Hazardous Encampments & Properties
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Address of Structure
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Station District
Type of Encampment
*
RV's
Tents
Temporary Structures
Trailers
Other
Estimated # of RV's
Estimated # of occupants or individuals living in encampment
Are any of the following visibly present?
*
Fuel supplied generators or appliances
Fuel cans
Propane tanks
Active fires, fire pits, etc.,
Human waste
Hazardous materials not otherwise selected
Other
Hazards to Personnel
Exposures to the encampment(s)
Did you discover the encampment as a result of a dispatched incident?
*
Yes
No
If Yes to the above question, please enter the Incident # associated.
Upload any Photos of the structure (can upload multiple photos)
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