within 30 minutes. Sent mitigation group to Rehab and created Security group from RIT team. Area was secured, turned scene and command over to Investigation (Deputy Chief McGee) and began Demobilization of two engines, one utility vehicle and 1 ambulance and crew. All fire units clear of scene. Note: on scene medical evaluation proved negative for natural gas exposure. Rehab continued at Station 2 and was finalized by all firefighters ordered on air to complete exposure report for file. 402 Vail Fire 03745 10/15/2008 ua- u2a9UU4 A I MM DD YYYY 03745 CO 10 15 2008 002 08- 0289004 1 000 ❑Delete NFIRS - 9 Apparatus or FDID * State * Incident Date * Station Incident Number * Exposure * ❑Change Resources B Apparatus or * Date and Times Sent Number Use Actions Taken Resource Check if same as alarm date O f * Check ONE box for each apparatus to indicate Month Day Year Hour Min People its main use at the incident. Fil ID 1460 1 Dispatch W1 1011 1511 2008 12:33 ❑Suppression Arrival X1 10 15 2008 12:33 L 11 ❑HMS Type INN J Clear ® L 10 15 2008 15:00 ®other ID B2 Dispatch ® 1 1011 1511 2008 11:48 ❑Suppression Arrival ® 10 15 1 2008 11:48 ® 1 01 El Ems Type 116 1 Clear ML 10 15 2008 12:25 ®Other 3 ID JE2 Dispatch MI 1011 1511 2008 11:03 Suppression �� u Arrival [&1 10 15 2008 11:06 a 1 01 [1 Ems L� u Type 11 Clear ML 10 15 2008 12 :27 Mother F4 1 ID Dispatch ❑ ❑ Suppression �� u Arrival Arrival ❑ L� L_ j l �� ❑ L-1 El HMS �l Type ❑ L -J L---] L---J ❑Other F51 ID u 1I Dispatch L_�L� L� l� ❑Suppression Arrival L J �� L_� �� ❑ Elms Type I� Clear ❑ L-1 L j L----] ❑ Other ID Dispatch L-�IL� ❑ Suppression �I U I�� Arrival ❑ I� I� L ❑ II I� 1:1 EMS I Ty II II pe L� Clear ❑ L_1 L� �1 �� Other F71 ID Dispatch L_ 1 L� �J �� El Suppression L-i L--j Arrival ❑ �� ❑ OHMS �—j L-1 '' II Pe I� Clear El L-1 L� L---1 �� ❑Other ID I1 Dispatch l�L -1L1 L_� El Suppression " Arrival ❑ LJ �� L--1 �J ❑ L� ❑ �S 'L--j " I tYPe I� Clear ❑ L--j L� L_� ❑ Other ID Dispatch ❑ L�IL� �� ❑ Suppression " I�� 1�� Arrival 1-1 �� U L_� ❑ L_� ❑ HMS IL—j' " '' II Pe L� Clear ❑ L�L-1 L_� L--� ❑Other Type of Apparatus or Resources Ground Fire Suppression Marine Equipment More Apparatus? 11 Engine 51 Fire boat with pump Use Additional 12 Truck or aerial 52 Boat, no pump Sheets 13 Quint 50 Marine apparatus, other 14 Tanker & pumper combination 16 Brush truck Support Equipment Other 17 ARF (Aircraft Rescue and Firefighting) 61 Breathing apparatus support 91 Mobile command post 10 Ground fire suppression, other 62 Light and air unit 92 Chief officer car Heavy Ground Equipment 60 Support apparatus, other 93 HazMat unit 21 Dozer or plow Medical & Rescue 94 Type 1 hand crew 22 Tractor 71 Rescue unit 95 Type 2 hand crew 24 Tanker or tender 72 Urban Search & rescue unit 99 Privately owned vehicle 20 Heavy equipment, other 73 High angle rescue unit 00 Other apparatus /resource Aircraft 75 BLS unit 41 Aircraft: fixed wing tanker 76 ALS unit NN Node UU Undetermined 42 Helitanker 70 Medical and rescue unit,other 43 Helicopter 40 Aircraft, other NFIRS -9 Revision 11/17/98 Vail Fire 03745 10/15/2008 08- 0289004 A MM DD YYYY HFIRS - 10 03745 CO 10 15 2008 002 08- 0289004 1 000 ❑Delete Personnel FDID * State * Incident Date �, Station Incident Number �, Exposure * E]Change B Apparatus or * Date and Times Sent Number Use Actions Taken Resource Check if same as alarm date ❑ of * Check ONE box for each apparatus to indicate List up to 4 actions for each apparatus Use codes listed below Month Day Year Hours /wins People its main use at the incident. and each personnel. ID 1460 1 Dispatch W1 1011 1511 2008 12:33 Sent Suppression Arrival PPI 10 15 20081112:33 � 11 E]EMS I� u Type L " =� Clear ® 10 15 2008 14:41 Mother Personnel Name Rank or Attend Action Action Action Action ID Grade ❑ Taken Taken Taken Taken MCGE0001 McGee, Michael DC X 2 IB2 Dispatch El 1011 1511 2008 11:48 Sent Suppression u �l ID Arrival ® 10 15 2008 11:48 1 01 El EMS Type 116 Clear ® 10 15 1 20081112:24 ®other Personnel Name Rank or Attend Action Action Action Action ID Grade Taken Taken Taken Taken 3 Dispatch ® 10 15 2008 11:03 Sent �guppressioa ID $2 Arrival ® 10 15 20081111:06 ® 101 oms Type 11 clear ® 10 15 20081112:27 mother Personnel Name Rank or Attend Action Action Action Action ID Grade Taken Taken Taken Taken Vail Fire HFIRS -10 Revision 11/17/98 03745 10/15/2008 08- 0289004 03745 CO 10 15 2008 002 OS- 0289004 000 Responding FDID State Incident Date Station Incident Number Exposure IIIIitB/P @ISOnnAl (unit (423) Notify Time Enroute Time Arrival Time Cleared Time 460 Deputy Chief/ Fire Marshall 12:33:27 12:33:28 12:33:29 14:41:11 Staff ID \Staff Name Name Activity Rank Position Role IStaff ID \Staff Name Activity Rank Position Role MCGE0001 McGee, Michael J Code Enforcement Deputy Chie deputy chief Code Enforce !, B2 Brush Truck (423) 11:48:12 11:48:20 11:48:26 12:24:19 Staff ID \Staff Staff ID \Staff Name Name Activity Rank Position Role E2 Engine 2 (411) 11:03:39 11:04:52 11:06:08 12:27:18 Staff ID \Staff Name Activity Rank Position Role Vail Fire Page 1 03745 10/15/2008 08- 0289004 MM DD YYYY 03745 CO 10 15 2008 002 08- 0289004 000 Responding Personnel FDID * State * Incident Date * Station Incident Number * Exposure Staff ID \Staff Name Unit Activity Position Rank PayScl Hrs HrsPd Pts MCGE0001 McGee, Michael J 460 Total Participants:) CE Code DC DC 1.00 3.63 0.00 Total Personnel Hours: 1.00 An 'X' next to the unit denotes driver. 03745 10/15/2008 08- 0289004 Vail Fire A . I MM DD YYYY NFIRS - 11 03745 CO 10 15 2008 002 OS- 0289004 000 ❑Delete Arson FDID ,k State * Incident Date * station Incident Number * Exposure * ❑ Change $ Agency Referred To ❑ None Street Address Their Case Number I Agency Name City I�-I+ Their ORI U Their Federal Identifier (FID) Their FDID Agency Phone Number State zip Code C Case Status D Availability of Material First Ignited 1 [:]investigation open 4 ❑ Closed with arrest 1 ❑ Transport to scene 2 ® investigation closed 5 [:]Closed with exceptional 2 ❑ Available at scene 3 ❑ Investigation inactive clearance U ❑ unknown $ Suspected Motivation Factors Check up to three factors 42 ❑ Vanity /recognition 54 ❑ Burglary 11 ❑Extortion 22 ❑Hate crime 43 ❑ Thrills 61 ❑ Homicide concealment 12 ❑ Labor unrest 23 ❑ Institutional 44 ❑ At teat ion/ sympathy 62 ❑ Burglary concealment 13 ❑ insurance fraud 24 ❑ Societal 45 []Sexual excitement 63 ❑ Auto theft consealment Homicide 64 Destroy records /evidence 14 intimidation 3 1 ❑Protest 51 ❑ ❑ 15 ❑ void contract /lease 32 ❑ Civil unrest 52 ❑ suicide 00 []other motivation 21 ❑ Personal 41 ❑ Fireplay /curiosity 53 ❑ Domestic violence UU []unknown motivation F Apparent Group Involvement H Incendiary Devices select one from each category Check up to CONTAINER NN [] None 1 [:]Terrorist group three factors ❑ 11 ❑Bottle (Glass) 14 ❑Pressurized container 17 []Box 2 Gang 3 ❑ Anti - government group 12 [:]Bottle (Plastic) 15 ❑ Caa 00 ❑Other container 4 []outlaw motorcycle organiation 13 ❑ Jug 16 [:]Gasoline or fuel can UU []Unknown 5 [:]Organized crime 6 ❑Racial /ethnic hate group IGNITION /DELAY DEVICE NN ❑None 7 ❑ Religious hate group 11 ❑ Hick or Fuse 17 []Road flare /fuse 8 [:]Sexual preference hate group 12 ❑ Candle 18 []chemical Component 0 [:]Other group 13 ❑ Cigarette & Matchbook 19 ❑ Trailer /streamer N ❑ No Group involvement, acted alone 14 ❑ Electronic Component 20 []Open flame source * ❑ unknown 15 [:]Mechanical Device 00 [:]Other delay device Entry Method 16 []Remote Control W ❑ Unknown FUEL NN ❑ Noae UI Entry Method 11 ❑ Ordinary Combustibles 16 ❑ Pyrotechnic material G'+2 Extent of Fire Involvement on Arrival 12 ❑ Flammable gas 17 []Explosive material I 14 ❑ ignitable liquid 00 []Other material U t I 15 ❑ Ignitable solid UU [:]unknown Extent of Fire Involvement I other Investigative Information J Property Ownership K Initial Observations Check all that apply Check all that apply 1 N windows ajar 5 ❑ Fire department forced entry 1 ® Code violations 1 ❑ Private 2 [:]Doors ajar 6 ❑ Forced entry erior to FD arrival 2 []Structure for sale 2 ❑ City,town,village,local 3 ❑ Doors locked 7 ❑ security system activated 3 ❑ structure vacant 3 []County or parish 4 ❑ Doors unlocked 8 [:]security present,(didn't activate) 4 ih Oter crimes involved ❑ 4 ❑State or province 5 ❑ Illicit drug activity 5 ❑ Federal L Laboratory Used Check all that apply 6 ❑ Change in insurance 6 [:]Foreign 7 ❑ Financial problem 7 []military 1 [:]Local 3 ❑ ATF 5 ❑ Other 6 ❑ Private 8 ❑ Criminal /Civil 0 ❑ Other 2 ❑ state 4 ❑ FBI Federal N ® None actions pending NFIRS-11 Revision 11/17/98 Vail Fire 03745 10/15/2008 08- 0289004