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SIRF Menifee Amersfoot 8.6.19 Print this page Riverside County Fire Department Significant Incident Report Form Incident Description Incident Number Type of Occupancy Incident Name Total $ Saved Incident Type Total $ Loss Location of Incident Smoke Detector Date/Time Reported 8/6/2019 07:21:25 AM Acres Burned City/Area Fire Cause Injuries Minor Moderate Major Fatalities Civilian Firefighter Evacuations/Displaced Number of Displaced 0 Adult Child Fire OES Red Cross Evacuation Center Location Property Damage Residential Commercial Out Buildings Vehicles Damaged Destroyed Threatened Resources First Due Fire Station Engines Squads Air Attacks Truck Co's RVC Medic Unit Air Tankers Breathing Support RVC Haz Mat Units Helicopters Firefighters Ambulance - Air Fire Crews Chief Officers Ambulance - Ground Water Tenders Overhead Personnel Bulldozers Incident Duration Cooperating Agencies Disposition of Utilities Electric Gas Building Owner/Occupant Owner Name:Owner Phone: Occupant Name:Occupant Phone: Incident Description Notification To Direct City/Jurisdiction Notification Person Contacted by Phone Prepared By Harris, Dan@CALFIREHarris, Dan@CALFIRE Date/Time Complete 8/6/2019 08:21:15 AM Date/Time Contacted 8/6/2019 07:51:25 AM City of Menifee 19CARRU100176 Single Family Residence Amersfoot $20,000.00 Fire, Str. Residential $250,000.00 28641 Amersfoot Wy Present, Did Not Activate Menifee/Sun City Under Investigation 0 1 0 0 0 0 0 0 0 0 Not Applicable Not Applicable 0 0 0 0 1 0 0 0 0 0 0 0 7 Sun City 5 1 0 1 0 0 0 0 0 22 0 0 1 1 0 0 0 2.5 RSO Service Shut Off Service Shut Off CAL FIRE/Riverside County Firefighters responded to a reported structure fire at 28641 Amersfoot Way in the City of Menifee . The first arriving engine company reported heavy smoke and fire from the front of a single story residence. Firefighters made an aggressive interior attack on the fire while simultaneously conducting a search for victims. One civilian was pulled from a back bedroom window by neighbors prior to our arrival. The patient was treated at the scene and transported to Menifee Valley with smoke inhalation injuries. Utilities have been disconnected Phone and Email Jeff Wyman Page 1 of 2SIRF -19CARRU100176 9/2/2019http://intranet.rvcweb.org/sites/rvcweb/CentralOps/SIRF/Lists/SIRF/Item/displayifs.aspx?Li... Page 2 of 2SIRF -19CARRU100176 9/2/2019http://intranet.rvcweb.org/sites/rvcweb/CentralOps/SIRF/Lists/SIRF/Item/displayifs.aspx?Li...