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1 Page 1 of 4 FIRE REPORT - STRUCTURE Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CVE Location of Incident: RD AVE VERNON BC # of Occupants (At time of fire): 2 # of Injured: 0 # of Deaths: 0 Total Dollar Loss Estimate: $ Related to Wildland Interface Fire: NO Property Value: $ s.22 Content Value: $ s.22 Total Value at Risk: s.22 s.22 Code Name : Code Description PROPERTY COMPLEX : 3400 RESIDENTIAL - SINGLE DETACHED PROPERTY CLASSIFICATION : 3110 YEAR-ROUND USE DWELLING - 1-FAMILY GENERAL CONSTRUCTION : 2000 PROTECTED COMBUSTIBLE CONSTRUCTION - WOOD PROTECTED BY PLAST BUILDING HEIGHT : STORY ABOVE GRADE GROUND FLOOR AREA : TO 500M2 ( FT2) YEAR OF CONSTRUCTION : MANUAL FIRE PROTECTION : 7000 NO MANUAL FIRE PROTECTION OUTSIDE FIRE PROTECTION : 1000 PUBLIC HYDRANT PROTECTION & FIRE DEPARTMENT SPRINKLER PROTECTION : 7000 NO SPRINKLER PROTECTION AUTOMATIC FIRE ALARM SYSTE : 1000 NO FIRE ALARM SYSTEM SMOKE ALARM OPERATION : 6000 ALARM NOT ACTIVATED - UNSUITABLE LOCATION INITIAL DETECTION : 7000 VISUAL SIGHTING OR OTHER MEANS OF PERSONAL DETECTION (E.G. S TRANSMISSION OF ALARM : FIRE SERVICE : 3000 COMPOSITE - CAREER & VOLUNTEER/PAID-ON-CALL FIRE DEPARTMENT INCIDENT : 1000 FIRE - FIRE DEPARTMENT ATTENDED ACTION TAKEN : 3000 EXTINGUISHED BY FIRE DEPARTMENT METHOD OF FIRE CONTROL : MM/42MM (1 1/2''/1 3/4'') HOSE - 2 OR MORE HAND LINES FIRE ORIGIN, LEVEL : 3000 GROUND FLOOR, GRADE LEVEL OR GRADE TO 3M (10FT) FIRE ORIGIN, AREA : 7600 EXTERIOR WALL EXTENT OF FIRE : 5000 CONFINED TO BUILDING OF ORIGIN EXTENT OF DAMAGE : 5000 CONFINED TO BUILDING OF ORIGIN IGNITING OBJECT : 8200 EXPOSURE, STRUCTURE DETACHED FUEL OR ENERGY : 8000 EXPOSURE FIRE FORM OF HEAT : 4000 DIRECT FLAME MATERIAL FIRST IGNITED : 0000 CANNOT BE DETERMINED SKOLROOD, LAWRIE Page 1
2 Page 2 of 4 FIRE REPORT - STRUCTURE (NARRATIVE) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CVE Remarks: THIS WAS AN EXPOSURE FIRE CAUSED BY FIRE SPREADING FROM THE NEIGHBORING HOUSE WHICH CAUGHT FIRE DUE TO AN ELECTRICAL FAULT. SKOLROOD, LAWRIE Page 2
3 Page 3 of 4 FIRE REPORT - STRUCTURE (NAMES) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CVE Name no. : 1 Name Status : OWNER Name : s.22 Phone : s.22 Address : RD AVE VERNON BRITISH COLUMBIA V1T 9N8 Claims Adjuster Name : 1. LEUNG / 2. CAMPBELL, JANIS, DALE Claims Adjuster Firm : 1. RSA / 2. CLAIMS PRO Claim Number : s.22 Insurance Company : 1. RSA / 2. BCAA Policy Number : s.22 LOSS ESTIMATES: Property Loss : $ s.22 Content Loss : s.22 Total Loss : $ s.22 REMARKS: SKOLROOD, LAWRIE Page 3
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5 Page 1 of 5 FIRE REPORT - STRUCTURE Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CLA Location of Incident: GRADE CRESCENT LANGLEY CITY BC # of Occupants (At time of fire): 1 # of Injured: 0 # of Deaths: 1 Total Dollar Loss Estimate: $ s.22 Related to Wildland Interface Fire: NO Property Value: s.22 Content Value: $ s.22 Total Value at Risk: $ s.22 Code Name : Code Description PROPERTY COMPLEX : 3400 RESIDENTIAL - SINGLE DETACHED PROPERTY CLASSIFICATION : 3110 YEAR-ROUND USE DWELLING - 1-FAMILY GENERAL CONSTRUCTION : 2000 PROTECTED COMBUSTIBLE CONSTRUCTION - WOOD PROTECTED BY PLAST BUILDING HEIGHT : STORIES ABOVE GRADE GROUND FLOOR AREA : TO 500M2 ( FT2) YEAR OF CONSTRUCTION : MANUAL FIRE PROTECTION : 7000 NO MANUAL FIRE PROTECTION OUTSIDE FIRE PROTECTION : 1000 PUBLIC HYDRANT PROTECTION & FIRE DEPARTMENT SPRINKLER PROTECTION : 7000 NO SPRINKLER PROTECTION AUTOMATIC FIRE ALARM SYSTE : 1000 NO FIRE ALARM SYSTEM SMOKE ALARM OPERATION : 0000 ALARM OPERATION CANNOT BE DETERMINED INITIAL DETECTION : 7000 VISUAL SIGHTING OR OTHER MEANS OF PERSONAL DETECTION (E.G. S TRANSMISSION OF ALARM : FIRE SERVICE : 3000 COMPOSITE - CAREER & VOLUNTEER/PAID-ON-CALL FIRE DEPARTMENT INCIDENT : 1000 FIRE - FIRE DEPARTMENT ATTENDED ACTION TAKEN : 3000 EXTINGUISHED BY FIRE DEPARTMENT METHOD OF FIRE CONTROL : MM/42MM (1 1/2''/1 3/4'') HOSE - 2 OR MORE HAND LINES FIRE ORIGIN, LEVEL : 3000 GROUND FLOOR, GRADE LEVEL OR GRADE TO 3M (10FT) FIRE ORIGIN, AREA : 1400 LOUNGE, LIVING ROOM - INCLUDES MUSIC ROOM, COMMON ROOM, TV R EXTENT OF FIRE : 5000 CONFINED TO BUILDING OF ORIGIN EXTENT OF DAMAGE : 5000 CONFINED TO BUILDING OF ORIGIN IGNITING OBJECT : 5100 PERMANENT ELECTRIC WIRING, CABLE (NON-ALUMINUM) - INCLUDES P FUEL OR ENERGY : 6000 ELECTRICITY FORM OF HEAT : 2000 SPARK, ELECTRICAL - INCLUDES ARC, DISCHARGE. (EXCLUDES STATI MATERIAL FIRST IGNITED : 9000 BUILDING COMPONENT - WALL. (EXCLUDES EXTERIOR WALL CLASSIFIE ACT OR OMISSION : 4400 ELECTRICAL SHORT CIRCUIT SANDERS, DAVID Page 5
6 Page 2 of 5 FIRE REPORT - STRUCTURE (NARRATIVE) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CLA Remarks: SANDERS, DAVID Page 6
7 Page 3 of 5 FIRE REPORT - STRUCTURE (NAMES) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CLA Name no. : 1 Name Status : OWNER Name : s.22 Phone : Address : GRADE CRESENT LANGLEY CITY BRITISH COLUMBIA Claims Adjuster Name : Claims Adjuster Firm : Claim Number : Insurance Company : Policy Number : LOSS ESTIMATES: Property Loss : $ s.22 Content Loss : $ s.22 Total Loss : s.22 REMARKS: Name no. : 2 Name Status : OWNER Name : s.22 Phone : Address : GRADE CRESCENT LANGLEY CITY BRITISH COLUMBIA Claims Adjuster Name : Claims Adjuster Firm : Claim Number : Insurance Company : Policy Number : LOSS ESTIMATES: Property Loss : $0 Content Loss : $0 Total Loss : $0 REMARKS: SANDERS, DAVID Page 7
8 Page 4 of 5 FIRE REPORT - STRUCTURE (CASUALTY) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CLA CASUALTY NO : 1 NAME : s.22 ADDRESS : GRADE CRESCENT LANGLEY CITY BRITISH COLUMBIA AGE : s.22 GENDER :F STATUS : CIVILIAN DATE OF DEATH : (YYYY MM DD) Code Name : Code Description NATURE OF CASUALTY : DEATH CONDITION OF CASUALTY : CONDITION OF CASUALTY UNKNOWN ACTION OF CASUALTY : ACTION OF CASUALTY UNKNOWN IGNITION OF CLOTHING : NOT APPLICABLE TYPE OF FABRIC IGNITED : NOT APPLICABLE CAUSE OF FAILURE TO ESCAPE : UNKNOWN CAUSE OF INJURY/DEATH : SMOKE INHALATION SANDERS, DAVID Page 8
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10 Page 1 of 4 FIRE REPORT - STRUCTURE Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CVE Location of Incident: RD AVE VERNON BC # of Occupants (At time of fire): 1 # of Injured: 0 # of Deaths: 0 Total Dollar Loss Estimate: $ s.22 Related to Wildland Interface Fire: NO Property Value: s.22 Content Value: $ s.22 Total Value at Risk: $ s.22 Code Name : Code Description PROPERTY COMPLEX : 3400 RESIDENTIAL - SINGLE DETACHED PROPERTY CLASSIFICATION : 3110 YEAR-ROUND USE DWELLING - 1-FAMILY GENERAL CONSTRUCTION : 2000 PROTECTED COMBUSTIBLE CONSTRUCTION - WOOD PROTECTED BY PLAST BUILDING HEIGHT : STORY ABOVE GRADE GROUND FLOOR AREA : TO 500M2 ( FT2) YEAR OF CONSTRUCTION : MANUAL FIRE PROTECTION : 7000 NO MANUAL FIRE PROTECTION OUTSIDE FIRE PROTECTION : 1000 PUBLIC HYDRANT PROTECTION & FIRE DEPARTMENT SPRINKLER PROTECTION : 7000 NO SPRINKLER PROTECTION AUTOMATIC FIRE ALARM SYSTE : 1000 NO FIRE ALARM SYSTEM SMOKE ALARM OPERATION : 6000 ALARM NOT ACTIVATED - UNSUITABLE LOCATION INITIAL DETECTION : 7000 VISUAL SIGHTING OR OTHER MEANS OF PERSONAL DETECTION (E.G. S TRANSMISSION OF ALARM : FIRE SERVICE : 3000 COMPOSITE - CAREER & VOLUNTEER/PAID-ON-CALL FIRE DEPARTMENT INCIDENT : 1000 FIRE - FIRE DEPARTMENT ATTENDED ACTION TAKEN : 3000 EXTINGUISHED BY FIRE DEPARTMENT METHOD OF FIRE CONTROL : MM/42MM (1 1/2''/1 3/4'') HOSE - 2 OR MORE HAND LINES FIRE ORIGIN, LEVEL : 3000 GROUND FLOOR, GRADE LEVEL OR GRADE TO 3M (10FT) FIRE ORIGIN, AREA : 7600 EXTERIOR WALL EXTENT OF FIRE : 6000 EXTENDED BEYOND PROPERTY OF ORIGIN EXTENT OF DAMAGE : 6000 EXTENDED BEYOND BUILDING OF ORIGIN IGNITING OBJECT : 5100 PERMANENT ELECTRIC WIRING, CABLE (NON-ALUMINUM) - INCLUDES P FUEL OR ENERGY : 6000 ELECTRICITY FORM OF HEAT : 2000 SPARK, ELECTRICAL - INCLUDES ARC, DISCHARGE. (EXCLUDES STATI MATERIAL FIRST IGNITED : 3000 EXTERIOR WALL COVERING, SURFACE, FINISH - INCLUDES EAVE ACT OR OMISSION : 4400 ELECTRICAL SHORT CIRCUIT SKOLROOD, LAWRIE Page 10
11 Page 2 of 4 FIRE REPORT - STRUCTURE (NARRATIVE) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CVE Remarks: THE CAUSE OF THIS FIRE WAS AN ELECTRICAL FAILURE IN THE METER BASE FOR THIS DWELLING. DUE TO THE AMOUNT OF DAMAGE, THE CAUSE OF THIS FAILURE AND THE RESULTING ARC FLASH WAS NOT DETERMINED SKOLROOD, LAWRIE Page 11
12 Page 3 of 4 FIRE REPORT - STRUCTURE (NAMES) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CVE Name no. : 1 Name Status : OWNER Name : s.22 Phone : s.22 Address : RD AVE. VERNON BRITISH COLUMBIA Claims Adjuster Name : 1. DOLLINGER, ANDREA Claims Adjuster Firm : 1. CLAIMS PRO Claim Number : Insurance Company : 1. GORE MUTUAL Policy Number : s.22 LOSS ESTIMATES: Property Loss : $ s.22 Content Loss : s.22 Total Loss : $ s.22 REMARKS: SKOLROOD, LAWRIE Page 12
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14 Page 1 of 4 FIRE REPORT - STRUCTURE Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: NLW Location of Incident: 3371 CAZAKOFF ROAD BLEWETT BC V1L 6X2 # of Occupants (At time of fire): 1 # of Injured: 0 # of Deaths: 0 Total Dollar Loss Estimate: $0 Related to Wildland Interface Fire: NO Property Value: $0 Content Value: $0 Total Value at Risk: $0 Code Name : Code Description PROPERTY COMPLEX : 3400 RESIDENTIAL - SINGLE DETACHED PROPERTY CLASSIFICATION : 3110 YEAR-ROUND USE DWELLING - 1-FAMILY GENERAL CONSTRUCTION : 0000 CANNOT BE DETERMINED BUILDING HEIGHT : 0000 CANNOT BE DETERMINED GROUND FLOOR AREA : 0000 CANNOT BE DETERMINED YEAR OF CONSTRUCTION : 0000 CANNOT BE DETERMINED MANUAL FIRE PROTECTION : 0000 CANNOT BE DETERMINED OUTSIDE FIRE PROTECTION : 0009 OUTSIDE FIRE PROTECTION - UNCLASSIFIED (DESCRIBE) SPRINKLER PROTECTION : 0000 CANNOT BE DETERMINED AUTOMATIC FIRE ALARM SYSTE : 0000 CANNOT BE DETERMINED SMOKE ALARM OPERATION : 0000 ALARM OPERATION CANNOT BE DETERMINED INITIAL DETECTION : 0000 CANNOT BE DETERMINED TRANSMISSION OF ALARM : FIRE SERVICE : 2000 VOLUNTEER/PAID-ON-CALL FIRE DEPARTMENT ONLY INCIDENT : 1000 FIRE - FIRE DEPARTMENT ATTENDED ACTION TAKEN : 3000 EXTINGUISHED BY FIRE DEPARTMENT METHOD OF FIRE CONTROL : MM/42MM (1 1/2''/1 3/4'') HOSE - 2 OR MORE HAND LINES FIRE ORIGIN, LEVEL : 0000 CANNOT BE DETERMINED FIRE ORIGIN, AREA : 0000 CANNOT BE DETERMINED EXTENT OF FIRE : 5000 CONFINED TO BUILDING OF ORIGIN EXTENT OF DAMAGE : 5000 CONFINED TO BUILDING OF ORIGIN IGNITING OBJECT : 0000 CANNOT BE DETERMINED FUEL OR ENERGY : 0000 CANNOT BE DETERMINED FORM OF HEAT : 0000 CANNOT BE DETERMINED MATERIAL FIRST IGNITED : 0000 CANNOT BE DETERMINED ACT OR OMISSION : 0000 CANNOT BE DETERMINED VERIGIN, PAUL N/A Page 14
15 Page 2 of 4 FIRE REPORT - STRUCTURE (NARRATIVE) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: NLW Remarks: FULLY INVOLVED STRUCTURE FIRE. NO FOUL PLAY SUSPECTED, TOTAL LOSS. VERIGIN, PAUL N/A Page 15
16 Page 3 of 4 FIRE REPORT - STRUCTURE (NAMES) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: NLW Name no. : 1 Name Status : OWNER Name : s.22 Phone : Address : Claims Adjuster Name : Claims Adjuster Firm : Claim Number : Insurance Company : Policy Number : LOSS ESTIMATES: Property Loss : $0 Content Loss : $0 Total Loss : $0 REMARKS: DOLLAR LOSS IS UNKNOWN. VERIGIN, PAUL N/A Page 16
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18 Page 1 of 4 FIRE REPORT - STRUCTURE Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CPA Location of Incident: 4703 GLENSIDE ROAD PORT ALBERNI BC V9Y5W6 # of Occupants (At time of fire): 1 # of Injured: 0 # of Deaths: 0 Total Dollar Loss Estimate: $0 Related to Wildland Interface Fire: NO Property Value: $0 Content Value: $0 Total Value at Risk: $0 Code Name : Code Description PROPERTY COMPLEX : 3400 RESIDENTIAL - SINGLE DETACHED PROPERTY CLASSIFICATION : 3110 YEAR-ROUND USE DWELLING - 1-FAMILY GENERAL CONSTRUCTION : 2000 PROTECTED COMBUSTIBLE CONSTRUCTION - WOOD PROTECTED BY PLAST BUILDING HEIGHT : STORY ABOVE GRADE GROUND FLOOR AREA : TO 500M2 ( FT2) YEAR OF CONSTRUCTION : TO 1950 MANUAL FIRE PROTECTION : 7000 NO MANUAL FIRE PROTECTION OUTSIDE FIRE PROTECTION : 1000 PUBLIC HYDRANT PROTECTION & FIRE DEPARTMENT SPRINKLER PROTECTION : 7000 NO SPRINKLER PROTECTION AUTOMATIC FIRE ALARM SYSTE : 1000 NO FIRE ALARM SYSTEM SMOKE ALARM OPERATION : 0000 ALARM OPERATION CANNOT BE DETERMINED INITIAL DETECTION : 7000 VISUAL SIGHTING OR OTHER MEANS OF PERSONAL DETECTION (E.G. S TRANSMISSION OF ALARM : FIRE SERVICE : 1000 CAREER FIRE DEPARTMENT ONLY INCIDENT : 1000 FIRE - FIRE DEPARTMENT ATTENDED ACTION TAKEN : 3000 EXTINGUISHED BY FIRE DEPARTMENT METHOD OF FIRE CONTROL : 4700 COMBINATIONS OF 38/42MM (1 1/2''/1 3/4''), 65MM (2 1/2''), 7 FIRE ORIGIN, LEVEL : 9000 EXPOSURE FIRE FIRE ORIGIN, AREA : 9980 EXPOSURE - INCLUDING SMOKE DAMAGE EXTENT OF FIRE : 6000 EXTENDED BEYOND PROPERTY OF ORIGIN EXTENT OF DAMAGE : 6000 EXTENDED BEYOND BUILDING OF ORIGIN IGNITING OBJECT : 8200 EXPOSURE, STRUCTURE DETACHED FUEL OR ENERGY : 8000 EXPOSURE FIRE FORM OF HEAT : 6000 HOT OBJECT - DIRECT HEAT BY CONDUCTION OR RADIATION, NO DIRE MATERIAL FIRST IGNITED : 4000 EXTERIOR TRIM & APPURTENANCE - INCLUDES DOOR, PORCH, PLATFOR THOEN, RANDY Page 18
19 Page 2 of 4 FIRE REPORT - STRUCTURE (NARRATIVE) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CPA Remarks: DAMAGE TO THIS PROPERTY WAS CAUSED BY EXPOSURE TO INC# THOEN, RANDY Page 19
20 Page 3 of 4 FIRE REPORT - STRUCTURE (NAMES) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CPA Name no. : 1 Name Status : OWNER Name : s.22 Phone : s.22 Address : 4703 GLENSIDE ROAD PORT ALBERNI BRITISH COLUMBIA V9Y 5W6 Claims Adjuster Name : Claims Adjuster Firm : 1. COASTAL COMMUNITY INSURANCE SERVICES Claim Number : s.22 Insurance Company : 1. INTACT INSURANCE COMPANY OF CANADA Policy Number : s.22 LOSS ESTIMATES: Property Loss : $0 Content Loss : $0 Total Loss : $0 REMARKS: AT THE TIME OF THIS REPORT, THE NAME OF THE ADJUSTER, PROPERTY VALUE AND DAMAGE VALUE FOR PROPERTY/CONTENTS WERE NOT AVAILABLE. THOEN, RANDY Page 20
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22 Page 1 of 4 FIRE REPORT - STRUCTURE Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CSY Location of Incident: ST SURREY BC # of Occupants (At time of fire): 20 # of Injured: 0 # of Deaths: 0 Total Dollar Loss Estimate: $ s.22 Related to Wildland Interface Fire: NO Property Value: s.22 Content Value: $ s.22 Total Value at Risk: $ s.22 Code Name : Code Description PROPERTY COMPLEX : 3200 RESIDENTIAL - APARTMENT PROPERTY CLASSIFICATION : 3230 APARTMENT, TOWNHOUSE - 5 TO 20 UNITS WITH BUSINESS GENERAL CONSTRUCTION : 2000 PROTECTED COMBUSTIBLE CONSTRUCTION - WOOD PROTECTED BY PLAST BUILDING HEIGHT : STORIES ABOVE GRADE GROUND FLOOR AREA : TO 1000M2 ( FT2) YEAR OF CONSTRUCTION : TO 1965 MANUAL FIRE PROTECTION : 4000 EXTINGUISHER ONLY OUTSIDE FIRE PROTECTION : 1000 PUBLIC HYDRANT PROTECTION & FIRE DEPARTMENT SPRINKLER PROTECTION : 7000 NO SPRINKLER PROTECTION AUTOMATIC FIRE ALARM SYSTE : 2000 FIRE ALARM SYSTEM - LOCAL (BUILDING ONLY) SMOKE ALARM OPERATION : 6000 ALARM NOT ACTIVATED - UNSUITABLE LOCATION INITIAL DETECTION : 2000 SMOKE DETECTOR DEVICE TRANSMISSION OF ALARM : FIRE SERVICE : 3000 COMPOSITE - CAREER & VOLUNTEER/PAID-ON-CALL FIRE DEPARTMENT INCIDENT : 1000 FIRE - FIRE DEPARTMENT ATTENDED ACTION TAKEN : 3000 EXTINGUISHED BY FIRE DEPARTMENT METHOD OF FIRE CONTROL : MM OR 42MM (1 1/2'' OR 1 3/4'') HOSE - 1 HAND LINE FIRE ORIGIN, LEVEL : ND STOREY OR OVER 3M TO 6M (10FT TO 20FT) ABOVE GRADE FIRE ORIGIN, AREA : 1010 HALLWAY, CORRIDOR EXTENT OF FIRE : 4000 CONFINED TO FLOOR LEVEL OF ORIGIN EXTENT OF DAMAGE : 4000 CONFINED TO FLOOR LEVEL OF ORIGIN IGNITING OBJECT : 0000 CANNOT BE DETERMINED FUEL OR ENERGY : 0000 CANNOT BE DETERMINED FORM OF HEAT : 0000 CANNOT BE DETERMINED MATERIAL FIRST IGNITED : 0000 CANNOT BE DETERMINED ACT OR OMISSION : 0000 CANNOT BE DETERMINED BERG, FRED Page 22
23 Page 2 of 4 FIRE REPORT - STRUCTURE (NARRATIVE) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CSY Remarks: EXTENSIVE DAMAGE TO UPPER FLOOR FIRE STARTED TO HALLWAY ENTRANCE TO EXIT STAIRWELL HEAVY DAMAGE TO FIRE ORIGIN AREA & APARTMENT CLOSEST TO THE FIRE ORIGIN ALL OTHER SUITES HAD SMOKE & HEAT DAMAGE FIRE CAUSE UNKNOWN LOWER FLOOR BUSINESS ONLY RECIEVED, WATER DAMAGE BERG, FRED Page 23
24 Page 3 of 4 FIRE REPORT - STRUCTURE (NAMES) Emergency Management BC / Office of the Fire Commissioner INCIDENT NUMBER: CSY Name no. : 1 Name Status : BUSINESS OWNER Name : UNKNOWN, UNKNOWN Phone : Address : 0 Claims Adjuster Name : Claims Adjuster Firm : Claim Number : Insurance Company : Policy Number : LOSS ESTIMATES: Property Loss : $ s.21 Content Loss : s.21 Total Loss : $ s.21 REMARKS: BERG, FRED Page 24
25 Page 4 of 4 Page 25
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