Information
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Vehicle
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Conducted on
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Mileage
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Crew
- Bazzoni, Micheal
- Berni, Daniel
- Bryant, Judy
- Campbell, Larry
- Fischer, Dan
- Fischer, Tom
- Franke, Rex
- House, Tim
- Kelly, Sean
- Krazl, Patrick
- Light, Ryan
- Lofquist, Jeff
- Mathes, Matt
- Palmer, Jeremy
- Sanders, Scott
- Stratman, Dee
- Sullivan, Don
- Whelan, Tim
- Williams, Chaun
- Sumpter, Robert
- Hayes, Craig
- Knapp, Steve
- Wiley, JT
- Sommer, James
- Janes, Justin
- Davila, Dan
- Goss, Nancy
- Lawson, Robert
- Burns, Tyler
Truck Maintenance
Fuel above 3/4 Engine oil Power steering fluid Brake fluid Engine coolant Washer fluid Transmission fluid (check with engine running) Tire pressure 75 PSI(front) 85 PSI(rear)
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Full / Low
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Action taken:
Operational check: Vehicle started Driving lights Emergency lights Siren, Queue Airhorn
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Deficiencies noted?
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Action taken:
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Any new vehicle damage?
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Description
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Attach picture
Cab
Map Books: Kirkwood Valley Park Creve Coeur Des Peres Meramec Campus Webster Groves West County Mall Wunnenberg's Knox Box Book St Louis area Hospitals
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Action taken:
Equipment: Laptop computer Walkie talkies (2) Cell Phone w/ Charger Headsets (2) Knox Box Keys Street Vests (3) Gloves S/M/L/XL (1 box each) Binoculars CO monitor Mini Rad Fire Extinguisher
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Action taken:
Restart Laptop
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Action taken:
Fuel Card and Ground Service Ambulance License
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Action taken:
Exterior Compartments
Passenger side compartment 1: SCBA Flathead Axe Haligan Tool
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Action taken:
Driver side Compartment 1: SCBA TNT Tool
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Action taken:
Interior compartments
Narcotic lock up: Narcotics and Narcotic check sheets Bristol jet plunger
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Actions taken:
Controlled Substances: - Expiration dates are to be checked daily.
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Schedule 2 & 3:
Morphine
Fentanyl
Ketamine -
Tag 1:
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Tag 2:
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Schedule 4:
Valium
Versed
Etomidate-tracked substance -
Tag 1:
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Tag 2:
House Stock/Drug Supply
Check Complete
Signature # 1
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Firefighter / Paramedic
Signature # 2
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Firefighter / Paramedic
