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CONTRA COSTA COUNTY FIRE PROTECTION DISTRICT

July 17, 2019

Peter M.' Heimlich


3630 River Hollow Run
Peachtree Comers, GA30096

VIA EMAIL: peter.heimlich@gmail.com

RE: Public Records Act Request Received June 27,2019

Dear Mr. Heimlich:

Contra Costa County Fire Protection District ("District") has identified records that respond to
your request and will provide the records, except for those records or portions thereof that are
exemptfrom disclosure under the Public Records Act.

Responsive records have been identified for the following requests:

Records associated with the call as well as the response by paramedics including an audio
copy of the 911 call, an NFIRS incident report, a CAD incident report, and patient care
records.

Redacted copies of the NFIRS incident report and CAD incident report are attached.

Audio copy of the 911 call and patient care records contain confidential medical
treatment information and are not being provided.

The records or portions of records not disclosed contain confidential medical and health
information protected under state and federal privacy laws, including the federal Health
Insurance Portability and Accountability Act (HIP AA) and the state Confidentiality of Medical
Information Act (CMIA). (Gov. Code, §6254 subds. (c) and (k);
.
Civil Code
. ~ §§. 56 et seq.; 42·
U.S.C. § 1320d; 45 CFR 164.502(a); and Cal. Const, Art. 1, § 1.).

4005 Port Chicago Highway, Suite 250 • Concord, CA 94520-1180


Telephone: (925) 941-3300 • Fax: (925) 941-3309 • www.cccfpd.org
Please contact Steve Hill, Public Information Officer, at 1-925-941~3300, ext. 1203 if you have
any questions.

Sincerely,

Lewis Broschard
Fire Chief

Enclosures
As stated

4005 Port Chicago Highway, Suite 250 • Concord, CA 94520-1180


Telephone: (925) 941-3300 • Fax: (925) 941-3369 • www.cccfpd.org
Contra Costa County Fire
4005 PORT CHICAGO HIGHWA Y
Concord, CA 94520
925-941-3300

Incident Report Printed: 07/05/2019 11.~29:59


2019-0019056095-000 Number of Pages: 2

Basi~
Alann Date and Time 17:21:41 Thursday, May 30.2019
Arrival Time 17:27:52
Controlled Date and Time
Last Unit Cleared Date and Time 17:34:57 Thursday, May 30.2019
Response Time 0:06:11
Priority Response Yes
Completed Yes
Fire Department Station 86
Shift A
Incident Type 321 .. EMS call.
Aid Given or Received N..No aid given or received.
Action Taken I 33 - Provide advanced life support (ALS).
Casualties No
EMS Provided Yes
Apparatus - Suppression 3
Personnel - Suppression Personnel 3
Property Use 400 .. Residential. other,
Location Type Address
Address 1 Red Leaf WAY
City, State Zip Pittsburg. CA PIT
District ECON
Directions 1
Latitude 38.
Longitude -121.

Pfrson Involnd - T -MOBD..E (877) 653-7911, -


Involvement Code REP
Last Name
First Name
Street Address

Apparatus - M71
Apparatus ID M71
Apparatus Dispatch Date and Time 17:22:59 Thursday, May 30. 2019
En route to scene date and time 17:24:09 Thursday, May 30,2019
Apparatus Clear Date and Time 17:24:17 Thursday, May 30.2019
Apparatus priority response Yes
Apparatus cancelled after dispatch Yes
Apparatus Use 1
Apparatus Action Taken 1 93 - Canceled ell route.
Apparatus Type 70 .. Medical and rescue unit. other.

Appal'atus - El86
Apparatus ID E186
Response Time 0:04:53
Apparatus Dispatch Date and Time 17:22:59 Thursday, May 30. 2019
En route to scene date and time 17:24:59 Thursday. May 30. 2019
Apparatus Arrival Date and Time 17:27:52 Thursday, May 30. 2019

Page 1 of2 Printed: 07/05/2019 11 :29:59


Contra Costa County Fire'
4005 PORT CHICAGO HIGHWA Y
Concord, CA 94520
925-941-3300

Incident Report Printed: 07/05/2019 11:29:59


2019-00 19056095-000 Number of Pages: 2

Apparatus - E186
Apparatus Clear Date and Time 17:34:57 Thursday, May 30. 2019
Apparatus priority response Yes
Number of People 3
Apparatus Use 1
Apparatus Type 11 - Engine.
Personnell 65605 - FERN, RYAN
Position: CAPTP
Personnel 2 81283 -KIERNAN, CASEY
Position: ENGP
Personnel 3 87488 - AUSTIN. JACK C
Position: FF

Apparatus - M80
Apparatus ID M80
Response Time 0:07:00
Apparatus Dispatch Date and Time 17:24:35 Thursday, May 30. 2019
En route to scene date and time 17:24:45 Thursday. May 30, 2019
Apparatus Arrival Date and Time 17:31:35 Thursday. May 30. 2019
Apparatus Clear Date and Time 17:32:37 Thursday, May 30. 2019
I

Apparatus priority response Yes


Apparatus Use 1
Apparatus Type 70 - Medical and rescue unit. other.

Authority
Reported By 65605 - FERN. RYAN
21:30:11 Thursday. May 30. 2019
Officer In Charge 65605 - FERN. RYAN
21:30:13 Thursday. May 30.2019
Reviewer -

Narrative Name E86


Narrative Type Incident
Narrative Date '21:29:17 Thursday, May 30.2019
Author 65605 - FERN. RYAN
Author Rank CAPTP
Author Assignment
Narrative Text Engine 86 arrived 011 scene with a Engine 86 provided ALS
care. See the pt's peR for further information.

End ofReyort

Page 2 of2 Printed: 07/0512019 11 :29:59


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Incident Detail Report


oata Source: DatIl W8rehouse
fncident Stalus: Closed
mcident fQIlber: 19056095
case Numbers:
Incident Date: 513012019 17 21 41
Report GenefaIed: 7l312019 09 13 04

Inc:ident Type EMS-OELTA Alarm Level 1


Priority Problem EMs-DeIta
Determinant Agency COnIra Costa Reg Fn Comm Ctr
BIse Responsel Jurisdiction E_CON Contra Costa Co (East)
Conftrmationt Division Contra Costa East
T_anDy Frates, Kevin Battalion Battalion 8
Response Area 8at1a1iOn8 Response Plan CON1 EMS Delta
OisposHlon ConwnandCh
C..ceI Reason PrIrMry TAC '
IndcIent Status . 5e<:ond8rY TAC
Certifkatlon Delay Reason (if any)
Lono~ Latitude

Loation Name County


Address Red Lear way Location 1yPe
Apartment Cross Street
Building Map Reference
City, State. Zip PitlsbuJg CA PIiT

C.aerName
IIethod Received C8JJ Bade Phone
CIlllerType caller Loation
CIIIIer Address Caller Loadion Phone
Caller Building caler ApMment
Caler City, State, Zip CdefCoooty

~ ,:. ..
0escriptI0n Date nme User Time
Phone Pidlup 5l3Of2019 1721:4'
1st Key Stroke 5I30I2019 1721:41 Rec:eiYed to In Queue 00:00:35
In WIIiting Queu& 5I30I2019 ·1722:16 C8IITiking 00:06;20
C811T_1ng Complete 5I30I2019 1728:01 Frates, Kevin In Queue to 1st Assign 00:00:43
1st Unit Assigned 5I30I2019 1722:59 Ca' Received to 1st Assign 00;01:18
1st Unit Enroute 5I30I2019 1724:09 Assigned to 1st Enroute 00;01:10
tst Unit Arrived 5I30I2019 1727:52 Enroute to 1st Arrived 00:03:43
Closed SI3OI2019 1734:51 Tablet Command Inddent Dwation 00:13:16

OdIn.. OdIn.
Unit Primary FlligAs.signed DlspositJon Bvoute Staged: Arrived At Patient Delay Avail Comptete Enroute ArriVed Cancel Ree.on
M71 N 1122:59 1724:09 17:24:16 Reassigned
E186 N 1122:59 1724:59 17 27:52 17:34 57
MaO . N 1124:34 1724:45 1731:35 17:32 37

Unit Name
W1 MattiCe, Ralph (E20426541); Munav, ~(E20005413)
Mao Nuss, TOdd (E20001531); SIlaIJer. Lee (E20240182) .

No elUtIon Not .. 'GOOd

No Tqnspons information

rrilnsports
"

No Information

Date TIme User Type Cont. Comments


5I30I2019 1721:41 SYS Response (3) PO: CO CO SHF-COSTAl f RE EAST
5I30I2019 1721:41 SYS Response (2) FD: QUERY CALlER
5I30I2019 1721:41 SYS Response (1) EMS: FOR LOCATION
(4) (Notification] [Contta Costa Reg Fire Comm Ctr)-ProbIem changed from "EMS-Pend PI'OOA to EMS -
5I30I2019 1122:34 KF Response
Medical comra Costa Reg Fire Comm ctr
5I30I2019 1723:03 KF Response

5I3OQ019 1723:24 KF Response

5I30I2019 1123:24 KF Response

5I30I2019 1125:01 BH Response [81 mao code 12 cal

Date lime Changed from PrioritY Reason User


5I30I2019 17:2234 P7-Pending ProQA .Change in Condition KF
5I30I2019 17:23 24 P2-Ernergency Change in Condition KF

Date lime user Change to Alarm


5I30I2019 11:22 59 Ml 1

Date Tllne Radio Activity Location


5I30I2019 17:22:15 Waiting Pending inCident Time
waning
5I3Oof2019 17:22:16 Incident in waiting Queue
5I30I2019 11:22:16 ANIlAU Statistics NT Insert:May 30 2019 17 21:39/ NT SendNP".May 30 2019 KF

10.108.10.110IVISiNetBrowserlSearcMnddentReport.aspx?id=1507838&ds=a 113
11312019 Inform Browser: 5.828.21.0 - Reports - Incident Report
17:21:40/WS RecvNP:May 30 201917:21;40/WS Process:May
30 2019 17:22:16
5IJGI2019 17:22:·16 tncldent In Waiting Queue
5I3CQ019 17:2233 Waiting Pending Incldertt Tme wamno Pending Incident Tme wanmg timer expired
WImIng
5I3UI2019 17:2234 Incident PriDfilY Change Inddent from P7-Pendilg
priofity changed ProQA to P2- KF
Emefgency due to Change in ConditiOn
5I3CQ019 17:2234 incident In waiting Queue Tmer
aea-
5I3UI2019 17:22 34 Remove waiting Pending Incident Removing WaiWlg Pending Inddent Tme warning timer expired
WarnIng
5I3CQ019 17:2236 Incident late
5I30I2019 17:2236 Pending 1nddenl11me Warning PerIdinO inCident 11me Warning timer expired
5I3W2019 17:2256 UserAction User dk:ked Initial Assign Ml
5I3W2019 17:2257 IrlitiaI As!ignment The following UflIf(s) is (are) recommended for assignment Wi Ml
(00:10 SO),E186 (00 02:10)
5I3W2019 17:2259 M71 OJ RedleafWwy Response Nwnber (9-(92597) Ml
5I3a2019 17:2259 E186 Of Redleaf~ Response N\rnber (9-092598) Ml
5I3W2019 17:2259 Incident TImer CJear Incident Tmer Cleared
51300019 17:2323 UserAdion User clicked ExitlSaw Ml
5I3W2019 17:2324 E186 Change unit Priority Change Unit Priority from P2-Emergency to P1-Emergency KF
5I30I2019 17:2324 W1 Change Unit Priority Change Unit Priortty from P2-Emergency to P1-Emergeney KF
5I30I2019 17:2324 Inddent PrioriIy Change incident pr1criy changed from P2-Emervency to P1-Emergeney KF
due to Change in ConditIon
5I30I2019 17:2324 ProQA 1• Red leaf way ProQA detetTllNnt sent KF
5I3Cr.2019 17:2335 UserAc:tion User clicked ReconfigUre BH
51300019 17:2336 Rec:onftguJe Response The foftowIng unit(s) Is (are) recommended for assignment: M80 BH
(00:10 28),E186 (00 02:10)
5I3CI2019 17:23:49 Read Comment Comment for Inddent 838 was Marled as Read. BA
51300019 17:23:49 Read Jnddent incident 838 was Marked as Read. SA
5I30I2019 17:2350 UserAc:tion User c:Iicked ExIUSave BH
5I3CI2019 11:2409 W1 RE ~Red leaf Wai RMponding From :: Arnold Df\Whittenmyer ct TC
5I30I2019 11:24;16 W1 OR Redleaf~ Unit CIeafed From InCident 19056095 BH
5I30I2019 17:24:16 W1 Reassign Vehicle Or\Whittenmyerct ReAssign Reason: ReassI!Jled BH
5I3OQ019 17:24:16 MI1 Reassign Response Amotd Ot\'NtIiItBrImyer Ct ReAssign Reason: Reassigned BH
5I3OQ019 17:24:16 MI1 Reassign Response A.mokI Ot\WblttenmyerCt aeamg PrlmaIyVehide Flag BH
5I30I2019 17:2434 MaO DI 1 Red Leaf way Response tMnber:: 9-092599; BH
5I30I2019 17:2434 M80 Update Sedor 1 Red Leaf way From Sedor 0 to E BH
5I30I2019 11:24:45 M80 RE . 1 Red Leaf way Respondq =
From RaIroad Avev<.iker Pass Rd TC
5I30I2019 17:2452 UserAdion User clicked EJdtISave EP
5I30I2019 17:2459 E186 RE =
Respondilg From E_CON S&a 86 TC
5I3OQ019 17:2502 UserAdion '. Red Leaf way User c:lcked ExItISave BH
5I30I2019 17:2504 Read comment Comment 101- Incident 838 was Marked as Read. SA
5I30I2019 17:2602 UserAction User ddled ExitISaYe 8A
5I30I2019 17:2752 E186 OS RedleafVQj TC
5/30.12019 17:2801 UserAdion User dcked ExItISave KF
5I3Of2019
513Of2019
5I3Of2019
5I3Of2019
5I3Of2019
17:2820
17:3135
17:3237
17:34 57
17:34:57
MOO
MOO
E186
E186
UserAdion
OS
OR
OR
Response Closed
'I--way
1
1
1
Red learway
Red leaf way
Red leaf way
User dcked

Response
ExIISave

Unit. Cleared From Incident 19056095

Disposition:
SA
TC
EP
TC
TC

Date Time F.Iefd Changed From RHloo T~


Response_Mas __ 1nQdent Workstation User
5I30I2019 17:21:41 longitude 0 Entry CADCC4 KF
SeIec:1edIRetum
from Geolocator Response_Mas __ 1nddent
5I30I2019 t7:21:41 latitude 0 38027699 Entry CADCC4 KF
Se*lI!dIRetumed
from Geoloc:attJf Response_Mas __ 1nddent
5I30I2019 17:21:41 City Pittsburo Updated City CADCC4 KF
5I30I2019 17:21:41 AddresS 1100-1 • Red leaf way Entry RasponS8_Master_1nddent CADCC4 KF
SeIectedIRetume
from GeoLoc:aIor
5I3W2019 17:21:41 ResponsePla.,ty.,e, 0 0 (Response VIewer) Rasponse_Mast.er_lnddent CADCC4 KF
5I30I2019 17:21:41 Response_Area Baltalloo8 (Response Vjewer) Response_Mas1er_lnCident CADcc4 KF
513Q12019 17:21:41 BaIIaioo Battalioo 8 (Response VIewer) Response_Master_1nddent CADCC4 KF
5I30I2019 17:21:41 DMsion contra COsta East (Response VieWeI) ResponS8_Master_1nddent CADCC4 KF
5I30I2019 17:21:41 Jurisdlc:tion E_CON Contra COsta Co (Response VI8W8f') Response_Master_lnCident CADCC4 KF
(East) .
5iOOI2019 17:21:41 Address (Blank) New Entry Response_Master_lnddeflt CADCC4 KF

5I30I2019 17:21:41 caII_Badt_Phone (Response VJeWeI') Response_Master _lndderIt CADCC4 KF


5I30I2019 17:21:45 Address New Entry Response_Master_lnCIdent CADCC4 KF
5I30I2019 17:21:47 longitUde Entry Response_Master _lnCIdent CADCC4 KF
8e1eded1Re1lmed
from· GeoL.ocaaor
5I3OI2Q19 17:21:47 latitude Entry Resp0nge_Master_1ncIdent CADCC4 KF
SeIecledIReIlmed
from GeoLocatOr
5I30I2019 11:21:47 CIty p~ Updated City Response_Master_lndderIt CADCC4 KF
5I30I2019 17:21:47 Address leaf way Entry Responsa_Master_lncldertt CADCC4 KF
'. Red leaf Way 5eIectedIRet1.m
from Geol..ocator
5J3OI2019 17:21:47 ResponsePIanType 0 0 (Response Viewer) Re5POflS8_Master_tncldent CADCC4 KF
5I30I201,9 17:21:47 Response_Area Battalion 8 (Response VIewer) Response_Master_tncldent CADCC4 KF
5I30I2019 17:21:47 BaIIalion Battalion 8 (Response Viewer) Retpanse_Master_lncIdent CADCC4 KF
5I30I2019 17:21:47 DIvision contra Costa East (Response Viewer) Responsa_Master_tncldent CAOCC4 KF
5I3OJ2019 17:21:47 JurIsdic:tion E_CON Centra Costa Co (Response VIewer) Response_Master_lncldent CADCC4 KF
(East)
5J3OI2019 11:22:16 Probtem ·EMS-Pend ProQA (Response Viewer) Response_MasteI'_lnCldent CAOCC4 KF
5I30I2019 17:22:16 SRA_MTZ PolygOn Look~ Response_U5er_Data_FIe4ds CADCC4 KF
5I30I2019 17:22:16 MapPg TB:573J2 CM Et8 1589,559 Response_User_Data_F6eIds CADCC4 KF
5I30I2019 17:22:18 ProQacaseNumbef 1507838 (Response VIewer) Incident CAOCC4 KF
5I30I2019 17:22:34 PRItlIem ·EMS.pend ProQA EMS· Medical Emergency (Response Viewer) ~_Master_1ncident CADCC4 KF
5J3Ol2019 17:22:34 Response_Plan CON1 EMS Charlie CON1 EMS Delta (Response Viewer) Re$pOnSe_Master_lnCident CAOCC4 KF
5I30I2019 17:22:34 PrtorIty_Description P7-Pending ProQA P2-Emergency Change In Ccndltion RespoflSe_Master_lncident CAOCC4 KF
5I30I2019 17:22:34 PriOrity_Number 7 2 Change in Condition Response_MasteI'_lncldent CAOCC4 KF
5I30I2019 17:22:34 Inddent_ Type EMS-CHARlIE EMS· MEDICAl (Response Viewer) Response_Master_lnCident CAOCC4 KF
EMERGENCY.
5I30I2019 17:22:34 Cettific:alion_level 0peIati0ns Units (Response Viewer) Response_Master_lnCident CAOCC4 KF
5I30I2019 17:23:24 PriClIity_~ P2-Emergency P1-ErnetVeflClI Change in condition Response_Master_lnCident CAOCC4 KF
5I30I2019 17:23:24 Priority_Number 2 1 Change in Condition RespoflSe_Master_lnCident CADCC4 KF
5I30I2019 17:23:24 CurrenLUrlitRespPriofi1.yDeScM11: P2-Emergency P1-Emefgency Change in Condition Respcme_ Vehides_AsslgnedCADCC4 KF
5I30I2019 17:23:24 CurrenLtJnitRespPriOOtyI)escE186: P2-Emergency P1-Emergency Change in Condition Response_ Vehic:Ies_ASs1gnedCADCC4
Response_Mas __ lncident KF
5I30I2019 17:23:24 Incldent_ Type EMS - MEDICAl EMs-DELTA Updated by ProQA CAOCC4 KF
EMERGENCY
5I30I2019 17:23:24 CeItiiic:ation_levei Opfntions UnitS Updated by ProaA Response_Master_lncident CADCC4 KF
5I30I2019 17:23:24 Problem EMS • Medical Emergency Updated by ProaA Response_Master_1nCident CAOCC4 KF
5I30I2019 17:23:24 DetermInant (Response V~) Response_Master_lnddent CADCC4 KF

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5/30/2019 17:23:24 EMD Used 0 1 (Response Viewer) Response_Master_lncident CADCC4 KF
5/30/2019 17:23:24 CIS Used 0 null (Response Viewer) Response_Master_lncident CADCC4 KF
5/30/2019 17:23:49· Read Call False True (Response Viewer) Response_Master_lncident CADCC3 BA
5/30/2019 17:23:49 Read Comment False True (Response Viewer) Response_Master_lncident CADCC3 BA
5/30/2019 17:25:04 Read Comment False True (Response Viewer) Response_Master_lncident CADCC3 BA
5/30/2019 17:28:00 CIS Used 0 null (Response Viewer) Response_Master_lncident CADCC4 KF
5/30/2019 17:28:00 ProQATerminationStateCode C (Response Viewer) Incident CADCC4 KF

Custom Time Stamps


No Custom Time Stamps

Custom Data Fields


Description Data User
MapPg TB:573J2 CM:E18 1589,559 KF
SRA_MTZ

Attachments
No Attachment

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