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Form 1.7.2A Revised August 2021 <br /> STRUCTURE CONDITIONS <br /> Pre-Fire Condition of Building Housekeeping <br /> In normal use Upkept <br /> Neighborhood Conditions Previous Fires <br /> Good Unknown at time of report <br /> Structure for Sale/tease/Rent <br /> Not for sale or rent. <br /> Access Keys <br /> Unknown at time of report <br /> Obstmctions/Diffcultly Accessing Structure Structure Security Upon Fire Department Arrival <br /> Security gate access created delay Unsecured <br /> Forced Entry? By Whom? I Where' <br /> No N/A N/A <br /> Additional Structure Comments <br /> None <br /> FIRE PROTECTION SYSTEMS <br /> Local Smoke Alarms Present Location(s) Smoke Alarm Operation <br /> None None Unknown <br /> Smoke Alarm Comments <br /> None <br /> Fire Alarm System Description of Fire Alarm System <br /> None None <br /> Alarm Service Company Phone Number Date of Last Service/Test <br /> None None None <br /> Alarm Monitoring Agency Phone Number <br /> None None <br /> System Operation <br /> None <br /> Extinguishing System Description of Extinguishing System <br /> None None <br /> Extinguishing System Service Company Phone Number Date of Last Service/Test <br /> None None None <br /> Extinguishing System Operation <br /> None <br /> Fire Protection System Comments <br /> None <br /> UTILITIES <br /> Electric Service Provider Meter Location Main Disconnect/Panel Location(s) <br /> Portland General Electric West Located between the house and <br /> detached garage <br /> Disconnected By Location/Method of Disconnection <br /> Portland General Electric Disconnected at the meter <br /> Issues/Known Problems with Electrical <br /> None reported <br /> Water Provider Meter/Shut Off Valve Location <br /> City of Salem Unknown at time of report <br /> Shut Off By Location/Method of Shut Off <br /> N/A N/A <br /> Heating Source Location <br /> Furnace Unknown at time of report <br /> ORIGIN & CAUSE SUMMARY <br /> Area of Origin Floor/Level of Origin <br /> Back patio—west side of the structure First Floor <br /> Type of Material Ignited Form of Material Ignited <br /> Multiple types of materials Multiple types of materials <br /> Investigator: Date: Incident Number: <br /> Page of <br /> Justin Guinan,DFM IAAI-FIT July 111^,2023 2023-00015078 <br />