12/06/07REV01
ENGINE-MANIFEST
RESOURCE: ( ) TASK FORCE NUMBER________________________
( ) STRIKE TEAM NUMBER______________________
( ) SINGLE RESOURCE
INCIDENT NAME: ______________________________________________
REPORTING LOCATION________________________________________
DATE____/_____/______ TIME_____________HRS (24 HOUR TIME)
DEPARTMENT PROVIDING RESOURCE: _________________________
RADIO CALL SIGN___________________________________________
ENGINE: PUMP GPM:_____________________
TANK: _________________________________
HARD SUCTION: YES ( ) NO ( ) SIZE_________NUMBER_________
INTAKE FOR DRAFTING: FRONT ( ) REAR ( )
SUPPLY HOSE: SIZE__________LENGTH________________
FOAM: A ( ) B ( ) CAFS ( )
RESCUE EQUIP: ( ) JAWS, ( ) AIR BAGS, ( ) ALS
OTHER: ____________________________________________________________
PERSONNEL: SPECIALTIES:
1._____________________________________________________________________
2._____________________________________________________________________
3._____________________________________________________________________
4._____________________________________________________________________
5._____________________________________________________________________
6._____________________________________________________________________
ADDITIONAL RESOURCE INFORMATION:
_______________________________________________________________________
ASSIGNMENT:_________________________________________________________
DEMOBILIZED: TIME: ____________HRS DATE: _____/_____/______
DEMOBILIZE APPROVAL:________________________ICS-221 YES ( ) NO ( )
IC: ( ) OPERATIONS: ( ) PLANNING: ( ) LOGISTICS: ( )
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