Title Page
Daily
Cardiac Monitor
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Adult Dfib Pads (Test)
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Pediatric Defibrillation Pads
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4 Lead & 12 Lead Cables
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Adult/Peds Electrodes (12ea)
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CO2 Cable w/ BVM Adaptor
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CO2 Nasal Canula Adapter
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Pediatric SpO2
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Razor
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Spare Monitor Paper
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Rotate The Spare Battery
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Oxygen Levels
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Onboard Main Oxygen >500psi
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Oxygen Level:
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Stretcher Oxygen Cylinder >300psi
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Oxygen Level:
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CPAP Oxygen Cylinder > 300psi
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Oxygen Level:
Jump Bag
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Glucometer
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Vitals Equipment
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Clipboard & Forms (10ea form)
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Drug Bag
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IV Roll Up Bag
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Pediatric Bag
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Other Items
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Onboard/Portable Suction
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Interior Cabinets Stocked
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All Lights Working
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All Fluids Full (Fuel >3/4)
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Cab/Cot/Patient Areas Cleaned
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Radios and Phone Working
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Driver's Side Outside Cabinet 1
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Pressurized Water Can
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Broom
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6' Pike Pole
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Peds & Adult Hare Traction
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K.E.D.
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Vacuum Splints (1Sm, 1M, 1Lg & 1 Pump)
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Driver's Side Outside Cabinet 2
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Body Bag
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Wool Blanket
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Transfer Tarp
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Safety Blanket
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Throw Bag 50' (2)
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Noodle
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Step Chocks (2)
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Caution Tape Roll
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Extension Cord
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P.F.D.
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Water Bottles (1 Case)
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Smoke Detctors (3)
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Bolt Cutters
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Ice Scrapper & Salt Can
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Fire Extinguisher
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Road Triangles
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Driver's Side Outside Cabinet 3
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SCBA Bottle (A) >4000psi
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Psi Level:
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SCBA Bottle (B) >4000psi
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Psi Level:
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Flashlights (2)
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Set of Irons
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Passport Tag Holders (2)
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Helmet Shields (3)
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Passenger's Side Outside Cabinet 4
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Scoop Stretcher
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Backboards with Straps (3)
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Peds Backboard
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Child Car Seat
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Stair Chair
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Adult/Peds/Infant Head Bed (2ea)
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Cervical Collar Bag
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Infant Collar (2)
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Peds Collar (2)
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Adult Collar (2)
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Infant Head Bed
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Peds Head Bed
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Adult Head Bed
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Thursday Cabinet Check Weekly
Interior Cabinet #1
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Adult BVM
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Adult Co2
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Expiration Date:
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Peds BVM
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Peds Co2
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Expiration Date:
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Infant BVM
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Infant Co2
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Expiration Date:
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Sterile Water - 2,000ml
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Expiration Date:
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Sodium Chloride - 2,000ml
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Expiration Date:
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Pocket Mask
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Interior Cabinet #2
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Nebulizer Treatment with Drugs
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Inline Nebulizer Treatment with Drugs
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Oxygen Tubing
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Adult NRB (3)
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Adult Nasal Canula (3)
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Peds NRB (3)
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Peds Nasal Canula (3)
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Infant NRB (3)
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Infant Nasal Canula (3)
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Interior Cabinet #3
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Triage Tags
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Drug Tags
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Rubber Bands
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Action Area
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Cell Phone & Charger
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Calculator
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Saint Joe's SMO Book
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Safety Vest
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Radios Work
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Clipboard and 10 of Each Form
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Onboard Suction (Test to 300mmhg)
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Suction Canister
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Suction Tubing
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Yankauer
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Suction Drawer
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8Fr Suction Catheter (2)
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10Fr Suction Catheter (2)
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12Fr Suction Catheter (2)
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14Fr Suction Catheter (2)
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16Fr Suction Catheter (2)
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18Fr Suction Catheter (2)
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Suction Tubing (3)
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Yankauer (3)
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Manual Suction with Tips
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Interior Cabinet #4
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Adult BP Cuff
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Large Adult BP Cuff
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Thigh BP Cuff
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Peds BP Cuff
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Infant BP Cuff
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BP Guage
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Stethoscope
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BP/Stethoscope Accessories
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Interior Cabinet #5
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Biohazard Bags (10)
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Garbage Bag Roll
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Interior Cabinet #6
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Face Shields (5)
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N95 Masks (5)
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Safety Glasses (3)
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Ear Plugs
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Interior Cabinet #7
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Adult Co2 Canulas (2)
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Adult Co2 Adapter (2)
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Peds Electrodes
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Adult Electrodes
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EKG Paper
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Adult Dfib Pads
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Expiration Date:
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Peds Dfib Pads
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Expiration Date:
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Peds Spo2 Adapter
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Interior Cabinet #8
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Baby Bottle
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OB Kit
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Baby Bunting Foil
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Survival Wrap
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Spare IV Saline Bag
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Spare N95 Masks
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Interior Cabinet #9
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Urinal
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Wash Basin
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Emisis Basin
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Wash Cloths (3)
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Interior Cabinet #10
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Soft Restraints (2 sets)
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Hand Sanitizer
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Cleaning Supplies (Spray or Wipes)
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Interior Cabinet #11
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Adult Arm Sling (S, M & L)
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Peds Arm Sling (2)
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Sam Splint (3)
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ACE Wrap (4)
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Kling Rolls (10)
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Eye Pads (2)
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Roll of Tape (3)
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Petrolatum Gauze 3x9 (2)
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Arm Board (S & L)
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Trauma Shears
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Triangle Bandage (3)
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ACS Chest Seal
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4x4 Gauze (20)
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Interior Cabinet #12
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Trauma Dressing (5)
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Burn Sheet (2)
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Aluminum Foil
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Isolation Kits (3)
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Cold Packs (5)
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Hot Packs (5)
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Interior Cabinet #13
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CPAP (O2, Regulator, Mask & Tubing)
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Comments:
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Portable Suction Tested to 300mmhg
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Under Bench Seats
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Mustang Suit
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Ice Boots
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Wool Blanket
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Umbrella
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Flash Light
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Body Bag
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Water Flippers
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Rope Bag
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Spare Items
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Pillow (2)
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Stuffed Animals
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Coloring Book
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Flash Light (2)
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Oxygen Bottle (2)
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Sheets (3)
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Blankets (3)
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ABC Extinguisher
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Glove Box (M, L & XL)
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Officer's Signature
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Add signature
