HomeMy WebLinkAbout061-150-010` AP 61-15-10 01,
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(FIRE DAMAGE REPORT)
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,�iLOCK I. IDENTIFICATION
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FIRE REP®RT mz,
A. FIRE NUMBER.
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C. RANGER UNIT:
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E. ZONE OF ORIGIN:
F. SIZE CLASS: 41
S. NAME OF FIRE:
D. DATE FIRE STARTED:
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G. FIRE CLASS:
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BLOCK II. CAUSE
(GENERAL
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A.I CAUSE
NO. UNITS DAMAGE
SPECIFIC
C.KUSE
RGE�, E "' B
KNOV/N
LOGICAL
C.C.1U�rAL ,AGENT
C.1
LOCAL
RECREATION LOSS
_
KNOWN
NON -LOCAL
t =IRE ON ARRIVAL
LOGICAL
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D. FALSE ALARM
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E. PERMIT ESCAPE
FIRE TO ORIGIN FT.
F.
NON
PERMIT
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BLOCK ill. LOCATION OF ORIGIN
i
NO. UNITS DAMAGE
l A.� SECTION TWP.
RGE�, E "' B
B.' FIRE STARTED ON/IN �� �� t.✓
jc.j FUEL TYPE:
F. ESTIMATED
I PROTECTION
RECREATION LOSS
0.1 JURISDICTION
t =IRE ON ARRIVAL
1. SIZE: SPOT ACRES
JE.1 (FOREST FIRES ONLY)
2, -DISTANCE FROM HEAD OF
FIRE TO ORIGIN FT.
F. SKETCH TOTAL AREA BURNED
B. FOREST IMPROVEMENTS
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—
BLOCK VI. WEATHER
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A. ESTIMATED WIND ON ARRIVAL:
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VELOCITY: ,
t
DIRECTION: 1'7
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B. TEMPERATURE:
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RELATIVE HUMIDITY:
XXXXXXX XXXXX ,
FUEL MOISTURE:
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WIND DIRECTION:
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WIND VELOCITY:
_µ_--Er. '�•`-��i,^ MILE(S)
C. FROM:
V. AIR A BURNED
STATION
BLOCK IV. DAMAGE
A. NON -FOREST IMPROVEMENTS
NO. UNITS DAMAGE
WATERSHED
DAMAGE OF FIRE
I
F. ESTIMATED
RECREATION LOSS
i TOTAL AREA ?
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TOTAL
XXXXXXX XXXXX •�� 07_
B. FOREST IMPROVEMENTS
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xxxxx
BLOCK VIII. SIGNATYRES
XXXxX i
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XXXXX 1
XXXXX
XXXXX
TOTAL
XXXXXXX XXXXX ,
C. FOREST P RODUCTS
t 1 I
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YIYLIL
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TOTAL
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D. FOREST AND OTHER VEGETATION I I 1
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XXXXXXX 1 /(ia.;.;:.�
GRAND TOTAL (A-B•C-D) DAMAGES iw
VEGETATIVE TYPE ACRES
BLOCK VII. REMARKS AND/O.R OWNER(S)
E. ESTIMATED
WATERSHED
DAMAGE OF FIRE
I
F. ESTIMATED
RECREATION LOSS
i TOTAL AREA ?
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BLOCK VIII. SIGNATYRES
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120.NGER OR ASSOC.
A. ORIGINAL REPORT BT��—/f' '�'J'�^'�•{-
B.
�l
RANGER'S SIGNATURE
.. •. – >/�. �_ � NAME
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NAMF_
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YIYLIL
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Bl'.C,C'INZ !!I. LOCATION OF ORIGIN
'A.;
NO. UNIT& 1 DAMAGE:
G Z!
<7 RGE�C r. ac M,
/0 -/U
lzx-�XL!.
0. FORSST IMPROVEEMENTS
iC.� FJZ- TYPE;
N
LOGICAL
xxxx
CAUSAL LOCAL
I.
IDE.NTIFICATION1
FR, E
E
0 T
FIRZ NLI.NICER:
C. RANGZR UNIT.
To -i
E. XONE OF ORIGIN:'
l
1D.j FAL5= A.LA-Nrel
Ie.1E: PERMIT ESCAPE
L 1
F.
PERMIT
DIRECTION:
F. SIZZ CI -ASS:
5. Ni AME OF FIRE
'RE
D. DATE F11 STARTED:
RELATIVE KUNIDITY:
FUEL. MOISTURE:
G. FIRF CLASS:
WIND VELOCITY:
L E (S)
C. FROM:
Z--`CC1
CAUS2,
VEGETATWE 7Y; -Z ACRES
TBI -CCM V. DAMAGE
Bl'.C,C'INZ !!I. LOCATION OF ORIGIN
'A.;
NO. UNIT& 1 DAMAGE:
G Z!
<7 RGE�C r. ac M,
;:i. -IRZ Sf7ARTED ON/IN
lzx-�XL!.
0. FORSST IMPROVEEMENTS
iC.� FJZ- TYPE;
N
LOGICAL
xxxx
CAUSAL LOCAL
KNOWN I
LOGICAL
AGEN i :NON -LOCAL
2. -D ISTANCZ FROM .4 =AD OF
FO.li= AND OTHER VEGETATION
FIRE TO ORIGIN—FT.
J;=LKZTC.-.—,DTAL AREA MURNED
To -i
G�.Al;i;!TOTAL (A -D -C -D)
l
1D.j FAL5= A.LA-Nrel
Ie.1E: PERMIT ESCAPE
L 1
F.
PERMIT
Bl'.C,C'INZ !!I. LOCATION OF ORIGIN
'A.;
NO. UNIT& 1 DAMAGE:
SECTION Tw P.:2
<7 RGE�C r. ac M,
;:i. -IRZ Sf7ARTED ON/IN
lzx-�XL!.
0. FORSST IMPROVEEMENTS
iC.� FJZ- TYPE;
X
xxxxx
xxxxx
xxx.xx
7
P.cZ0-,Ec'r:ON
xxxx
TOTAL, jxxxxxxx xxxxxi!
C. C--OnZZT PRODUCTS
F:'*.;:Z ON A.RR!VAL
e: Sor.Acncz
l.. Sizi-
Z.! FIRES ONLY)
2. -D ISTANCZ FROM .4 =AD OF
FO.li= AND OTHER VEGETATION
FIRE TO ORIGIN—FT.
J;=LKZTC.-.—,DTAL AREA MURNED
To -i
G�.Al;i;!TOTAL (A -D -C -D)
BLOCK VI. WE'TIHER
A. ESTIMATED WIND oNAimil.AL:
VELOCITY:
DIRECTION:
B. TEMPERATURE;
RELATIVE KUNIDITY:
FUEL. MOISTURE:
WIND DIRECTION'
WIND VELOCITY:
L E (S)
C. FROM:
A." --A BURNED
STATiom
VEGETATWE 7Y; -Z ACRES
BLOCK VII.
A. NCN-FCREST INAPROVFNIENTS.
NO. UNIT& 1 DAMAGE:
f
TOT��--]Xxxx
lzx-�XL!.
0. FORSST IMPROVEEMENTS
X
xxxxx
xxxxx
xxx.xx
7
xxxx
TOTAL, jxxxxxxx xxxxxi!
C. C--OnZZT PRODUCTS
,rOTAL, i xxxxxxx xxN;,l-l-
FO.li= AND OTHER VEGETATION
To -i
G�.Al;i;!TOTAL (A -D -C -D)
6-J/ACWX OWNZR(S)
ESTI M.ATED
WA-Ei'RSHED
DAMAGE OF FI;RE
F. ESTINIATED i
RECIIRZA7
ION LOLS
V1111. SlGN.,,-,U--lES
IAHIGER Oil ASSOC.
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R--P3RT BY /moE. RAJ HG� -'FZ'S SIGNATURE
NAME NAMF.