CRC SMOKE REPORT INFORMATION DATE TIME CALL

10 REASONS TO QUIT AVOID WRINKLES CIGARETTE SMOKE IS
6 DIRECTOR’S MESSAGE ON SECONDHAND SMOKE IMPROVING THE
AFFIDAVIT OF COMPLIANCE WITH SMOKE DETECTOR REQUIREMENT FOR ONE

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APPENDIX IV APPENDIX IV DIGEST OF SMOKEFREE ENVIRONMENTS
BRIEF INTERVENTION GUIDE FOR SMOKERS USE QUESTIONS 36 ON
BURREN SMOKEHOUSE LISDOONVARNA CO CLARE IRELAND T +353 (0)65

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Date/Time: ________________

CRC SMOKE REPORT INFORMATION

Date: ________________

Time: ________________

Call Taker Initials: _____

INCIDENT ACTION #: __________

Take the following information from caller:

1. Name & Phone Number of reporting party:

__________________________________________________________________

2. Location of reporting party:

__________________________________________________________________

3. Location of fire:

__________________________________________________________________

4. Estimated Size of fire:

_________________________

5. Color of smoke:

_________________________

6. Anyone responding/Call Sign/ETA:

_______________________________________________________________________

Notes:

BUTCHER´S VOCABULARY SUET BACON SMOKED BACON
COLORADO AIR POLLUTION CONTROL DIVISION SMOKE MANAGEMENT PROGRAM BROADCAST
COVERSHEET SUPPORTING SMOKERS TO SWITCH TO SIGNIFICANTLY LESS HARMFUL

Tags: information date:, following information, report, smoke, information

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