CoRRECTE{) 

Camp Incident 

CA-BTU-016737 

INCIDENT ACTION PLAN 

OPERATIONAL PERIOD 

11/10/2018 0700 

to 

�11/11/2018 0700 
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1. Incident Name:

Camp Incident 

3. Objective(s):

Management Objectives 

INCIDENT OBJECTIVES (ICS 202) 

12. Operational Period: Date From: 

Time From: 

11/10/2018 Date To: 

0700 Time To: 

-Provide for and maintain public and firefighter safety by utilizing the incident safety analysis process. 

11/11/2018 

0700 

-Protect all critical infrastructure to include communication towers, water systems, natural gas, railroad and highways.

-It is the Unified Incident Commander's Leader's Intent to ensure transparent, timely and accurate communication at all leveis

of the incident.

•Be financially responsible for all management and fire suppression tactics. 

-Foster and enhance community and political relationships.

-All management actions and efforts will be focused on serving, safeguarding and protecting the citizens and natural 

resources of Butte County.

control QbJectjyes 

-Keep the fire East of Hwy 99 to Cohasset Rd.

-Keep the fire South of Kanaka Creek

-Keep the fire West of Oroville Quincy Hwy

-Keep the fire North of Hwy 149 and Hwy 149 and Hwy 99·

General Situational Awareness: 

Steep-and rugged terrain, critically dry and receptive fuel beds, active area for fire history and drought stressed trees. 

5. Site Safety Plan Required?

Approved Site Safety Plan(s) Located at:

6. Incident Action Plan

0 ICS203 0 ICS215A 

0 ICS204 

0 /CS 205 

0 ICS 206 

0 ICS208 

7. Prepared By:

0 ICS220 

0 Incident Map 

0 V'kather Forecast 

0 fire Behavior 

Chris Burch 

B. Approved by Incident Commander:

ICS 202

Yes D No 0 

D Phone List 

D Training Message 

0 Travel Map 

O Demob Plan 

0 Finance Message 

Position/Title: PSC 

Dave Russell 

1 

D 

D 

Fire Suppression Repair Plan 

D 

□ 

0 ICS214 

Signature: 

Signature: 

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ORGANIZATION ASSIGNMENT LIST (ICS 203) 

1. Incident Name: 12. Operational Period: Date From: 11/10/2018 Date To: 1111112018 

Camp Incident lime From: 0700 Time To: 0700 

3.,ln'tri:i�'iJt Comifuiijc1�f1s} anct comina'nci ·s,:aff: )$.1;"'1� • • ,;,��•-'eki:;t: 

ICIUC's Todd D<>rum, BSO Derek Ben, PPO Eric Reinbold 

Deputy Dave Russell 

Safety Officer Jack Picclnlnl, Doug Ferro (1) 

Information Officer Steve Kaufmann, Bill Murphy (T) 

Liaison Officer Mitch Villapando 

i1-1t�iieif,cy,'1QrgffilμtiJ;niffep���tai;i�:l::i(if\�W-11��� 

Agency/Organization Name 

CHP Cfiff Morrison 

St!te Parks Aaron Wright 

OES Cindi Dunsmoor 

SPI Steve Roberts 

PG&E Rob Cone 

CalOES Kit Baley 

CCC Logan Forbes 

Butte Co EOC Megan Jessee 

Paradies EOC Colette Curlis 

BIA Greg Perry 

BIA George Violante 

�!A1Jnin11�i;i(on;,11.R1i1 ;'f\"1(1 ·=" --��1;;,"' .:,ry�.1.�l.�- ' '. (, � j��

Chief Chris Burch 

Deputy Jason Martin 

Resource Unit Coby Dyche, Ron Karlen ffi Brian Toroslan (T) 

Situation Unit Denny O'Neil 

Documentation Unit 

Demobilization Unit Chris Lynch 

GISS Dan Dresselhaus 

FBAN lim Chavez; Jonathan Par\gbum (f) 

IMET Alex Hoon 

Training Tech Spec Dennis Marlin 

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Chief 

Supply Unit 

FacUitiesUnit 

Ground Support Uriit 

Ordering 

Hired-Equipment Tech 

Communications Unit 

Medical Unit 

Motel Tech Spec 

�repared_!!y: Name: 

ICS203 

Matt Reich 

Mathew Brandt 

Shawn Burris, Travis Heard 

Conor Stapleton, Mike Esparza 

Mike HeyFron 

lim Bingham 

Tom Webb 

Darien Nelson 

Dawn Muschetto 

Chris Burch 

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jPos!fion/Trtle: 

lDatemme: 

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Chief Mark Brown, Josh Bischof (D 

Deputy BiR Weiser, Monty Smith (1) 

Night Ops Mark Higgins I 

Staging Area COLLEGE Spencer McGlinger 

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Division/Group A Dyer �TClG .s,moiv� 

Division/Group B Steve.Simons ...';A�r-J p.....,i::;{<.. 

Division/Group D Rklk-MeASOn- (S'E..ff F'C\!;;Ot'\

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Division/Group F �n.ft) -Yi,-T I

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Division/Group G J:BA.. RON Mr \�h(;o

Division/Group J 

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Division/Group H Mike Hildebrand 

Division/Group K Shane Galvez 

Division/Group N Gen9Neefy I Alan W.M5/e,{T)

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Division/Group T TBA 

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Staging Area 

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Air Support Grp Sup Greg Bradshaw, lim Pertlns 

Helibase Manager JCCoUins 

ti1[F)_iiarJ��f;t\fil'Ji'ii�i>.ffiS� ..... � '" -� 

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Chief George Huang . 

Deputy M\lrisZaver 

lime Unit Shane Beck, Greg Tunzi (f) 

Procurement Unit Jo,e Flagg 

Comp/Claims Unit Colatney Forsythe 

Cost Unit Rob Jenkins 

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PSC Sig�ture: 1·,n 

11/9/2018 2300 hours 

2 
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ORGANIZATION ASSIGNMENT LIST (ICS 203A) 

1. Incident Name: I - 2. C>peratlonal Perlcxl: Date Frc,m: 11/10/2018 Date To: 11/11/2018 - -

Camp Incident 

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Chief Mark Brown, Josh Bischof (T) 

Deputy Bill Weiser, Monty Smith (T) 

Staging Area STIRLING 8,/1 LoPe7 

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Division/Group u Diana Totten 

Division/Group y. James Allen 

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Staging Area PARADISE 

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Prepared By: jChris Burch I Position/TIiie: PSC ISlgnalure: lll-,J 

: I 0atetrime: 

- ·-·---·•-· ··- I . - . 

ICS203A '

l 11/9/2018i2300 hours 

3 
FORECAST NO: 2 

PREDICTION FOR: DAY/NIGHT SHIFT 

SHIFT DATE: November 10-11, 2018 

Fire Weather Forecast 

TIME/DATE ISSUED: November 9, 2018 2000 PDT 

NAME OF FIRE: Camp 

UNIT: CA-BTU 

SIGNED: Alex Hoon 

Incident Meteorologist 

WEATHER DISCUSSION: ... RED FLAG WARNING 10PM TONIGHT THROUGH MONDAY MORN/ 

• 

Light winds are expected during the day today with dry conditions. Poor mixing today will keep poor visibility 

through the day, especially for the lower elevations of the fire area. Another strong northeast wind event is 

expected over the next couple days with very dry conditions, poor recovery, and strong winds over the Camp 

Fire. Northeast winds will increase this evening after 2000, with the peak of the wind even from midnight to 

around 7am Sunday morning. Lighter winds are expected Saturday afternoon, with increasing northeast winds 

once again Sunday night. Very dry conditions and poor humidity recovery continues through the weekend and 

into next week, although with lighter winds. 

WEATHER FORECAST FOR SATURDAY: . .. LIGHT WINDS DURING THE DA Y ... POOR MIXING ... 

WEATHER: Sunny with heavy smoke. Smoke inversion remaining over fire. are.a through the day. 

MAX TEMPERATURES: 

MIN HUMIDITY: 

20-FOOT WIND:

55�65°F. LITTLE CHANGE 

12-17%. UP 5% 

SLOPENALLEY - Northeast 5 to 10· in-the··morning; then'becoming-l:Jpslope·to,3·to B·mph· · · 

inJhe afternoon. 

RIDGETOP- Northeast 10 mph with gusts to 15 mph in the morning, then 

Becoming West 5-1 O mph in the afternoon. 

MIXING HEIGHl': 1000 ft AGL in the afternoon. TRANSPORT WINDS: North 5 mph . 

SATURDAY NIGHT: ... CRITICAL DOWNSLOPE WINDS INCREASING AFTER 2000 ... 

WEATHER: Clear with smoke jnversion. 

MIN TEMPERATURES: 45-50°

F. LITTLE CHANGE 

MAX HUMIDITY: 

20-FOOT WIND:

15-20% DOWN 10% 

SLOPENALLEY - Calm, then increasing after 2000 to Northeast 15 to 20 mph. Gusts up to 30 mph. 

RIDGETOP - West 5-10 mph, then Northeast 20 to 30 mph with gusts to 50 mph after 2000. 

EXTENDED FORECAST: ... GUSTY WINDS CONTINUE INTO MONDAY MORNING ... 

SUNDAY AND MONDAY: Sunny. Max temps ... 55-65°

F. Min RH 6-11%. Northeast 10 to 20 mph. Gusts 30-

45 mph into Sunday morning. Lighter winds during the afternoon. Gusts up to 30 mph again Sunday night. 

TUESDAY AND WEDNESDAY: Sunny. Max temps ... 57-67°

F .. Min RH 10-15%. Light updrainage winds 

during the afternoon. Northeast 5 to 1 O mph overnightiand into the morning hours. 
FIRE BEHAVIOR FORECAST 

FORECAST NUMBER: 2 TYPE OF FIRE: Wildland Fire 

FIRE NAME: Camp OPERATIONAL PERIOD: 24hr 11/10 (0700-0700) 

DATE ISSUED: 11/9 TIME ISSUED: 1830 

UNIT: BTU SIGNED: Jon3th� Pangb':[n £BAN (T)

- - _ rY--y _/ 

INPUTS 

WEATHER SUMMARY 

**Red Flag for Hot and Dry with Increased winds Sat-Mon** 

See Weather Forecast in IAP. 

OUTPUTS 

GENERAL: **Possibility of Wind and Plume Dominated Fire Behavior** 

Expect varying windows for direct attack versus indirect; as related to flame lengths and rates of speed, 

based upon forecast wind and smoke coverage. 

In the absence of weather conditions outside the forecast or extreme fire behavior conditions expect: 

Max, Flame Length Ma� Rate of Spread Spotting Probability of Ignition 

-Grass < 7' (� m) 75-100 ch/hr (1-2 km/hr) < 0,5 mile (0,8 km) 68% 

Grass/Shrub Mix < 10· .(3 rn> 30-50 ch/hr (0.7-1 km/hr) < 0,5 mile (0,8 km) 68% 

Shrub < 10' (3 m) 30-50 ch/hr (0.7-1 km/hr) < 0.5 mile (0.8 km) 68% 

Timber Litter < 5' (1.5 m) 7-15 ch/hr (0.1-0.3 km/hr) < 0,5 mile (0.8 km) 68% 

Slash-Slowdown 10-15' (3"5 m) 20-40 ch/hr (0.4-0;8 km/hr) < 0.5 mile (0.8 km) 68% 

WUUShrub 15-25'(4-8 m) 80-150 ch/hr (3-4 km/hr) < 0.5 mile (0.8 km) 68% 

-t�mJnimum safety zone s ize for brush fuels is 1/3 acre (0.1 Ha) for a Strike Team of Engines.

**minimum safety zone size for slash fuels is 1/2 acre (0.2 Ha) for a Strike Team of Engines.

-minimum safety zone s ize for WUl/shrub fuels is, 1 acre (0.4 Ha} for a Strike Team of Engines.

SPECIFIC: 

In the daytime, expect upslope, updrainage winds, with eddies along ridgelines and curves along drainages. 

Overnight, expect the NE winds to resurface around midnight, aligning downslope with the Feather River 

and Butte Creek drainages. 

Branch I, VI: Fire will have single tree torching and passive crown fire activity in timber stands with both 

afternoon and overnight winds, especially in areas of heavier fuels or trees near involved structures. 

Branch 11, Ill: Expect rapid rates of spread in grass fuels wherever torching and ember cast is seen. 

Areas of tactical advantage (water features, highways), normally utilized as barriers to fire spread, may be 

compromised with winds via spotting, after midnight. 

AIR OPERATIONS: 

Anticipate turbulence, gusty winds, and limited visibility with consumption of heavy fuels. 

Mixing height: 1,000 ft. AGL, Transport winds: N 5 mph, Sunrise 0645, Sunset 1654. 

SAFETY 

Be aware of not only the "Fire Environment" you are currently in but also the one you are transitioning into. 

5 Updated: June 2016 
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Watch Out 

�FETY MESSAGE 

CAMP 

18-CA-BTU-016737 November 10,. 2018

TREES 

TREES ARE THROUGHOUT THE FIRE AREA 

• Ground cover has burned loosening the stability of the root system

• Trees have been heavily damaged by extreme fire behavior

• Many operations will be occurring within this hazard area

Mitigation 

• Remove the hazard if safe to do so

• Flag and report the hazard to personnel

• Be alert while working and driving in hazard area

ACCOUN.TAB:ILITY 

ACCIDENTS OFTEN OCCUR DURING TRANSITION 

Watch Out 

• Proper briefings do not always occur during transitiop

• Some resources may not be,aware of proper radioJrequencies

e 

• Supervision may not be able to perform accountability rollcall in emergency

situations

Mitigation 

• Reconcile all as:signed resources during.breakouts·and:once on the ,l_ine , .. , ,

• Make contact with resources not assigned. to you but in your area to ensure they

are assigned and have supervision

• Perform thorough·briefings to all assigned resources as well as resources from

cooperating agencies working in your area

EMOTIONAL F-ATIGUE 

EMOTIONAL FATIGUE CAN IMPACTS US AS MUCH AS PHYCIAL FATIGUE 

Watch Out 

• Look for general depression

• Look for lack of work production

• Look for signs and symptoms among your fellow workers

Mitigation 

• Get as much quality rest as possible

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• Eat properly and stay hydrated ": 

• Talk about difficult situations with your peers --: seek help

Dougfa.s-M � k:1!..ae/Ferro 

INCIDENT 

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TEAM SAFETY 

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1. Incident Name:

4. 

Camp lncide�t 

Operations 

__ 

Personnel:

·--

ASSIGNMENT LIST (ICS 204) 

2. Operational Period:

Date From: 11/10/18

Time From: 0700 

- -· 

Date To: 

Time To: 

--- ---

11/11/18 

0700 

o���

,__ 

i?,�S S�clion C�ief: • Mar_k Brown, Josh _E3ischof (T) Ni�ht Ops: .!Via� Hi�g!�.

s

Branch Director: Sam Hicks 

-·· - . -

Division/Group Supervisor: ,Dyer 

-- .... . 

6. Resources Assigned: I - Resources Below in Bold are 12 Hour -

Resource Identifier Leader Personnel 

STC LNF 3615C Shannon Prather 23 

STC XCA 4061C Pat Brown 18 

STC 

.STC 

STC 

STC 

ENG3 ROSE 9 Jeff Campbell 5 

ENG3 WMP ENG 2 Erik Bortaug 4 

STG SHU 9243G Scott Wood 33 

STG 

.STG 

STG 

DOZ CZU 1743_ Thomas 2 

DOZTGU 2542 -Corey Wolter 2 

� DOZ PVT E-20 

DOZ PVT E-22 TOM EARTH Tom Funes 2 

DOZ PVT E-401 NOBLE Bob Noble 2 

DOZ PVT E-416 ALGERINE WEST 1 Rick Bradley 2 

6. Work Assignme"ts: 

__.__ ....... ··--

Scout the Fire for Branch and Division Breaks to validate Control Lines

Hold and I me rove Control Lines to mitigate threat of fire escaping 

Prepare Structure Defense Plan 

Perform Tactical Patrol around structures and prevent potential of new starts 

7. Special Instructions:

Request# 

E-44 

E-110

E-298

E-29 9

C-29

E-228

E-6

E-22

E-401 

E-416 

-

3. 

Branch: I 

Div/Group: A 

-

Alpha 

1 of 2 

Reporting Location, Special Equipment. 

Remarlm, Notes, and Information 

Time t.ocation 

0700-0700 CONCOW/HWY 70 

0700-1900 jCO�COW/HWY 70 

0700-0700 1 CONCOW/HWY 70 

0700-0700 'CONCOW/HW)' 70 

0700-0700 CONCOW/HWY 70 

0700-0700 CONCOW/HWY 70 

0700-1900 • CON<;:OW/HWY 70 

0700-1900 , CONCOW/HWY _70 

0700-0700 : CONCOW/HWY 70 

0700-0700 ;CONCOW/HWY 70 

0700-0700 'CONCOW/HWY 70 

0700-0700 i CONCOW/HWY 70 

0700-0700 i CONCOW/HWY 70 

0700-0700 I CONCOW/HWY 70 

· 0700-0700 J CONCOW/fiWY 70

0700-0700 i CONCOW/HWY 70 

0700-0700 1 CONCOW/HWY 70 

0700-0700 j CONCOW/HWY 70 

- -- -·-- ----····--·· 

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8. Communications

Name 

BUT SUP T2 

CDF T27 

CALCORD 

A/G CDF T18 

GUARD 

9. Prepared by: Name:

ICS 204 I

--

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..... _ _.. _____ ,, 

\(radio and/or phone contact numbers needed for thls assignment): 

Ch Function Rx Freq Rx Tone Tiftr�q Tx Tone Notes 

1 COMMAND 154.4150 123.0 f59.0000 TONE 2 SUNSET 

7 TACTICAL 159.3075 192.8 (T16) 159.3075 192.8 (T16) 

15 MEDICAL 156,0750 156.7 (T6) 156.0750 156.7 (T6) 

5 A-GCMD 159.3450 192.8 (T16) 159.3450 192.8 (T16) A-G COMMAND 

16 EMERGENCY 168.6250 168.6250 110.9 

•Ron Karlen Pos/Trtle: ·RESL

- ,. - ' Signature: ,� Date/Time: 11/9/2018 2300 hours 

7 
ASSIGNMENT LIST (ICS 204) 

1. Incident Name: 2. Operational Pe�od:

Camp Incident Date From: 11/10/18 Date To: 11/11 /16 ---· -··· 

11me From: 0700 Time To: 0700 

4. Ope�ations Personnel: --- ... .... .. . . 

Operation� �_ection c�21:r: � �a!1' -���wn, Jos_h �i�h�! _(1} 

__ �!9h.� C>p_s: .. �".I� _,!!i

!J!!i_ns -

Branch Director: : Sam Hicks ·-··· .. ·--·· --

Division/Group Supervisor: 0-ye, '51 E-tJ£ 

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5. Resources Assigned: I - Resources·8elow In Bold are 12 Hour ..

Resource Identifier LElaqer PersQnnel ReqUQstfl. 

eez. PlA= e-+es-1�FFE-Set: Will Christensen 2 E-185

DOZ PVT E-417 ALGE RINE WEST 2 Monte West 2 E-417

WTVV"\ £- \6<; )�\TE. SoL w\l\ C nr:

.sten� 1 £ ·\6C::. 

WT 

WT 

WT 

WT 

H!;QB 

HEQB 

EMPF Rodrigues 1 0-227 

eMrF Tucker 1 0-78

/"Oh{\'o f°)\\1 ""1 h \(�::; �a. "-\(i-Jc..ro ( 2-0 C-1�

C'-'I� Ki\\Umvo (\q <.l.1 l,A-\2 . 2....0 c -cro 

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6. Work A,;;�ig11l'llt!nts:

3. 

Branch: 

Div/Group: 

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2 of 2 

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Reporting Location, Special B!uipment. 

Remarks, Notes, and lnfoonallon 

nme Location 

0700-0700 : CON COW/HWY 70 

0700-0700 l C9N¢OW/HWY 70

0700-0700 1 CON COW/HWY 70 

0700-0700 CONCOW/HWY 70 

0700-0700 'CONCOW/1-1\/W 70 

0700-0700 • CONCOW/HWY 70

0700-0700 CONCQW/H\,'\IY 70 

0700-0700 . CONCQW/HWY 70 

0700-0700 CONCOW/HWY 70 

0700-0700 •. CC>NCOW/HWY 70 

OYQQi-0700 CONC9W/HWY 70 

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0 7 Oo - (Cj()i) 

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Scout the Fire for Brcinch and Division Breaks to validate Control Lines 

Hold and Improve Control Lines to mitigate threat of fire escaping 

··--·"·

Prepare Structure Defense Plan 

--- --- ·-------- ---········· 

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Perform Tactical Patrol around structures and prevent potential of new starts_ 

7. Special lnstn,ictJo�..:.__ 

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8. Communications t(radlo and/or pl:,qnQ cont�S:I . nymQers need,d for thi� a$Slgr,ment): 

Name Ch ' F1.111�tl.Qn �x freq �-T9ne Tx Fn�q Tx Tone Notes 

BUTSUPT2 1 COMMAND 1M,41so 1�.o 1�9LQQOO TONE,?.SUNSET 

CDFT27 7 TXbtiC.AL. 159.�075 : 192.a (Tl� 15��75 1�.8 (T16) 

CAI.CORD 15 MEDl�A.L 1�._0V�CJ 166.7·(T6) . 156.075.0 15p.7 (I6) 

NGCOF T18 5 f.!.G_C.MQ 1�.3450 192.8(T16) 1§��34® 192.8 (T16) A-GCOMMAND 

GUARD Hi EMERGl;NCY 168.6250 "1"si,.'62SO 110.9 

9. Prepared by: 

.

N_

a�e: lRon Karlen • Pos/Title: RESL -· Signature: � •- -- .... •-••M-----• a ------- ICS 204 I Dale/Time:· 11 /9/201"8 2300hours • 

8 

·-
1. Incident Name:

Camp Incident 

4. 9pe�ations Personnel:

.. 

ASSIGNMENT LIST (ICS 204) 

2. Operational Period:

Date From: 11/10/18 

Time From: 0700 

·• 

Date To: 

Time To: 

- - -

11/11/18 

.. 

0700 

9_p_e�t!a.n� �e�t�n

_

Chie� � M�k Br�wn, Jos� Bisc�of rn Nig!'t O_ps: Mark Higgins

. -

---Branch Director:: Sam Hicks -· -

Division/Group Supervisor: : St&ve-GtffK>fts .:JA�N l)'!Ef'--

6. Resources Assigned: I

- Resources Below in Bold are 12 Hour -

Resource Identifier Leader Personnel Requestf. 

STC XTB 4237C Steve Pevenage 22 E-111

STC SHF 3676C Mike Anderson 27 E-327

STC TNF 4660C 2.lch Stockdale 27 E-46 

STC 

ENG3 HTF E 316 Jasqn Lyons 3 E-495 

ENG3 SHF E 343 Ado11J1 Koller 5 E-525 

STG TGU 9258G Jake Hannan 37 C-2

STG 

SIG 

STG• 

Wf,PVf E-194 NORTHSTATE 

3. 

Branch: I 

Div/Group: B 

- -

Bravo 

Reporting Location. Special Equipment. 

Remarks, Notes, and Information 

Time Location 

0700-0700 DEADWOOD/HWY 70 

0700-1900 I DEADWOOD/HWY 70 

0700-1900 I DEADWOOD/HWY 70 

0700-0700 l DEADWOOD/HWY 70

0700-1900 ,DEADWOOD/HWY ·70 

0700-1900 DEADWOOD/HWY 70 

0700-0700 • DEADWOOD/HWY 70 

0700-0700 DEADWOOD/HWY 70 

0700-0700 • DE ADWOOD/HWY 70

0700-0700 DEADWOOD/HWY 70 

0700-0700 DEADWOOD/HWY 70 

-WT·· 0700-0700 iDEADWOOD/HWY 70 

wr 

Wl' 

WT 

. '1,/('" 

' Hif6i3 

6. Work A.ssignme�:

. _.,___ - -··-· ·-·

Scout the Fire for Branch and Division Breaks to valid.ate Control Lines

Hold and Improve Control Lines to mitigate threat of fire escaping 

Prepare Structure Defense Plan 

Perform Tactical Patrol around structures and prevent potential of new starts 

7. Special Instructions: 

,_,,_ ---·-- ..

--

----··--··· 

---

-----·-•--· 

.. 

0700-0700 ! O�DWOOD/HWY 70

0700-7000 DEADWOOD/HWY 70 

0700 -7000 i DEADWOOD/HWY 70 

0700-0700 I DEADWOOD/HWY 70 

0700-0700 I DEADWOOD/HWY 70 

! 

_.,, ___ --- - ------· -· - •··-----

- •--- --·-----

.. 

-- ---

·-... --�·-·-- -- _________ ., ---

·-....--- .. - ---

·-•·

8. Communications · (radio and/or phone contact numbers needed for this assignment):

Name Ch Function Rx Freq Rx Tone Tx Freq TxTone Notes 

BUTSUP T2 1 COMMAND 154.4 150 123.0 159.0000 TONE 2 SUNSET 

CDFT28 8 TACTICAL 151.1825 192.8 (T16) 151.1825 192.8 (T16) 

CALCORD 15 MEDICAL 156;0750 156.7 (T6) 156.0750 156.7 (T6) 

A/GCDF T18 5 A-GCMD 159 .• 3450 192.8 (T16) 159.3450 192.8 (T16) A-GCOMMAND 

GUARD 16 EMERGENCY 168.6250 168.6250 110.9 

9. Prepared by: Name: 'Ron Karlen Pos/Tltle: •RESL Signature: h� I

- �--- � ... ···--· ·- -

ICS204 Datemme:; 11/9/2018 •2300 hours 

9 
ASSIGNMENT LIST (ICS 204) 

1. Incident Name: 2. Operational Period:

?amp Incident Date From: 11/10/18 Date To: 11/11/18 

Time From: 0700 Time To: 0700 

4. Operations Personnel: 

Operat!o!!�.�ectio.!1 Ch!ef: 'M�r� Brown, Josh Bischof (T) Night C>�s: ��rk H���ins

Branch Director: Sam Hicks

Division/Group S�pervlsor: Riek-Man;orr ·.:re FF E. t><.,oN

5. Resources Assigned: I '"Resources Below in Bold are 12 Hour '" 

ReSl)urce Identifier Leader Personnel Request# 

STC XAL 2012C Steve Silva 22 E-105

STC oes 4818C David Baldwin 23 E-59

STC MDF. 3631C Pat Preston 24 E-43 

STC 

STC 

STC 

ENG3 ROS E 57 4 Ryan Coleman 3 E-300 

ENG6 ROSE 1 John Wickstrom 3 E-499 

STG SHU 9242G Josh Vereb 36 C-10

STG 

STG 

STG 

CRW PVT F.RESTORM 1 Robert Denlay 20 C-17

DOZ PVT E��3 OROVILLE PRO Kyle Smart 2 E-203

DOZ PVT E,-209 OILAR AG Andy Ollar 2 E-209

DOZ PVT E-212 NORTHWEST 1 Mike Salters 2 E-2f2

DOZ PVT E-214 NORTHWEST 2 Josh Tome( 2 ... E-21'4 

DOZ PVT E�220 MILLER TRUCK 2 Harold Miller 2 E-220

6. Vl!ork Assignments: I 

••-H-•W ..... ___ 

Scout the Fire for Branch and Division Breaks to validate Control Lines 

Hold and Improve Control Lines to mitigate threat of fire escaping

.. 

3. 

Branch: 

,., 

Div/Group: 

-

-

I 

D 

Delta 

1 of 2 

···-

.. 

,_ -

Reporting Location. Special Equipment 

Remarks, Notes. and Information 

Time Location 

0700-0700 ; BIG BEND/HWY 70 

0700-0700 'BIG BEND/HWY 70 

0700-1900 j BIG BEND/HWY 70 

0700-0700 ( SIG BEND/HWY 70 

0700-0700 1 BIG BEND/HWY 70 

0700-0700 BIG BEND/HWY 70 

0700-1900 : BIG SElilD/HWY 70 

0700-1900 ; BIG BEND/HWY 70 

0700-0700 ;BIG BEND/HWY70 

0700-0700 : BIG BEND/HWY 70 

0700-0700 BIG BENO/HWY 70 

0700-0700 i BIG BENO/HWY 70 

0700-1900 ] BIG BEND/HWY 70 

0700-0700 jBIG BENO/HWY1o 

070,0-0700 I BIG BENO/HWY 70 

0700-0700 · · i BIG BEND/HW'f-70 

0700-0700 '1 BIG SEND/HWY.10 

0700-0700 BIG BEND/HWY 70 

··--· ........ ---�---

-·--------�-- -----u-•-

--�--····-···--·--·-··-·--·-··---·- -· ...___ ___ ·--

Prepare Structure Defense Plan

Perform Tactical Patrol around structures and prevent potential or new slarts

�pedal Instructions: 

_,. ·-· .... ... -.�--�--·- -

-·-···. --- '-···-

·-·-

-·--

···-··----, .. -.

-····-----· 

8. Communications

Name

BUT SUPT2

CDF T29 

CALCORD 

A/G CDFT18. 

GUARD 

9. Prepared by: Name.:

I CS 204 I

! 

.

-, .. _ .... 

·-·

···---·--.. _., ... _, __ 

-

(radio and/or phone contact numbers needed•for this assignment): 

Ch Function Rx Freq Rx Tone Tx Freq 

1 COMMAND 154.4150 ·123,0 159,0000 

9 TACTICAL 151.34?? l92.8(Tf6) 151;3475 

15 MEDlqAL 156.0750 . 156.7 (T6) 156.0750 

5 A-G·CMD 159.3450 192.8 (T.1'6) 159.3450 

16 EMERGENCY 168.6250 168;6250 

Ron Karlen 

_:

Pos/TIII�:

_ 

'RESL 

' -•· --- - .. - 

-Signature: Datemme: •11/9/2018 23Q0 hours 

10 

-- --- -·-----

ff-•·······-···· 

TxTone Notes 

TONE 2 SUNSET 

192:8 (T16) 

156.7 (T6) 

192.8 (T16) A-GCOMMAND 

110.9 

� 

t 
1. Incident Name:

Camp Incident

-

4. 

. <:>p�r�_!i<>ri!> _f>� _

r

.. !.<>1111�1:

ASSIGNMENT LIST (ICS 204) 

2. Operatie>nal Peri�:

Date From: 11/10/18

lime From: 0700 

-

Date To: 

.... , 

Time To: 

~•····-

11/11/18 

.. -·-

0700 

_ _ c:>P.:_�!��s_ Se�i�n Chief: ·. Mark Bro'!"• J.<>�� _13,i_��-<>_f fl) Night Ops: Mark Higgins . 

····· 

Branch Director: Sam Hicks

- --- ,.,. ... . ---

Division/Group Supervisor: i Risk Manson -1£ Ff. f.D-s0i-J 

6. Resources Assigned:

Resource ldenti.fier 

DOZ PVT E-389 BURRO 

DOZ PVT E-997 

W:T 

WT 

WT 

WT 

WT 

HEQB 

iW� "20 t I A F 

C..R..v,J c-qs

(:...fl.\A.) c- 'o3

\)02.... E:.-2.'3 ULS\-\ 

·,«.i,,..> C.- '1D

r ll'iN c.-6-S-

: .... ,,, ;s

I ' 

'• I 1: • 

11 � I 

6. Work Assignments:

lS 

- Resources Below In Bold are 12 Hour ..

Leader 

Mike Miser 

t:.vAr.JS 

Cc.tsir. c�h1�

\JJATl'-lt...�<.

.Jv!:�M \J\Sh 

AG v:u-4-R 

,\ \YYl (-_A ''--'2-

Personnel Request# 

2 E-389

E-997

\1 £·15 

'2.0 r-qs

-,1-0 (,,<63 

� I=:.. 2. �

?o C..-90 

7u (,-� 

3. 

Branch: I 

Div/Group: D 

Delta2 of2 

Reporting Location. Special Equipment, 

Remarks, Noles, and Information 

Time Location 

0700-0700 i BIG BENO/HWY 70 

0700-0700 : BIG BEND/HWY 70 

' 

1 

f 

:

! 

i

,, __ ..__ � -·-·-- -�-----·- ----· 

Scout the Fire for Branch and Division Breaks to validate .Control Lines 

...... .. -----·····� ----- - - - --·-----

Hold and Improve Control Lines to �lUgate threat of fire escaping __ .. ________ , _____ --

Prepare Structure Defense Plan --·-·-

Perform Tactical Patrol around structures and prevent potential of new starts 

7. Special Instructions:

·-·

.... _,., - -

- ·- -·-

- ___ ., ----·•-

,,_ -----·-.... ·-· -- '•··•· ·-··-· ---·-•··•· - ·-- ---·-..... •-------·------• -·------ ---

------ ·-------

8. Communications (radio and/or phone contact numbers needed for this assignment): 

Name 

BUTSUPT2 

CDFT29 

CAL<;:ORO 

A/G CDFT18 

GU ARD 

9. Prepared �Y=!!!me:

ICS204 I 

Ch Function Rx Freq 

1 COMMAND 1�-415() 

9 TACTICAL 151.3475 

15 MEDICAL 156,0750 

5 A-GCMD 159:3450 

16 EMERGENCY 168.6250 

.Ron Karlen 1 flos/litle: -- _n_,,,-.. -•••--- - --·····" --·-·--

Oatemme:, 11/9/2018 

11 

Rx Tone Tx Freq 

123.0 159;0000 

192.8 (T16) 151,3475 

156.7 (T6) 156.0750 

192.8 (T16) 159.3450 

168.6250 

-RESL

· -Signature: ·2300 hours

·--------------

TxTone Notes 

TONE 2 SUNSET 

192.8 (T16) 

156.7 (T6) 

192.8 (T16) A-GCOMMANO 

110.9 

�
ASSIGNMENT LIST (ICS 204) 

1. Incident Name: 2. Operational Period:

Camp Incident Date From: 11/10/18 Date To: 11/11/18 

Time From: 0700 Time To: 0700 

4. Oper��!ons Personnel:

Operations S�cUon_ ChJe

_

f: [ Ma� 

.

!3r��n, Josh B�

_

schof (!) 

.. 

�i�t O.P.!:..��

-

rk_ ��gg!ns

Branch Director:: Brian Noel 

Division/Group Supervisor:

'. TB°i... 13rt A-J.J 

- - -

\·h\t-1

6. Resources Assigned: 

Resource Identifier 

STA OES.4817A 

STA I:: 5'-i 2. A 

STA L\'l.ro A 

STC TGU 9250C 

-S-T-6 STA L.\l6oA

STF 

'E, 5«,L,,

ENG6 ROS E6 

ENG6 ROS E16 

ENG& ROS E-9913 

ENG& PVT_E-632 DIAMOND 117 

swc.� we.s-t (m.c+ C i'5"Z

DOZ PVT E-199 TOUGH COMPANY 

WT PVT E-179 HARli>Y WATER 

VV'f CQ.vJ AS-:r. 

WT F\ooD E11\TE.. f · <oo3 

wr C'�o\0 51'£.\fl..X:1<:.. l:·\1!> 

wr ErJe:, f�05 �-504 

wr "t--)(1 €'37 e so� 

6. Work ·Assignments: j__ 

·--.. -. ----·· ·--· ....

- Re-sources Be-low in Bold are 12 Hour -

Leader Personnel Request# 

Chris Allen 22 E-54

£'2-\C... E- "3

�iLLAL- £·'iS I 

Gerry Magana 16 E-3 

Lo2.A0 i::. 52-

Tim Underwood 3 E-603

Davjd Brainburg 3 E-609 

James Aurentz 3 E-617 

Tom Wesley 3 E-632 

) \IQ.I'\ NoYltA OSL"'- '2..0 C·'is'L 

Mark Hamilton 2 E-199

Hardy 1 E:.179 

\.\e. \-t Hei.rriSofl z..o c-,q 

\Z_\(.K .. y\fFUO ?_ E:. ft>03 

\(0\j �lt'lArJT '7 E,11{.,, 

0Atvll",L- 1='·$04 

{36-fl'I\JOorJ 'E· S0S 

..• ··---·-···-- ..

Scout the Fire for Branch and Division Breaks to validate Control Lines -· ----· 

.. 

. ... 

3. 

Branch: II 

Div/Group: 

--· " � ... 

Echo 

" 

;Page 1 of2 

Reporting Location. Special Equipment. 

Remarl<s, Notes, and lnfonnation 

Time Location 

0700-0700 Lime Saddle .Rec Area 

0700-0700 ' Lime Saddle Rec Area 

0700-0700 I Lime Saddle R�G A'rea 

0700-0700 l Lime Saddle Rec Area

0700-0700 . Lime Saddle Rec Area 

0700-0700 Lime Saddle Rec Area 

0700-1900 1 Ume saddle Rec Are 

0700-1900 ;Lime Saddle Rec Are 

0700-1900 .1 Lime Saddle Rec Are 

0700�1900 l Lime Saddle Rec, Are

070():.0700 '. Lim!! �addle R�c Area 

010,0-0700 I Lime Saddle Rec. Area

0700-19.00 j Lime saddle Rec �Je 

0700-07-00 l Lime Saddle Rec Area

070<H)700 l Litne Saddle Rec Area

, 0700-9'700l'l4ume Saddle Rec Area 

0700-0700-1<:t�Ume Saddle Rec Area 

b700

--

1

qoo 1

·-- _.,._ ___

-�----- -�··----

Hold and Improve �ontrol Lines to f!11tlgate threat of fire �-

scapii:!2._ 

___ ..... �----·--·· �-- . ,.,. __________ -------·---

Construct direct line 

Perform Tactical Patrol around structures and prevent potential of n�w starts 

P,repare Structure Defense Plan 

7. Special Instructions:

--���-�--

----� 's l'L Po.\,\�; :r;\ii-�.f��� 

-�r-ifu__.,. ____ ---H5..Q_ .. REiQ. __ �fr�(,---�

L..f.}JC�_ 

t:. '1 I. � SI \ _i}£_t1 () s c-1 e o 

f:N qqo'( £·z.9:7 1/�fll"lt.-t-\.-\ 

-·

·-·--.. --..

�-512 0 1· Ov- rct Oo ...... __ ··---·--

IS 3S-_C? 0?0,- /t:IJ()O ·-- E 5/J ..... �zoo r 11 t7 0 

£ •t.&f 1 fl ?/Jt:> - I '} otJ 

8. CQ111munl�ations / (radii:, and/or phone contact numbers needed fQr this a�lg()ITJ!'!nt): 

Name

BUTSUPT2 .

CDFT30 

CALCORD 

A/G COF T18 

GUARD 

9. Prepared by: Na_!!le:

ICS 204 I

3,A '5\ZSA

[Nfu �51., 

EN� 

Ch ·: Function 

1 COMMAND 

10 TACTICAL 

15 MEDICAL 

5 A-OCMD 

16 EMERGENCY 

1Ron Karlen'

·--· ·•--

Rx FrE!(f 

'' .. 154:4150 . 

·151,�_925

156.0750 

159,3450 

168.62S0 

Pos/Title: -

Daternme: 11/9/2018

1-\0RiA 

R 'I Arv

12 

Rx Tone 

,· . ·1213:0

192.8 (T16) 

1�.7-(T6) 

192:8 (T16) 

RESL 

---•··· ----

2300 hours 

·- - ' 

T'X Freq 

l5$:0000 

, 15L3925 

H$6;0750 

159.3450 

168.6250 

Signature: 

f.93 

f-500

Tx Tone Notes 

TONE 2 SUNSET 

1�.8 (T16.) 

156.7 (T6) 

1 92.8 (T16) fl,..GCOMMAND 

110.9 

r� 

o70b-o7oo 

070o- tCJoo 
1. Incident Name:

Camp Incident 

4. Oper�tions Pe_rsonr11:I: -

ASSIGNMENT LIST (ICS 204) 

2. Ope_r�tion�_I Period:

Date From: 

lime From: 

- - - .. -·· 

11/10/18 

0700 

- .. --·. 

Date To: 

Time To: 

-· . ·- ·---. 

11/11/18 

0700 

••-

<?�,:a.�i?�� -�E:��?.�.<?�i��:: �cir� B,�<>wn, Josh �isc�<>f (T) _!Iii��� C>p�: �-cl� t:l

i

��il"IS

Branch Director: : Brian Noel 

. - .......... - - -

Division/Group Supervisor: : TBA 

5. Resources Assigned: 

Resource Identifier 

HEQB 

EMPF 

EMTF 

(' 0. \A I 

C� It:'.. , ' .--

. .

. ,. 

"r'•• 

' �:Work._ Assignments: 

G'o 'L - -

} ' {_ 

. . ,. 

-

- Resources Below In Bold are 12 Hour -

Leader 

Crumpacker 

Mcleod 

J Oh. �#'4-V\

- -·-- -

Personnel Request# 

0-232

0-79

F- ·'512,

--··-� -· 

·· Scout the Fire for Branch and Division Breaks to validate Control Lines 

·---

·-

Hold and I mprov�9J_��rol '::!l"l!=_to mitigate threat of fi"; escaping ............ ----·-··-··--

Construct direct line -··----· -·-· ,_,_,. __ -·-· ·-�-- -·

Perform Tactical Patrol around structures and prevent potential of new starts 

Prepare Structure Defense Plan 

3. 

Branch: II 

Div/Group: E 

Echo 

·-

Page 2 of 2 

Reporting Location. Special Equipmen� 

Remarks, Notes, and lnfonnation 

Time 

0700-0700 

0700-0700 

0700-0700 

.. 

Location 

Lime Saddle Rec Area 

: Lime Saddle Rec Area 

i Lime Saddle Rec Area 

I 

I 

I 

-- - . --· - - . - ------

- . --

....... 

---------- -

- -· ------

·-·- --

7. Spe_clal lns!�t�ns:

. - ---- -· -·----··· -·-···---- - - .,_ 

- ____ ..... ____

---·- ··-

----·----··----

8. Communications

Name

BUT SU PT2

CDFT30 

CALCORD 

A/G COF T18 

GU ARD 

9. Prepared �l: N�m1::

ICS 204 I

-�--

-------· 

·- -··-

·--··-- --- -- - --------

·----,,---··------------·-···--··-

-· ................ ,, ________

i( radlo and/or phone contact numbers needed ror this assignment): 

Ch Function Rx Freq Rx Tone Tx Freq Tx Tone Notes 

1 COMMAND 154.4150 123.0 159,0000 TONE 2 SUNSET 

10 TACTICAL 151.3925 192.8 (T16) 151.3925 192.8 (T16) 

15 MEDICAL 156.0750 156.7 (T6) 156.0750 156.7 (T6) 

5 A-G CMD 159.3450 192.8 (T16) 159.3450 192.8 (T16) A--G COMMAND 

16 EMERGEt:,ICY 168.6250 168.6250 110.9 

·Ron Karlen Pos/Tltle: RESL 

Signature: (l--ic - - ... . __ , ·-··•· -· -· . �·· -·� ·- . ,. - .. 

Oatemme: 11/9/2018 2300 hours 

13 
1. Incident Name:

Camp Incident 

4. Operations Perso_nr:i�_I:

·- · ···-

ASSIGNMENT LIST (ICS 204) 

2. Operatio_nal Peri�:

Date From: 11/10/18 Date To: 

-

Time From: 0700 Time To: 

-- --·-- -,.. . ·- -�---,- -••· - - . 

11/11 /18 

0700 

Ope�tions_ l>�ctio� C::hief:; Mark_�r�wn, Josh Bisc��f (1) 

_ t:JiSl��-�p_s: �a__rk Higgins

Branch Director: ,Brian Noel 

. . . - .. .. ·•· 

Division/Group Supervisor: •tl.lul.Lo.haF-4T)- .PA·,-

. -

'Puev,,S 

5. Resources Assigned: - Resources Below in Bold are 12 Hour ...

Resource Identifier Leader Personnel Request# 

STA XTB 4235A Charles Salemo 22 E-49

STA 

STA 

STC ST CAMP 1 -> DI v \.-\ Incident Formed 

STC 

ENG3 ROS E28 Nath�n Wheelock 3 E-311 

ENG3 ROS E29 Charles Palmer 3 E-309 

ENG3 R06'E3139 3 E-310 

WT PVT E-177 WILLMORE AG Andy Oilar 2 E-177

WT PVT E0189 KIRACK Mike Kirack 2 E-189

6. Work Assignments: 

3. 

Branch: 

Div/Group: 

II 

F 

--- � -

Foxtrot 

Reporting Location, Special Equipment, 

Remarl<s, Notes, and lnfonna!lon 

Time Location 

0700-0700 : Clark/Durhan Pentz 

0700-0700 'Clark/Durhan Pentz 

0700-0700 i Clark/Durhan Pentz 

0700-0700 !Clark/Durhan Pentz

0700�700 , Clark/Durhan Pentz 

0700-1900 l Clark/Durhan Pentz

0700-1900 Clark/D'urhan Pentz 

0700-1900 Clark/Durhan Pentz 

0700-0700 : Clark/Durhan Pentz 

0700-0700, ; Clark/Durhan Pentz 

i 

I 

-

,. 

J_ ···--- ---- --··----·-.... 

Scout the Fire for Branch and Division Breaks to validate Control Lines

... ····-.. 

Hold and Improve Control Lines to mtigate threat of fire escaping____

__

_ _ 

··-

--- _ 

•·

---

.

. 

--- -- · - �--·- ·· -- ,. __ ..

___ .. ·- -· •�-

-· 

--· ---

Prepare

_ 

Structure Defense Plan

·-·----- -----·---·-·-····•·-•--�,, ··-······-··--�·----·----- ·-.

Perform Tactical Patrol around structures and prevent potential of new starts 

7. Sp.!_c]al Instructions:

-- - -

-·-- - -··--··----...

...... ·--� ·---··--•·•-· 

- --- ·-···--·

.,......_-�. 

--.. ---

.. -- ··-- - -·-·--·· - -

·----·---... ·--. 

B. Communications l{radlo and/or i;,hone;cont;ict numbers nee_ded for-t�I� a_sslgnment): 

Name

BUTSUPT2

CDF T31

CALCORD

A/� CDf T18 

GUARD 

9. Prepared by: Name:

ICS 204 I 

Ch Function 

1 COMMAND 

11 TAtTICAL 

15 MEDICAL 

5 A-OCMb

16 EMER-:GENCY 

Ron Karlen 

- --

Rx Freq .Rx tone 

154.4150 123.0 

159.3825 19

2.8 (T16) 

156.0750 . 1?5. 7 (1'6) 

·159.3450 192.a

 crts>

168.6250

-�----

: Pos/litle: •RESL 

-

Datemme: 11/9/2018 2300 hours 

14 

Tx freq TxTone 

t5Q;UOOO 

159.�25 192.8 (T16) 

156;Q750 156.7 (T6) 

1-59,�0 192.8 (T16) 

16lt6250 110.9 

Signature: 'k-, . 

Notes 

TONE 2 SUNSET 

l'rG COMMAND 
ASSIGNMENT LIST (ICS 204) 

1. Incident Name:

Camp Incident 

2. Operationa_l Period:

Date From: 11/10/18

lime From: 0700

Date To: 

Time To: 

4. _ C>p�ra.�iom; Pe�5.'3.!'"_4!1: .. . _ __ _ . _ . . _ .. . .. . ....

11/11/18 

0700 

. �,:,er.1��".!>__���i<>

n_ '?.hl

ef: • �-'!� l:J

r�".¥.1"1_'. J.«>���i�_t:l<>f f1] IIJ�!J..h.� <:lp5.: �a.r� �!��in�_

Branch Director: ,Brian Noel

.. - --·· -

Division/Group S upervisor: TBA

3. 

Branch: 

Div/Group: 

II 

G 

Golf 

1-------..;::;. 

5. Resources Assigned: I - Resources Below in Bold are 12 Hour - Reporting Location, Special Equipment. __ _._ ________________ ---r _____ -tRemarl<s, Notes, and lnfoonation 

Resource Identifier Leader Personnel R'3quest # nme Location 

S TA OES 4815A S hawn Holden 17 E-50 0700-0700 \ NEAL/HWY 99 

STA 0700-0700 l NEAUHWY 99

STC S KU 9260 S cott Tavalero 17 E-149 0700-0700 

T/F 3800 Mike S awyer 18 E-69 0700-0700 

STC 0700-0700 

STC 0700-0700 

ENG6 ROS E9903 Will Nerbonne 3 E-510 0700-1900 

STG TGU 9254G Eric Marriot 37 C-3 0700-0700 

CRW2 I/A FIRESTORM 5 Mac Norlle 20 C-16 0700-0700 

"2:D c..- 81⁄2 0700-0700 

2-0 t._,-=,3 0700-0700 

WT.BTCWf74 0700-0700 

WT PVT E-180 0700-0700 

wr,,PVT E-182 TOUGH Wayne Ronner 2 0700-0700 

0700-0700 

WT PVT E-189 KJRACK 1 Mike Kirack 2 E-189 0700-0700 

Wr''PVT E-190 KJRACK 2 Galen Hainline 2 E-190 0700-0700 

1-fEQB 0700-0700 

6. Work Assignments: 

_ J ________________________ .,___________ __ -··-·

Scout the Fire for Branch and Division Breaks to validate Control Lines 

)NEAUHWY99 

1NEAUHWY99 

:NEAUHWY99 

1NEAUHWY99 

, NEALJHWY 99

NEAUHWY99 

,NEAUHWY99 

fNEAUHWY99 

, NEAL/HWY 99 

)NEAUHWY99 

1NEAUHWY99 

f NEAL/HWY 99 

INEAUHWY99 

)NEAUHWY99 

! NEALJHWY 99 

:NEAUHWY 99 

--------

•--...... , _______ --- •·• - -- -••-••-··• -•·H· .. --............ 

Hold and Im prov� Control Lines to m�gate threat of lire escaping 

Prepa!e Structure Defense· Plan 

Perfonn TacUcal Patrol around structures and prevent potential of new starts 

7. S pecial Instructions:

·---.. ·----------! 

•-

-�

-

--1" 

-

��3--c: ----------

.. -·--

_--_-------��---_-

--------

_-_--=_----==---------

------

-----�---_--_-···-�.:

--·---·-·

-�----

------ ---- --

-

---·--·'"·''------

--------t 

1-----·---------------........C.---------·--•··-··------ -------------

B. Communications

Name

BUTSUPT2

CDFT32

CALCORO

A/G CDF T18

GUARD

9. Prepared by: Name:

ICS 204 I 

(radio and/or phone contact numbers needed for this assignment): 

Ch Function 

1 COMMAND 

12 TACTICAL 

15 MEDICAL 

5 A-G CMD

16 EMERGENCY 

Ron Karlen 

Rx Freq 

154.4150 

151.2425 

156.0750 

159.3450 

168.6250 

Pos/Trtle: 

- -

Daternme: 11/9/2018 

15 

Rx Tone Tx Freq 

123.0 159;0000 

192.8 (T16) 151.2425 

156.7 (T6) 156,0750 

192.8"(T16) 159.3450 

168.6250 

RESL S ignature: 2300 hours 

TxTone Notes 

TONE 2 SUNSET 

192.8 (T16) 

156.7 (T6) 

192.8 (T16) M3COMMAND 

110.9 

14--. 
0 

0 

ASSIGNMENT LIST (ICS 204) 

1. Incident Name: 2. Operational �eriod:

Camp Incident 

4. Operations Per��nn�:_ _ 

.. ·-

Date From: 

Time From: 

-- --

11/10/18 

- ..

0700 

- --·---

Date To: 

Time To: 

- -··· -· 

11/11/18 

0700 

... -

Operat�o�� �!:

�i�� �h!ef: • Ma�� Bro�n� J�s� 

_

_ Bischot (11_ -

��g��r:>,s=

,.

':"'.:'i:'< !:!�9ins

Branch Director:'. Shane Lau�er�ale - -

Division/Group Supervisor: 'Mike Hildebrand 

3. 

Branch: Ill 

Div/Group: H 

·- .. ·---· -- - ... 

Hotel -

Page 1 of 1 

5. Resources Assigned: ... Resources Bel

ow in Bold are 12 Hour ... Reporting Location, Special Equipment, 

Resource Identifier Leader Personnel Request# 

Remarks, Notes, and Information 

Time Location 

STA XPL 4132A Darren McMillian 17 E-53 0700-0700 Skyway x Honey Run 

STA 

�946QC.. 

0700-0700 Skyway x Honey Run 

Mark Mancini 18 E-139 0700-0700 -Skyway x Honey Run

STC XGL 3050C Scott Blake 20 E-67 0700-0700 Skyway x Honey Run 

STG LNU 9144G Bret Murphy 33 C-30 ·0100-0100 : Skyway x Honey Run 

STG 0700-0700 1 Skyway x Honey Run 

DOZPVT169 0700-0700 • Skyway x Honey Run

DOZ PVT 0700-0700 Skyway x Honey Run 

W/TPVTE168 E-16

8 0700-0700 Skyway x Honey Run 

WIT PVT E169 i E-169 0700-0700 Skyway x Honey Run 

EMPF Barker 0-228 0700-0700 : Skyway x Honey Run 

EMTF Bemer 0�236 0700-0700 ; Skyway,-x Honey RJJn 

\...l£1\.liln (' R. \Al 

l'AWIP 1-,p 'L 'J {C,C,f'. Ale-tq,ndey- ! 

.£�(-, \ c; E l 

�€!\loo -::C.\-\·C. -\-t" q c.- 07oO -,qo� 

5hc:t,(� -r-1� I

(!)I;: c; �337 

�:. Work Assignments: 1._:_ ___ - --

Scout - the Fire for Branch and Division Breaks to validate Control Lines 

--��•OHU·N·-•• 

Hold and

_ 

improve Control Lines to mtfgate threat of fire escaping

Prepare Structure Defense Plan 

••----••••••• .- , -� • -•••-•• r-••••• ----- ·--------

·•- ·- ---- --- --··· -·--

--�- _ .. _.,_, ___ ,.

··• . -

-- -

•·•·•-

.. ·---

Perform Tactical Patrol around structures and prevent potential of new starts 

7. Special Instructions: 

•-· -·· 

-� ·- ..... - ___ , ____ ,., _____ ,. ___ , ..C.R.1⁄2:> __ c,,_.:1__7 ___ �w "2-

1=12.o10 ___ f'-\ .. r _G-�Y.\L __ c.: .. 1S.. ___ -� ___

_..5tA.. W J l �-.. -£.:. .. ."7 � -� E..\/ At-J 5

�--

-

. --•'"--••·-···"··�--- ·---··----

·--

···--· ·--····· -······•···········•·····•c:5--· -------· -

£. ]5._ __ ....f!__1oo ,o 70 -·····-·· 

---

·-

8. Communications (radio and/or phone contact numbers needed for this assignment): 

Name Ch Function Rx Freq Rx Tone Tx Freq Tx Tone Notes 

BUTSUP T2 1 COMMAND 154.4150 123'.0 159:0000 TONE 2 SUNSET 

CDF T34 13 TACTICAL 151.4675 192.8(T16) 151.4675 192.8 (T16) 

CALCORO 15 MEDICAL ' 156,0750 156.7 (T6) 156;0750 1.56.7 (T6) 

A/G CDF T18 5 A-G CMD 159.3450 192.8 (T16) 159.3450 192.8 (T16) A.GCOMMAND 

GUARD 16 EMERGENCY 168.6250 168:6250 110.9 

9. Prepared by: Name: ;Ron Karlen ;Pos/Title: ·•RESL I � r-- - -- .. ... ---- Signature: ICS 204 Datemme: • 11/9/2018 2300 hours

CAm-P ')F- \ 

TFLD ;;.-.--

Js§f A I E:�A/\')D&-12. o-sg

Cl'JC1 lS E - -ZCt, l T,v ) UJ(n SR E- Sbo -1 yfe.L StJE) lO c �57b T'ffe3 e1vfi --z,,154 16 i

-::- ... -z. fe:b '"' 3 EY\.J&i L,.\hS £ - '10 TiR3 
0 

ASSIGNMENT LIST (ICS 204) 

1. Incident Name: 2. Operational Period_:

Camp Incident Date From: 11/10/18 Date To: 11/11/18 

Time From: 0700 Time To: 0700 

4. C>pe�ation5. f>erso���I: ,,, -

Ope�ti��� SecJi_on �h��f: '_Ma� Brown, Josh Bischof (T) Night Ops: Mark Hlg!lins

Branch Director: ; Shane Lauderdale

-, · - , . -

Division/Group Supervisor: !Shane Galvez 

5. Resources Assigned: - Resources Below In Bold are 12 Hour ..

Resource Identifier Leader Personnel 

STA XCZ 2331A John Walbridge 22 

STA OES 4816A Kevin Morris 17 

STA OES ST7 Mike Kalhoun 21 

STC 9140C Joe Petersen 21 

STC SRF 2600C Thomas Stokesberry 26 

STC 2. 3�q C. 

STC I IJ. ""I " 

r - - 1-f(ne,.,r/ 

STG9221G Pat Benninghoven 33 

STG Butte Crew 21 Ben Sitter 51 

SIG 

ST�--

STL9143L 

snscu 9160L Craig Collins 5 

DOZ-� 144'3 

DOZ� "2..1YI 

Request# 

E-76

E-51

E-534

E-17

E-328

C-7

E-255

3. 

Branch: Ill 

Div/Group: K 

Kilo 

Page 1 of 2 

Reporting Location. Special Equipmen� 

Remarks, Notes, and I nrormalion 

Time Loc:atlon 

0700-0700 Butte Co FS #26 

0700-0700 Butte Co FS #26 

0700-0700 ; Butte Co FS #26 

0700-0700 I Butte Co FS #26 

0700-0700 Butte Co FS #26 

0700-0700 Butte Co FS #26 

0700-0700 Butte Co FS #26 

0700-0700 Butte Co FS #26 

0700-0700 Butte Co FS #26 

0700-0700 Butte Co FS #26 

0700-0700 'Butte Co FS #26 

0700-0700 Butte Co FS #26 

0700-0700 i Butte Co FS #26 

0700-0700 i Butte Co FS #26 

0700-0700 Butte Co FS #426 

. ,, 

· WT' PVT E- 172 Buck Buck Leter 2 E-172 0700-0700 :Butte Co FS #41 

Wfr PVT E-173 Lawren Ent Al Benson 2 E-173 0700-0700 1 Butte Co FS #42 

Wl'r PVT E-178 A&M Water Tony Martellaro 1 E-178 0700-1900 l Butte Co FS #42

6. �ork Assign�nts: 

. ·-, .. ---- ----�--.. , �,,_ - - --·•--· ··----- ..,·-••·--·- -- - - .. ··------

Scout the Fire --for Branch -- and Division Breaks to validate Control Lines

··---·------- ---· - ---, - •-

Hold and Improve Control Lines to mtlgate threat of fire escaping 

Prepare Structure Oefe'nse Plan 

Perfonn Tactical Patrol around structures and prevent potenllal of new starts 

7. Special Instructions: ------Ch�� ________ .. , ______ = -�--3'2:. EN -·- E: __ =t -�1...l --'°' 1$- - ----"··--·- .. --· . --

. --- .. 

--···· - ·-- --- - ---·· -

--- ··--

-

- ----

--·····•-·--

____ , 

- ---·---

-- --

.. ---�--· -· -- _, ......... .. ... _. ------- -----

--- ·-·---�--- ·-

Ii. Communications (radio and/or phone contact numbers needed for this assl_gnment): 

Name Ch Function Rx Freq Rx Tone Tx Freq 

BUT S UP T2 1 COMMAND 154.4150 123.0 159.0000 

CDF T35 14 TACTICAL 159.3225 192.8 (T16) 159.3225 

CALCORO 15 MEDICAL 156;0750' 156.7 (T6) 156.0750 

A/G COF T18 5 A-GCMD 159;3450 192.8 (T16) 159.3450 

GUARD 16 EMERGENCY 168.6250 168.6250 

9. Prepared by: Name: Ron Karlen •Pos/Title: RESL Signature: I

.,, .. ... 

ICS204 Datemme: 11/9/2018 2300 hours 

17 

. - -------

Tx Tone 

192.8 (T16) 

156.7 (T6) 

192:8 (T16) 

110.9 

� . 

Notes 

TONE 2 SUNSET 

A-GCOMMANO 
1. Incident Name:

Camp Incident 

4. OJ>!!rations Personnel:

ASSIGNMENT LIST (ICS 204) 

2. Operational Period:

Date From: 11/10/18

Time From: 0700

Date To: 

Time To: 

11/11/18 

0700 

Operatic.ri� Secti<>11 Chief: Ma� Brown, Jo!.h Bischof (T)_ Night Ops: Mari< Hlg_gins

Branch Director: Shane Lauderdale

Division/Group Supervisor: . Shane Galvez

3. 

Branch: 

Div/Group: 

-

-

Ill 

K 

Kilo 

Page 2 of2 

5. Resources Assigned: - Resources Below in Bold are 12 Hour- Reporting Lqcation, Special Equipment, 

1-----'----"""""-----'------,-----------.-----,-------1Remarks, Notes, and lnformatlon 

Resource Identifier Leader Personnei Request# Time Location 

EMPF Matthew McCarthy 1 0-230 0700-0700 Butte Co FS #26 

EMTF Wes, Chamberlin 1 0-234 0700-0700 Butte Co FS #26 

. 

I 

- . . 

. 

6, Work Assignments: . -� _ __ -----·· ·-----·-· --·--·--------- ·-•· -... ----.. ··-·-.. --,•--------·- Scout the Fire for Branch and Division Breaks to validate Control Lines 1----·---··-·-- ·-----··------·-------·-- �-- . --- --- -·- ··- ____ ___ ,. ____ -

Hold and Improve Control Lines to mtigate �reat ?f �re escaping _____ -·--·· • ... I ••• --•·- ----• - •---

Perform Tactical Patrol around structures and prevent potential of new starts 

7.-Special -=------ Instructions: -----··---·-·· .. --.. ---------------·--· ---· -- -------· ________ ,. __ 

··--- -·----·---· ·-- --•·-------'-•·-�--··--------- -··-·- --··-- -----··· -.-..... -- ·- •···-----

-,.. ··- -··-··- •·• .___.._., __ ··-·-- .. - -• ·------·--·--------.... , ...... _ .. , __ .,_,, .. -� --

----------- ------ .......... ---···

····--·--- -- - ------

8, Communications 

Name 

BUT SUP T2 

CDFT35 

CALCORD 

AJG CDFT18 

GUARD 

; (radio and/or phone contact numbers needed for this assignment): 

Ch Function Rx F.req Rx Tone Tx Freq 

1 COMMANO 154�Mso 1'23.Q .:l59J>OOo. 

14 TACTICAL 159.3225 '192.8 (Tt6) 159,3225 

J 5 MEDICAL 156;075_Q 156;7 (T6) 1 sd!o:tso 

5 A-G CMD 159 .. 3450 1.91J3·(T16) 159.3450 

16 EMERGENCY 168:6250 168.6250 

Tx Tone 

192,8 (T16) 

156.7 (T!>) 

19.28_(T16) 

J10.9 

9. Prepared by: Name: ,Ron Karlen : Pos/Title: • RESL ,y T 

Notes 

TONE 2:SUNSET 

A-GCOMMANO 

ICS 204 I

---- -•-- -· •· 'Signature: fl1t-' 

Elatemme:, 11/9/2018 2300 hours ·------------

18 
ASSIGNMENT LIST (ICS 204) 

1. Incident Name:

Camp Incident 

4. C>peratiori� P�r��ri�I:. . . . 

2. Ope!ational Period:

Date From: 11/10/18

Time From: 0700

. - ··-· ·•···· ·····•-·· . . •········•·· ........ 

Date To: 11111/18 

Time To: 0700 

................. ............ .. 

<:>��.i�ic,r,� ��c:Jie>,:i �h.i1:tt '. ���_ 13rc_>�!'� !�lsll 13

ii.

c:h,c_>fJT) . __ l'.J_i�ll�C>ps:_ '!"�i:1<.t:fi!;l{l�':'s

Branch Director: Shane Lauderdale 

- - ·-- ... .. 

Division/Group Supervisor: •Gene Neely I A lcti1 V\/ h ; "> (_ T) I e✓r5. Resources-Assigned: I - Resources Below in Bold are 12 Hour -

Resource Identifier Leader Personnel Request# 

STA OES 2808A Robert Lacroix 22 E-64 

s-rA OES 2809A Erick Vandeveer 16 E-79

STB XTE 3250B Mike Bachmeyer 16 E-57

T/F Xst 4208 Jeff Serpa 20 E-128

STA 

.STA , 

STC HUU 9120C Bo Lee 16 E-1

0 STC FKU 9430C Roger Raines 16 E-140 

., ·srq CNT 2310C Shanna Kuempel -tr')..2.. E-107

. STC XSH 3150C D.ennis B�� 18 E-20

l ST:C,XTB 4236C Ed M�on·�ld 22' E-60

• STC "°'f2..N q1so C. J�E-1 P,ercP !�

STC 

'ENG:.GH� OFF �t� Steve Andrews 3 E-268

� STG TGU 9252G Luke Thomas 35 C-1

s;r9 

'STG 

STG 

6. Work Assignments: _____ l __ ---·•·• ·------...... - ......... 

Scout the Fire for Branch and Division Breaks to validate Control Lines 

3. 

Branch: Ill 

Div/Group: N 

-

November 

:Page 1 of 3 

Reporting I.Ocation, Special Equipment, 

Remarks, Notes, anc1 Information 

Time Location 

0700-0700 , Skyway x Ponderosa 

0700-0700 Skyway x Ponderosa 

0700-0700 , Skyway x Ponderosa 

0700-0700 1 SkyWay x Ponderosa 

0700-0700 Skyway x Ponderosa 

0700-0700 Skyway x Ponderosa 

0700-0700 : Skyway x Ponderosa 

0700-0700 ; Skyway x Ponderosa 

0700-0700 : Skyway x Ponderosa 

0700-0700 Skyway x Ponderosa 

0700-0700 Skyway x Ponderosa 

0700-0700 '. Skyway x Ponderosa 

0700-0700 ; Skyway X Ponderosa 

0700-0700 Skyway x �onderosa 

0700-0700 Skyway x Ponderosa 

0700-0700 l Skyway x Ponderosa 

0700-0700 I Skyway x Ponderosa 

0700-0700 I Skyway x Ponderosa 

-- - --- --

------·---·----· ··----- ------· - -··--- - - ·- - -· -- --

Hold and Improve Control Lines_to_mtlgate threat of fire escaping 

Prepare Structure Defense Plan 

-•--·--·----······· . ------····--· 

Perform Tactical Patrol around structures and prevent potentlal of new starts ' 

' 

◄-----·-··--- ----

? ·. �1_>ecial

_ 

l

_

�_!tructi�_: 

·- --- - ..... ._ ... , ______ -·--·--- -·- -- --

- -·---·--- .. ... •-•·--- ----- ·-· - ---- .. - - .. , __

--------- ---------- ------- ·--·-----._ ....... -·· · -- ·-·- -----

- ·-·•- ----- -·· ------�--- ------···------··· ---◄----.. --,,---

B. Communications (radio and/or phone contact numbers needed for this assignment): 

Name Ch Function Rx Freq RxTc:me Tl( Freq 

BUT SUP T2 1 COMMAND 154.4150 123.0 159:0000 

CDF T27 TACTICAL 192.8 (T16) 159.3075 

CALCORD 15 MEDICAL 156.0750 156;7 (T6) 156.0750 

A/G CDF T18 5 A-GCMD 159.3450 192,8 (T16) 159.3450 

GUARD 16 EMERGENCY 168.6250 168.6250 

9. Prepared by: Name: ·Ron Karlen •Pos/Title: :RESL

· Signature: I

ICS 204 Datemme: 11/9/2018 2300 hours 

19 

--· --◄·-----

TxTone 

192.8 (T16) 

156.7 (T6) 

192.8 (T16) 

110.9 

� 

. 

-

Notes 

TONE 2 SUNSET 

Ml COMMAND 
0 

() 

6 

0 

0 

0 

ASSIGNMENT LIST (ICS 204) 

1. Incident Name: 2. Operational Period: 

Camp Incident Date From: 11/10/18 Date To: 11/11/18

Time From: 0700 Time To: 0700

4. Operations Pi:rsonnel: -

Operations S�ction Chie.t Mari< B��'tYn, 

.. 

J�sh Bi�

_

ch�.

f (T) ' '• 

Ni!J�l �ps: Mark Hig�lns

Branch Director: , Shane Lauderdale ... .. --·- Division/Group Supervisor: ;Gene Neely 

6. Resources Assigned: .. Resources Below i_n Bold are 12 Hour ..

Resource Identifier Leader Personnel Request# 

STL92291.- 92.'Z.0 I

DOZSCU 1645 Kevery Waters 1 E-364

QOZ TGU 2�44 Cliff Wilbanks 1 E-7 

DOZSKU 2640 Ken Rush 1 E-231

DOZPVTE202 E-202 

DOZ PVT Dadco Douglas Munjar 2 E-204

DOZ PVT Klrack Michael Klrack 2 E-211

DOZ PVT HIii Steven Hill 2 E-227

DOZ PVT Iron Transport Jared Silva 2 E-387

,DOZ PVT GIi! Ca.ttle Levi Gill � E-388

DOZ PVT Fire Iron Grant Yate

s 3· E-390

i;>OZ PVT SHU 7047 John Manz 2 E"405

DOZ PVT Don Oa,vls Miqhael Miller 2 E-407

DOZ PVT John Hertzlg John Hertzig 2 '. E-41.2 

DOZ PVT Jol:)n ;Hertzig, Tim Hatler 2 E-413

DOZ PVT.AM Equlpmel)t·E�414 Tim Hauer 2 E-414

5oz PVT AAA Eqllipment E-415. Brenden Simunaci 2 E415

DOZ PVT LA RUF Trucking Dale Edwards 2 E-41.8

6. Work Assignments: I 

···- ·-- -··---- - .. 

Scout the Fire for Branch and Division Breaks to validate Control Lines 

•--••••-•�•-r- --- -- ··--·---· ..... -.. ___ .. ___ , ..

-

., 

3.

Branch:

Div/Group: 

- ---- ----

-

Ill

N 

� . - - - - -·. ·-

November - -· 

,Page 2 of3 

-

Reporting Location. Sp,ecial Equipmen� 

Remarks, Notes, and lnronnation 

Time Location 

0700-0700 '. Skyway x Ponderosa 

0700�1900 ! Skyway x Po

nderosa

0700-1900 :skyway x Ponderosa

0700-1900 !Skyway x Ponderosa

0700-0700 I Skyway x Pondetosa

0700-0700 Skyway x Ponderosa

0700-0700 , Skyway x Ponderosa

0700-0700 ; Skyway x Ponderosa

0700.:0700 l S�ay x Ponderosa

0700::0700 1 Sl<}?liay x Ponderosa

0700-0700 • Skyway x Ponderos,a

070'0-07b0 ! S'kyway x Ponclerosa

0700-0700 i Skyway x Ponderosa

0700.:0700 l Skyway x Pond,:irosa

0100--0700 s�_y x Ponderosa

0700-0700 . I Skyway ic Pondero�

. 0100:0100 _ . I Skyway x Po.iiderosa

0700-0700 I Skyway x Ponelerosa

-· �-···-··-·-·� -·

- ... --··-· -------

Hol�_

and improve Control Lines to mtigate threat of fire escaping 

- -·-··--·· ---· ·-.. -···--··-·

Prepare Structure Defense Plan 

····-····----· . -----· -.. ---·

Perform Tactical Patrol around structures and prevent potential of new starts

7: S_p_7

':!.'.'l_lnstruction

_

s:

- .. ···-••·•--···---

----· 

.. _,. 

8. Communications

Name 

BUTSUP T2

CDF T27 

CALCORD 

A/G CDF T18

GUARD 

9. Prepared by: Name:

ICS 204 i"

··--·

- - .. ------.. ----· ,., ...

··-------·-·-·--

-- -

-····'"" -

•••-••••n• 

...... __ , ...___ -· --·-··----.......

,._ ..______ - -J.- ----···· 

-·

_________ ,,.., ______ ,,..,.. 

.

. (radio and/or phone contact numbers needed ror thl� assign(Jlent):

Ch F,unption . Rx Freq Rx-Tone Tx lrr,eq Tx Tone

1 CG>MMAND 154;4150 123.0 ' 1·59.QOOO

TAC-TICAL 192;8 (T1'6) 159.3075 192.8 (T16)

15 MEOICAL 156;Q750 156,7 (T6) 156;0750 156.7 (T6) 

5 A-GC�D 159.;,450 1Q2,8 (ff6) 159.3450 192.8 (T16)

16 EMERGENCY 168.6250 16&.6250 110.9 

:Ron Karlen Pos/Title: RESL 

Date/Time: 11/9/2018 2 300 hours 

Signature: �

20 

-·--

•···

.. 

Notes

TONE 2-SlJNS.ET 

A-GCOMMAND 
1. Incident Name:

Camp Incident 

4. Operations Personnel: -

ASSIGNMENT LIST (ICS 204) 

2.: (?pllr,a_tia.nal P.«!ri

C>d:

Date From: 

Time From: 

__ , 

11/10/18 

,, 

0700 

-·--

Date To: 11/11/18 

Time To: 0700 

- -·-- -

Opera�ions _ !>.E:�ti<l_!l S:hief:_ �ark Bro�n. Josh Bischof (T) Night Ops: Mar� H��g!ns

Branch Director: :shane Lauderdale

- ... --

Division/Group Supervisor: iGene Neely 

5. Resources Assigned: - Resources Below In Bold are 12 Hour -

Resource Identifier Leader Personnel 

WIT PVT E-163 

WIT PVT Lonestar 

WIT PVT Susanville Towing John Hay 

WIT PVT E-192 

WIT PVT TGU Mid State Const Dee Holmes 2 

WIT PVT BTC 45 Stephan Simpson 1 

WIT PVT DADCO David Bryning_ 2 

wrr PVT WT3 El Medio Stephen Terry 1 

W/TPVT 6\ 

FALM 2 Fallers Tree Work 

FALM 2·Faller Tree Work 

HECB )o-.Ac,,I\ \-\ c;.. \� Jordan Hale 1 

HEQB 

\Alf Pv-r ?JI 

F !!MT t,�C." 

Fe.MY 1'.:Selflut. 

6. Work Assignments:

-·-

Scout the Fire for Branch and Division Breaks to validate Control Lines

R�uest# 

E-183

E-186

E-191

E-192

e�193 

E-13

E-188

0�02 

0�03 

0-273

- ---

3. 

Branch: Ill 

Div/Group: N 

-

November -·-

Page 3 of3 

Reporting Location, Special Equipmen� 

Remarks. Notes, and Information 

Time Location 

0700-0700 Skyway x Ponderosa 

0700-0700 ; Skyway x Ponderosa 

0700-0700 I Skyway x Ponderosa 

0700-0700 1 Skyway x Ponderosa 

0700-0700 'Skyway x Ponderosa

0700-0700 Skyway x Ponderosa 

0700-0700 Skyway x Ponderosa 

0700-1900 Skyway x Ponderosa 

0700-0700 Skyway x Ponderosa 

0700-1900 Skyway x Ponderosa 

0700-1900 · Skyway x Ponderosa

0700-0700 Skyway x Ponderosa 

0700-0700 I Sl(yway x Ponderosa 

0100 - IC{0OI 

J 

I

--·• ·-•·· ---- ---·

,....._,., ··- -·--·-·---�---- .

_

Hold and improve ��!ltrol Lines to mtigate threat of fire escaping __ ·-·

P repare Structure Defense Plan 

---.. --

-·· ----·-·-·- ··----····-··- -· 

Perform Tactical Patrol around structures and prevent potential of new starts 

7. Special Instructions: _ -·---- - ---·- -··----·- -

-- -- -· ·-·- --- -·--··-------- ------······--··-- ···--"·· 

�--•---

----

... - .,, ____ ,. __ ,,, __

---·-· -··----.. 

------·

··---···

B. Communications (radio and/or phone contact numbers needed for this assignment): 

Name Ch Function Rx Freq Rx Tone Tx Freq 

BUTSUPT2 1 COMMAND 154:4150 123.0 159.0000 

COFT27 TACTICAL 192.8 (T16) 159.3075 

CALCORD 15 MEDICAL 156.0750 156.7 (T6) 156.0750 

A/G CDFT18 5 A-GCMD 159.3450 192.8 ,(T16) 159.3450 

GU ARD 16 EMERGENCY 168.6250 168;6250 

9. Prepared by: N�f!le: Ron Karlen Pos/Title: RESL 

Signature: I -· --

ICS204 Dateffime: 11/9/2018 2300 hours 

21 

---·---· -- -- ---

- -

···--------·· 

-·

TxTone Notes 

TONe 2 SUNSET 

192.8 (T16) 

156.7 (T6) 

192.8 (T16) A-GCOMMANO 

110.9 

�I 
ASSIGNMENT LIST (ICS 204) 

1. Incident Name:

Camp Incident 

2. Operational Peri<>d:

Date From: 11/10/18

Time From: 0700

Date To: 

Time To: 

4. Operations Perso�nel: _ .. .. . _

11/11118 

0700 

Operations Secllon_

Chief: M.ark B�own, Jo�_

h Bise�

_

°.!�. _ N_

ig_� �s� Mark Higgins 

..

Branch Director : iTBA

Division/Group Supervisor: TBA

3. 

Branch: 

Div/Group: 

IV 

Q 

Quebec 

5. Resources Assigned: I - Resources Below in Bold are 12 Hour - Reporting Location, Special Equipment. t-------�---------.----------.-----,-------1 Remarks, Notes, and Information 

Resource Identifier leader Personnel Request# Time Location 

I 

8. Work Assignments: 

----··- ----·--·---· -·---··-····�-----·------ -·-··· ·-----..•·------------·-------

---.. ······-·•·--·---·--·---------------· ---- ----------- -- -�-----... ·--·----, ---•·--·· -- --·-..... ---·- ----·-----.. -•--,-•-···-- -·· 

-- -...,., -· -------------� ...... _ ·--.. ---·------- ------- -- -.,,. _______________ ---· -

7. Speclal Instructions: ---------- ··-----·- ···--··--- ·-----·- ····-- "--------------------4-... --�----- ------------·-··-·---------------1 

�----.. ·-··----------------------- _____________ ,. ____ - - ------------1 

·--------------···---•·---"'·---- .. _,. _______________ ,,_ ,., __ _ - -- ·----·-·----------1

8. Communications (radio and/or phone contact numbers needed for this assignment): 

Name Ch Function Rx Freq Rx Tone Tx Freq 

BUT SUP T2 1 COMM�ND t54A150 123.0 159-.0000 

Tx Tone 

#NIA #N/A #NIA #NIA #N/A #NIA #N/A 

CALCORD 15 ME01CAL 156:0750 156,7 (T6) 156,0750 156.7 (T6) 

A/G CDF T18 5 .··A-GeMD 159:3450 192.8 (T16) 159.3450 192.8 (T1'6) 

GUARD 16 EMERGENCY 1,68"6250 168.6250 110;9 

9. Prepared by: Name: rRon Karlen Pos/Title: ;RESL 1 41,./ . 

Notes 

:TONE:2 SUNSET 

#NIA 

A-GCOMMAND 

1----'----,-'=--------+- -�--····-• .. -·--------·----··· Signature

: � ICS 204 I Date/Time: 11/9/2018 i2300hours -------------

22 
' 

ASSIGNMENT LIST (ICS 204) 

1. Incident Name: 2.· C>.P.�!a�ion�I f)er_i�: 3. 

Camp Incident Date From: 11/10/18 Date To: 11/11/18 

. 

Time From: 0700 Time To: 0700 -Branch: IV 

4. Operations P4:_i:_sonn4:I: -· Div/Group: R .. ....... -- ---

Operations Section Chief:.: Mark Brown, Josh Bischof (T} Niq_

_

h! <?_�: ��-':'< Hi�g!_ns

.. - !-··· - ... - --

Branch Director: TBA : Romeo -• ... - - - -

Division/Group Supervisor:: TBA I 

5. Resources As$Ign�: ... Resources Below in Bold are 12 Hour ... Reporting Location, Special Equipment. 

Remarks, Notes, and Information 

Resource Identifier Leader Personnel Request# Time Location 

I 

' 

l 

l 

• 

- . � 

. ' 

., 

- '" ',. ' 

• I 1 � ! 

� ;/' 

6. Work �ssignments:

'-• ·- -··---· --···•-----· . -___ .._.. .......... -.... ----·,------� -------

- --

----- _, .. .,__.., 

- -

----

--

!..: Special Instructions: 

---···-

-·· 

B. Communication�

Name

BUT.SUP T2

#NIA 

CALCORD 

NG.COFT18 

GUARD 

9. Prepared '!Y= Name:

ICS204 I

--- __ .,,. __ ., ________ , . ----••-M•--••---••••-• ··• -�- -···---· --

---- ___ ..... - ... ,,._ _, ... ---- ··---·-·· - . -----··· ... -......... _ -------•-···-- ... ... ----·· 

··•-•· - -----·-·-- -

.. 

-·

------· 

--•-··- ___ ..... _ .. __ 

-·- ..... ,-, .. , .......... ··-

- . 

-- ------- ·-·-••·------

.. -----··-··-·· 

-----------· 

·------- ----··--------·-

·----··-�- - ... 

(radio and/or phone contact numbers heeded ror this assignment): 

'Ch Funotlon RxJreq 

1 'COMMAND -154.4150

#N/A #NIA #NIA 

15 MEDICAL 15Et0750 

5 A-GCMD 159;3450 

16 EMERGENCY 168.6250 

;Pos/TiUe: jRon Karlen 

·-·-Datemme: .: 11 /9/'2018 

23 

'Rx Tone Tx Fteq T><Tone Notes 

123.0 159.0000 TONE 2 SUNSET 

#NIA #NIA #NIA #NIA 

156.7 (T6) 15�1;0750 156.7 (T6) 

192.8 (T16) 159.3450 192.8 (T16) Ml COMMAND 

168.6i50 110.9 

---

2300hours 

RESL 

-- ,Signature: 11<-

� 

-�

-
ASSIGNMENT LIST (ICS 204) 

1. Incident Name: 2. Operational Period:

. , .. 

Camp Incident Date From: 11/10/18 Date To: 11/11/18 

.. -

Time From: 0700 Time To: 0700 

4. O__Per�!io��-Pe�sonn1:1: 

.. ... - - --· -··· -

. (?peraU

o��-���ti�

n-��ie_f: L�-�-rk. 8-r.�wn, Josh BiS(:hof (T) Night Op!:_ "!_ark ':iiggins

Branch Director: iTBA - ·- -· -

Division/Group Supervisor: ; TBA 

5. Resources Assigned:

-

- Resources Below in Bold.are 12 Hour3. 

Branch: V 

-· ... - - . .

Div/Group: s 

: - -

' Sierra

.. -· 

Repol1ing Location, Special Equlpmenl 

Remarks. Notes, and lnfonnation 

Resource Identifier Leader Personnel Request# Time l.Qcalic;>n 

I 

I 

' 

! 

' 

) 

' 

i 

\ 

1 r 

6. Work Assignments: 

___ J_�---- -- --- . -- -- ,---··-··- -·----· 

. 

- ---�-�--·· ---·--

... -·----· 

-· -----

---- --·---

7. Special Instructions:

·---�

__ .... __ ------·--·· 

8. Communications

Name

BlJ:11S.UP T2 

#NIA 

9A.LCORD 

A/G, ODF T1-8 

GUARD 

�. Prepared by:, Name: 

·-·-···�----�------'••···-------··- .............____ ,.,_,, ______ , ___ - ---·-·-·· .. ··--··· __. ______ , ______ --·-··--.,..-

----�•--

-

., _ ____ ,. 

.... __ __.,. __ , 

---- - - . .. -

. ----

·-

... ----·----------.. ---·

_,, _______ 

---��- ____ .,. __ .___ ----·-··-···- -··--·�--�----·----··------

·--- ------ -♦ 

--··· --________.. ___ ··--·

-·· ··--·- ___ .., ___ -·- ... -·---• .. -•· -·-

l (radio and/or phone,.conta.ct numbers ne��-/Qr ttiis assignment);

·en ,F1,1n¢t1on Rx.Freq Rx:Tone T>< Freq lScTone Note:S 

. 

1 COMMAND , 1$.4.4150 1,23.0 .1,59;0000 T9NE.ll l!Ul'lli"1 

#NIA #NlA .• #N/A #NIA #N/A #N/A #NIA 

,15: M61DJCAL 1®.0750 156,7·(T6) 

,.

156.9750 156.7 (T6) 

159.;3:4$0 19ZQ (T16) 

-

5 A�•OMD 159,3450 192.8 't'r16) �<X>MMANO 

16 EMERGENCY 168.6250 168.6250 110.9 

iRon Karlen lPos/Tltte: iRESL 

- Signature: � I ,--------,� ... ., _____ ,..,. ..•.... --- .. ,. 

ICS204 Datemme: l 11/9/2018 23QO hours . 

24 
ASSIGNMENT LIST (ICS 204) 

1. Incident Name: 2. Op�rational Period:

Camp Incident Date From: 11/10/18 Date To: 11/11/18 -· 

Time From: 0700 Time To: . 0700 

4. O�eratio�s P1:

,

rso�ne�

.

:

·- --··-- ---·-

Operatio�s _ �ec��ri Chi:f: i M�rk Bro�n, Josh Bischof fl) �!�h.!.<>.e�: -�il��--�i��ini. 

Branch Director: 'TBA 

.. -··-- ·•· --·--- -

Division/Group Supervisor:\ TBA 

5. Resources Assigned: I

Resource Identifier 

. -

,,.,.,, . 

:., ..... -.. " 

- Resources Below in Bold are 12 Hour -

Leader Personnel Roquest# 

3. 

Branch: V 

Div/Group: T 

- - _ ,

.. 

Tan�o 

\ 

Reporting location, Special Equipment, 

Remarks, Notes, and lnfonnation 

Time Location 

l 

I 

l 

e 

\ 

. 

; 

� 

( 

8, Work Assignments: 

_

_ ----···--····--·-• ... -------.. ---·· .. u,, _., .. .... , ·--------- ·--------··

- --� ...... _____ ,. ____ ----··----··----·-- -·- --·--·-····-•-· ... __ ,..,_, ------·· ---·-· ------�·--···----

.. - �-•· ---..... ··-----�-----·--· ---·- .. - -___ .... ___ ,, __ .,,, ___ , .. ,., ... ____ -··· -- . -------- --

- --··--- _,, ... -- - - -·

7. Special Instructions:

- - --· - .... -.. - - ----- '·-------... - - --···-···-

-- ,. ______ .... -·-·· ---

----� ... - ·- ·-· ------ . ..... ------------

.... , .. ·--�-··- -- --·�------·--·- ---.. , ___ ---------··--- .... ... "-·--· 

� -•• • '" ~• a - ••••• -•-_, __ ,.,_ --·--•------·-- � ....... -----------··--------

8. Communications '( radio and/or phone contact numbers heeded ror this assignment): 

Name Ch Function Rx Freq Rx Toni' TxFreq Tx Tone Notes 

BUT SUPT2 1 COMMAND 154.4150 123'.0 159;0000 TONE 2 SUNSET 

#N/A #N/A #NIA #NIA #NIA #N/A #NIA #NIA 

CALCORD 15 MEDICAL 156.0750 156.7 (T6) 156.0750 156.7 (T6) 

NG CDFT18 5 A-GCMD 159.3450 192.8 (T16) 159.3450 192.8 (T16) A-GCOMMAND 

GUARD 16 EMERGENCY 168.6250 168�6250 110,9 

9. Prepared by: Name: --i Ron Karlen 'Pos/litle: ,RESL � I ... , ______ -· ---· ... · Signature: ICS204 Datemme: : 1 1/9/2018 2300 hours 

25 
1. Incident Name:

Camp lncid_ent 

4. Operation� Person�

_

el: - - -

ASSIGNMENT LIST (ICS 204) 

2. Operational Period:

Dale From: 11/10/18 Date To: 11 /11 /18 

...

Time From: 0700 Time To: 0700 

Operations Section Chief: , Mark Brown, Josh Bischof (T) 

••· .. - - - l, ·•• ••- --· -� ••. . --. • .. - . .. 

Night Op:': Mark Higgins 

-

Branch Director: :TBA ---- - -

Division/Group Supervisor: -;Diana Totten 

5. Resources Assigned: - Resources Below in Bold are 12 Hour -

Resource Identifier 

6. Work Assignments: i ... ,·-···-·· 

Lead.er Personnel 

- -

Scout the Fire for Branch and Division Breaks to validate Control Lines 

Request# 

- ------ -- -·

3. 

Branch: VI 

-· 

Div/Group: u 

I 

, __ -·- ., 

-- Uniform - -

Reporting Location, Special Equipment, 

Remarks. Notes. and Information 

Time l,.oq1tion 

t 

l 

I ' 

l 

\ 

; 

. 

i 

! 

i i 

; 

i 

.... - ·----····----

··-- -,-, .. - _, .... . _ .. , ,_.,., .,, �------· 

--�-..----... _,.,_ - .,, ' -----· -·· - - --- ·---- .. •·· ... '•·• .. -- ---- _,, __ .,,,_ .. ______

i.---�-- - ----·••··-····· 

7. Special Instructions:

··- -- __ ,, - ---------· - -- - -- ------.. ,· 

-· - ------ --- - ·- ... . -......... 

____________ ,, --------..--.-... , ... -··------•'-------

>--· 

8. Communications

Name

BUTSUPT2 

#N/A 

CALCORD 

NG,£1i>FT18 

GUARD 

9. Prepared l)y: Name: 

____

ICS204 I 

- • ,--.••-n-•••• �-,-..--.•--•- - ... ___ ., __ 

··--·--------·------------· .. ·-�-.... ---·---

l (radio and/or phor:ie contact numbers needed for this assignment):

Ch Function Rx Freq 

1 COMMAND tS:4.4150 

#NIA #NIA #NIA 

15 MEDICAL 156.:0750 

5 A-O:CMD 159'.3450 

16 EMERGENCY 168.6250 

1Ron Karlen 1Pos/Tltle:

·-· 

Datemme: ! 11/912018 

26 

Rx.Tone Tx Freq

123:0 15.9.0000 

#NIA #NIA 

156S7 (T6) 156.0750 

1:92.8 (T16) 159:3450 

168,6250 

,RESL 

. -·· Signature: -•2300 hours 

Tx Tone 

#NIA 

156.7 (T6) 

192:a (T16) 

110.9 

� 

·-----.. ···---

. 

·Notes

T�E:l;�l',ISET 

#NIA 

A-G CC:>MMAND 
' 

1. Incident Name:

.. 

Camp Incident 

4. <>per.c1�ion� f>�r!.<>11_'1�1� - --

ASSIGNMENT LIST {ICS 204) 

2. Operationa_l Peri_od:

Date From: 

Time From: 

-

11/10/18 

0700 

- ... 

Date To: 

Time To: 

. ' 

11/11/18 

0700 

.

Operalio_ns Section

. 

Chief: / Mc1_� 

_

Br?�n�_ 

Josh 13ischo!JIJ �i,!l��-'?p!.: _IVlc111< Hi

�Qi':'S

- Branch Director: TBA 

.. ··-- - '" - ... ·-

Division/Group Supervisor: 1 James Allen

6. Resource$·Assigned: - Resources Below In Bold are 12 Hour ..

Resource Identifier Leader Personnel 

DOZ Plumas Dozer 3 Carl 3 

DOZ PVT Medeiros Pat Medeiros 2 

DOZ PVT Bio lntlustries Larry Madison 3 

DOZ PVT Bio lndustrie� Pate Wilson 3 

DOZ PVT Precision Jake Kaws 2 

DOZ� tJFU. -z..3•-n_

DOZP-VT 51-\·v\ '2..1.\'-t 0

DOZ PVT 

DOZ PVT 

Request# 

E-197

E-205

E-206

E-218

,1 DOZ PVT 

... HEQB Timothy Holliday 1 

�i\,l,J,,\ A AR.Of"! 

1:::�t.-M Li O /lC1 0� 

..

�

> . 

' .... �.�

6. Work Assignments: l . 

-· .. -----·· ·-·

Scout the Fire for Branch and Division Breaks to validate Control Lines 

--··-----

- - ··----, .... _, ____ 

_,_,.,_,_,. ---.. ·-. 

7. Special Instructions:

-

--·--·-·· 

-·- ·- -��- - -··-····--- -· ..... -•· -

~····-·---··�-----· ··---· ..

0-276 

---·· 

- ..

3. 

Branch: 

.. - . 

Div/Group: ' 

VI 

y 

... 

Yankee 

Reporting l.ocatiOI\ Special Equipment 

Remarks, Notes,. and Information 

nme_ Location 

07�700 I Hwy 70/Pulga 

070�0700 l Hwy 70/Pulga

0700-0700 I Hwy 70/Pulga 

0700-0700 f Hwy 70/Pulga 

6700-0700 , Hwy 70/Pulga 

0700-<mXt\'ii»Hwy 70/Pulga 

0700-9780\ 'foi:Hwy 70/Pulga 

0700-0700 I Hwy 70/Pulga 

0700-0700 j Hwy 70/Pulga 

0700-0700 ! Hwy 70/Pulga

0700-0700 [ Hwy 70/Pulga 

I I 

j 

.. --- -··-·----- - -

.. 

--

-·--- --� ------- ---

- ---·--··-·· 

.-.. ·-·--··· --·-··- -----·--

----· .. -··------ ·-- -- __,, _________ ""··---·--·

-- ·- __ ,._., ... 

--.. 

,_., --.-... 

8, Communications 

Name 

BUTSUP T2 

f#N/A 

CALCORD 

A/G CDF T18 

GUARD 

9. Prepared by: Name:

ICS204 r

-

-

·"-·---- ... --·

.. 

••·-···- - -·--- -·----··-••·•" ----

- -

i(radlo and/or phone contact numbers needed for this assignment): 

·Ch Function Rx Freq Rx Tone Tx Freq 

1 COMMAND 154.4150 123.0 159.0000 

#NIA #N/A #N/A #NIA #N/A 

15 MEDICAL 156.,0750 156.7 (T6) 156.0750 

5 A-G CMD 159.3450 192.8 (T16) 159.3450 

16 EMERGENCY 168;6250 168.6250 

.

. 

Ron

_ Karlen ·

Pos/Tille: RESL -· ·--·---... ---r-- ·- .. Signature:

Datemme: '11/9/2018 2300 hours 

27 

-

.. - -------

TxTone Notes 

TONE 2 SUNSET 

#N/A #WA 

156.7 (T6) 

192.8 (T16) M300MMANO 

110.9 

�

--
1. Incident Name:

C�mp _Incident 

ASSIGNMENT LIST (ICS 204) 

2. Operation�! Peri_l?d:

Date From: 11/10/18

Time From: 0700 

Date To: 11/11/18 

Time To: 0700 

3. 

Branch: RESCUE 

I--------------_._ ___________________ +,. --- .,, •. • ..... 

4. Operations_ Personnel: __ . . _ _ _ _ . . Div/Group: GROUP 1 

C>��tlon5. Section C�l:_f: 1 Ma,:_k B�own, Jo_sh Bisc:hof �T) 

_

_ �i_ght _c:>ps: Mark _ Higgins 

Branch Director: lTBA 

Oivlsion/G��u-p Supervi�r:, , ·s .\-\ I:\ (\J f

1--

5. 

------=---..L-----r--

Resources Assigned: - Resources -- Below In Bold are .12 Hour - Reporting Location, Special Equipment, ------,r------,--------1Rema(ks, Noles, and Information 

Resource Identifier Leader Personnel Request ti- nme Location 

ENG PVT Mt Adams E300 E-296 0700-1900 ; Butte College 

ENG PVT Mt Adams E301 E-295 0700-1900 j pμtte Qollege 

AMB 0700-1900 l Butte.CoJlege

AMB 0700-1900 13.\rtJe College 

AMB 

AMB 0700-1900 I Bu«e College

AMB 0700-1900 I Butte College 

61tJ0-O7D . 

! 

6. Work Assignments:

- ----·-··..._ ··--· ·- ,, ·- ., ···-··--· --·-·--- ---- ----------1

-··

·----··-.. ,------•-•-• •-----------____ , ____ ,,_ ---·••-• -- ------·----·---I

------ -- --· --.. -----------------1 

-- --- --·•-1•--·-----------•--,--·--•·•--.---·------···--· -- ------------------, 

7. Special Instructions: i?,��r�\ __ W __ �.B• u:S \ 1 Cf�k; �Rf._ -S TWf• ,;..+.¢,_ ...... _____________ 1

"'·---�------··--··---............ �--------·

···· ·-··--···•------- -·· ... -·· -- ·--- •·••--·--------- ___ __, 

--------·-·-·--·- - ___________ ,.., _______ ., _______________________, --·---·----�---- --------�----·--·-·•·..,•··-~-�----···--·-··--..... ----------------1 

8. Communications

Name

BUTSUPT2

#NIA 

CALCORD 

A/G C0F'T18 

GUARD 

9. Prepared by: Name:

ICS 204 I 

I (radio and/or phone contact numbers needed for this assignment): 

Ch Function Rx freq: Rx Tone fic"Freq 

1 COMMAND 1?4.4150 123;0- 15�toqOO 

#NIA #NIA _#NIA #NIA ·. . #MA

15 MEDICAL 156:0750 156. 7· (T.6) 1'66.0750

5 

16 

A.:.e CMD 1�.3450 192�8 (f16) 

EMERGENCY 1 re:6250 16&.6250 

TxTone Notes 

#NIA #NIA 

15(;.7 (T6)

192.8-(T16) A--0 COMMAND1 -10.9 

1 Ron Karlen I Posmue: RESL 1 4 .// _

, - .... _ ·- ·-· ... D�terri'me: 

·

11/9/2018 ··-230--

0

-h-ou-rs-;slgnature: ___ _,yr,,,� ..... -------

28 
1. Incident Name:

4. 

. (?amp Incident 

Operations Per��4:I: -

ASSIGNMENT LIST (ICS 204) 

2. �P.l!_r�tio_nal f>f!,:i�:

.. ... 

Date From: 11/10/18 Date To: 11/11/18 

Time From: 0700 -"Time To: 0700 

..... -···-- , .. _, ·-

Operations �ection

_ 

Chier: 1 Ma�

k Bro�n, Josh Bischof I!) Night ��s: Mark H!g_�lns 

-

- ---

Branch Director: 

·•-- - . -- ---· 

Division/Group Supervisor: Spencer McGlinger 

5. Resources Assigned: - Resources ·Below in Bold are 12 Hour ..

Resource Identifier Leader Personnel Request# 

;5f'\ c'HU:-1 5/t e

<i;;-A Cl)fl... (-, 5/r °I 

. ' 

. 

. 

' 

6. Work Assignments: _,. ___ . ___,,._, __ -- - - - --· . -· 

3. 

Branch: 

.. -

Staging COLLEGE 

- L

- -

Reporting Location. Special Equipment 

Remarks, Notes, and Information 

nme Location 

0700-0700 BUTTE COLLEGE 

0700-0700 BUTTE COLLEGE 

0700-0700 l BUTTE COLLEGE

0700-0700 I BUTTE COLLEGE 

0700-0700 I BUTTE COLLEGE 

0700-0700 f BUTTE COLLEGE 

0700-0700 lBUTTE COLLEGE 

0700-0700 BUTTE COLLEGE 

0700-0700 BUTTE COLLEGE 

0700-0700 BUTTE COLLEGE 

0700-0700 ! BUTTE COLLEGE

0700-0700 I BUTTE COLLEGE 

0700-0700 BUTTE COLLEGE 

0700-0700 BUTTE COLLEGE 

0700-0700 BUTTE COLLEGE 

0700-0700 BUTTE COLLEGE 

0700-0700 BUTTE COLLEGE 

0700-0700 BUTTE COLLEGE 

-··· ·- - -- . ••• 0 .. --------- -- - -· ... - ···----·· --·--

---

!· Special Instructions: 

---

8. CommunicaUons

Name 

8UTSUPT2 

#NIA 

CALCORD 

AJG·coFna 

GUARD 

9. Prepared �y: �a

.

m�:

ICS 204 I 

-......... ,,, __ 

... 

·-- -····--·--~-···-----··-- -----. -�--- ----.. --

--·-----•··-----·-·---·· .. -· 

---·----·- __ ,,._, _____ ---

------ --·•--·---- -·-- "' .. ·····------

__ ,.,_ - - --· -•---------4-�--... 

( radio am;f/or phone contact numbers needed forlhis assignment): 

Ch Ft.fnptlon Rx Freq Rx Tone Tx f=req Tx Tone 

1 COMMAND 154.41.50 123.0 1.S9.QO00

#NIA #NIA #NIA #NIA #NIA #NIA 

15 MEDICAL 1'56:0750 t56;7 Cf6) 156.0750 156.7 (T6) 

5 A�G CMD 159.3450 192.8 {T16) 159.3450 192.S {T16)

16 EMERGENCY 168.6250 168.6250 110.9 

iRon Karlen Pos/Tltle: RESL 

Signature: � · - .. .. 

Datemme: 1119/2018 2300 hours 

29 

.. 

Notes 

TONE 2 SUNSET 

#NIA 

A.GCOMMAND 
1. Incident Name:

C�mp Incident 

4. . (?perati<>n5-

_

��r���n�t 

.. _.

ASSIGNMENT LIST (ICS 204) 

2. Operati<>nal Period:

Date From: 

Time From: 

11/10/18 

0700 

-· ···-· ·••-

Date To: 11/11/18 

Time To: 0700 

·-• 

�pe�li��s 

_

Sf:<:_Uo� c:;_�11:rj Ma

_

rk Bro�n'. J_!)sh

_ 

Bischof (T) Night Ops...'. Mark Higgin�

Branch Director:· 

··-•·'<' --- Division/Group Supervl�r: 

5. Resources Assigned:

Resource Identifier 

- ... _. -

- Resources Below in Bold are 12 Hour -

Leader Personnel 

- .

Request# 

3. 

Branch: 

. -- ·-" ···-·· 

Staging 

.. 

STIRLING 

Reporting Location. Special Equipment. 

Remarks, Notes, and Information 

Time Location 

i 

t 

J 

i 

, 

, 

i 

! 

l 

·.

I 

j 

� 

! 

!· W«:!!_�. 

Assignments:

.. --- -· ·-- - -·· __ ,,._ -··--·� ---···-· - .. - - ..... -·--

- --•·---� ....... -·

-- ............ -- ,_ .. __ ..___ -- .. , __ .,, ····-- ···---··.__.-,_- ···---•-- ··-··-· .. -· 

- -··--- p--·------ -- ........... --·---- --- .� ... ---...... ····- -----· 

. 

--···-·-· ...... ----· .. ---·---···--- -··· -· .... '" ... _,.,_,,_ ,_ .. --- -- ·-· -·--· .. --------�·-·•·--···-·-·-

7. Spe�lal Instructions: - ··---· •·- ·-· ---- -· ---� .. 

·---·---------··-··-· - _____ ,.,._ -----·-------... 

__ , ... ·--- ··--··--· .. ····--·-·----· - ----••-•�l, 

-·----··-·•-·•"·-·•• --- -- --· -·· ··- . - �--···--·· 

8. Communications I (radio and/or phone contact numbers needed for this assignment): 

Name Ch Function Rx Fr.eq Rx Tone Tx Freq TxTone 

BUTSUPT2 1 COM.MAND 154.4150 123.0. 159�0000 

#NIA '#NJ.A #NIA #f<JiA #NIA .#.NIA #NIA. 

CALCORD 15 MEDlCAL 1.56:0750 1.56.7(T6) 15e·:ov.so 1se.1 ere> 

A/.GCOFT1.8 5 .A�G:CMD 159.3450 192:8 (T16) f59.3450 192:8 (J16) 

GUARD 16 EMERGENCY 168':6250 168.6250 1)10.9. 

9. P;rej>ar'ed by: Name: ,Ron Karlen Pos/Title: l�ESL 1 • � I

• "-oate/Time: 111/9/2018 

. --·----· Signature .

ICS 204 2300 hours 

30 

. 

Noles 

TONE 2 stlNSET 

#NIA 

A-GCOMMANO 

.. 
ASSIGNMENT LIST (ICS 204) 

1. Incident Name:

Camp Incident 

2. OJ>erational Period:

Date From: 11/10/18 

Time From: 0700 

4. Opera lions Personnel: __ ... _ _ . __

Date To: 

Time To: 

11/11/18 

0700 

Operations Sec::tion Chief: ;Mark Bro�n, Josh Bischof (1) 

_ 

Night Ops: Mark Higgins

Branch Director:

Division/Group Supervisor:

3. 

Branch: 

Staging PARADISE 

5. Resources �ssigned: I - Resources Below In Bold are 12 Hour - Reporting Location, Special Equlpmenl 1-----------=---'----�---------.-------.------iRemarks, Notes, and lnronnaUon 

Resource Identifier Leader Personnel Requost # Time t.oi:atiort 

! 

! 

' 

i' 

; . 

! 

� 

: 

· . . -

6. Work Assignments: ! 

. --·•··•----=--------., ___ - ···- ··-· -------··-·" --···-- - -------·-•·-•-----1 

__ .,_ ---- - ... --· _,. ___ -·•·------- ... ------- -· ------.. •---·------

,----······-----····---··--·---·---·--- ··---· _., ______ - ---- ---- ·---· ------··-· -·----------• 

- - - - . . . .... --·--·-··--- ------

7. Special lns1:ructions: 

. -------- - --····- --------· -----·--------------! 

---·-------·-------------·--------"-•--·---------------------------1 

---------------- ------------·-----------------------, 

- �·· ----, .. ➔- ----- __ 4_.,, ___ , __ -----··· --· ---- -- ---· - - ---·-·-------··---

B. Communications

Name

BUT.SUPT2

#N/A

CALCORD

A/G CDFT18

GUARD

9. Prepared by: Name: 

...

ICS204 I 

(radio and/o� phone contad numbers.needed fqr Jhis-asslgnmen_t): 

Ch Function Rx fl'eq 

1 COMMAND 154.4150 

#N/A #NIA #NIA. 

15 MEDICAL 1'56.0750 

5 A-GCMD 159.3450 

16 EMERGENCY 168.6250 

�--···-·- lRon Karlen i PosfTitle:

! Oaternme: : 1119/2018 

31 

Rx-Tone Tx Freq 

tao 1sa:oooo 

.#NIA #NIA 

156:7 (T6) .156.0750 

192.8 (T16) 159.3450 

168;62_50 

iRESL 

_ ---· -.Signature: 

'.2300 hours 

,Tx Tone Notes 

-·

TONE 2 SUNSET 

#NIA #NIA 

156.7 (T6) 

192.8 (T16) 

110.9 

� 
ASSIGN.MENT LIST (ICS 204) 

1. Incident Name:

Camp Incident 

2. Ope_rational Period:

Date From: 11/10/18 

Time From: 0700 

4. _O_:eer��i?ns P�rsonne!:.. _ 

... . .. 

Date To: 

Time To: 

11/11/18 

0700 

Operations Section Chief: ! Mari< Brown, Josh Bischof (T) Night Ops: Mari< Higgins

' Bra�ch ��ectoi:{ieA' 'f"W'-J. -\3��t,J£LL:: ·:#N/A . ---

Dlyision/Gro�p ��peryisor:: TBA 

3. 

J312At.JC 1:t 'f.. _ 

Branch: : ..N0R'fH CONT-:-

Div/Group: 

1,--5. -ResQurces -----Assigned: '---=------"'--------------- - Resources Below in Bold ·are 12 Hour - Reportlng Location, �I Equipment. 

1 -----�--------lRemarks. Noles,-andlmonnation 

Rel?()l!rce Identifier Leader Pers,onnel Request# Time Location 

{")\<.- ST 7 0111<.,E:. £'· <;'3'-f 

()f<. - S, If AIViN -f · 53f$ 

OR..- Sr 2...0 LAtJt-£ t;. · S 7 7

\ ()-?'17

8. Work Assignments: .J 

' 

f 

C'""-•-----=----·--·-- .. -----------------·-·· 

----·

-

-·-·· ___ ___..,. _______ . - - .. -----·--·

·· ··-·

--

-

- - ··----·· -·-··---- --- ··-----·-----◄--- - --- --· •• 

,-.. , ,, ...... 

- ,--

_ ---·--- - "' _.,4 .. ·-,., ------------·- ___________ _ 

-----.. �--.. , -- ---- ---- ----- ,._,,_, -·----·-

, 7. Special Instructions: __ �, l__ _ _::tg __ _B_v_-?�l:..":_ee1L F',�_ �.:+ct 4-\_Ql:l__ --�------------■ 

--··,- ·�--···-·---- ----·-··- , ...... �------- - -·-- --- - -----------------

i-----------·-.. ------�-- ··-------·····-··----·---.. ---·- . -··· .. '"-···-·------------

-

-

1-----------·-··-----"-·------·"---· ---·---· -·--·----..-----------�- �ml!niqatlqns J (r,adio and/?r. phone co1,1t�cf nu111berl! t"!eeded for thTs assignment)_; 

f',Jame 

13.l!ff Sl!JP T;l

CA�CQBD 

A/G. el)F:!18 

G.!JA,RD 

· Ch Function 

15 _ MEDLCAL 

16 E�ERGENCY 

�., Prepared by: Name: : Ron Karlen 

Rx Freq

#N/A 

168_.{>7.5!) 

i P os/Title: 

I.CS 204 I ' -- . . ..... ... -- Oatemme: "11 /9/20ia

C...bF TAC3S 

32 

Rx Tone Tx Freq TxTone 

123.0 159.0000 

#NIA #NIA #NIA 

156i7' (T6) 156.0750 156.7 (T6) 

-.8(Ti6)_ 159.3450 192:8 (T16) 

� - j68.6250 110.9 

'R-ESL 

'Slgna� 2300 hours �-

Notes 

TQNE'2'SONSET 

#NIA 

M3COMMANO' ' 
,, 

•. , 

.. 

1. Incident Name:

Camp Incident 

4. Oper�!i��s P�rso!:l_!'lel:

ASSIGNMENT LIST (ICS 204) 

2. Operational Period:

Date From: 

... 

Time From: 

.. .. -

11/10/18 

0700 

-- .. 

Date To: 11/11/18 

Time To: 0700 

.. 

O�,:ci�i<>.l_l� �-1:c;t_i<>.� (?_h.(�_r: !��rk - B�o�n. Jo�h Bischof_(!) Nigh!_ Ops: Mark Higgins .. 

Branch Director: 1Alan Whisler --·�-· - -· 

Division/Group Supervisor: ;Alan Whisler 

#NIA .. 

5, Resources Assigned: I - Resources Below in Bold are 12 Hour -

Resource Identifier Leader Personnel 

eRW'f-NF-G-11 DfVlol; Daniel Guerrero 19 

CRWSHF 15B 

..... 

I· 

6. Work Assignments: 

_____

--- -- ...

L .. -•-- - •-•-• 

... -....... - .. .

" .... , ,_,..,, ... __ ···-_____ ... ___ ---

Ban Pavan 

... - -----·-

.. , .. ···- -

20 

--�-.. - ... -

- ··•- .. 

----- ----·--·· - -.. 

Request# 

C-11

C-14

-·--.. 

-- -··-

3. 

Branch: EAST CONT. 

..• 

Div/Group: 

'" .. 

I 

Reporting Location, Special Equlpmenl 

Remart<s. Noles, and lnroonaUon 

Time Location 

0700-1900 I 

0700-1900 

l 

' 

, 

( 

! 

I 

l 

I 

l 

: 

j 

1 1 

·---..., 

_ .. _..,_, __ .. ····-··-�--- -

__ ,. __ ,_,,.-____ 

_,, ,. ______ -· ..... -----·-·---··· -··•-·· ----·· �-�···· --·- .. .. - - . .. _ .... _, ._.,,, .. _. _______ -- ---·

7. Special Instructions: --------� - ---• ---- ---------·····-- --· 

�--···- -·-·- --··-·-·---- __,,, -·------···•--·-...___._. __ ...... -� ·---

--• ··---- --··--�--� ··---- - -·- -- ........ -- ·•--·-- --- �-•······- .. --, .. ___ -- ..- -

8. Communications (radio and/or phone contact numbers needed for thls assignment): 

Name Ch Function Rx Freq Rx Tone :Tx Freq 

BUT SUP T2 1 COMMAND 154.4150 123.0 159.0000 

#NIA #NIA #NIA #NIA #NIA #NIA 

CALCORD 15 MEDICAL 156.0750 156.7 (T6) 156.0750 

AJGCOFT18 5 A-GCMD 159.3450 192,8 (T16) 159.3450 

GUARD 16 EMERGENCY 168.6250 168.6250 

9. Prepared !>Y= Name: 'Ron Karlen Pos/Tltle: ·R ESL - ·, Signature: --•-•-•••-w•--•-~••••- •• .. .. 

ICS204 I Datemme: • 1119/2018 2300 hours 

33 

---

---

--

.. . .............. , 

TxTone ' Notes 

TONE 2 SUNSET 

#NIA IIN/A 

156.7 (T6) 

192.8 (T16) MlCOMMAND 

110.9 

11'_ 

"\ 
I Time Prepared Date Prepared AIR OPERATIONS SUMMARY ICS-220 1900 Friday, November 9, 2018 

Incident Name and Incident Number Sunrise Startup Cutoff Sunset Shutdown Operational Period - Date 

Camp Incident CA - BTU - 016737 644 714 1630 1700 1730 Saturday, November 10, 2018 

General Remarks, Safety Notes, Hazards, Air Operations Speclal Equipment, etc. Helibase Information TFR Information 

TRACK ALL OIPSITE LOCATIONS / NUMBER OF DIPS / GALLONS TAKEN. Name Oroville Request# A- 71

TRACK ALL DROP LOCATIONS / NUMBER OF DROPS / GALLONS DROPPED Latitude 39° 48.78 Radius: Polygon NM 

All GPS DATA TO BE COLLECTED IN DEGREES. MINUTES, DECIMAL MINUTES FORMAT. Longitude 121• 62.20 Altitude: 13000' MSL 

AVOID Aerial Application of Retardant I Foam I Agent within 300' of Waterways, Bodies of Water, etc. Centerpoint: Polygon Lat 

If Retardant I Foam I Agent is Dropped Within These Areas Immediately Nolify the AOBD and Provide the Foliowing Name Polygon Long 

Information: Lat I Long, Estimated Number of Gallons ·and a Map De/ailing The Area. Latitude NOTAMS: 8/3715 

Lorigit�de Frequency 123.175 

(use paoe 2 If needed) httn: //tfr. faa.oov/tfr2/list. html 

Frequencies RX Tone TX Tone A M /FM Position Name Phone 

AIR TACTICS 167.9500 167;9500 FM AOBD Gteg Bradshaw (949) 887-2841

AIR I AIR Rotary Wing 123.1750 123.1750 AM ASGS Tim Perkins (949) 702-3868 

AIR/ AIR - Brlaflng AM HEB M J.C. Collins (858) 353-6261

AIR I GROUND -Command 159.3450 192.8 (16) · 159.3450 192.8 (16) FM ATGS Jake Sjolund (530) 990-5128

AIR I GROUND • Tactical 159.2775 192.8 (16) 159.2725 192.8 (16) FM HLCO Skye McGregor (530) 521-8748 

COMMAND 154.4150 123.0 (2) 159.0000 See 205 FM HLCO Logan Kalfsbeek (530) 723-0367 

TOLC 122.8000 122;8000 AM ATGS Shem Hawkins (530) 990-5128 

DECK 163.1000 163.1000 FM 

CALCORD - MEDICAL 156.0750 156.7 (6) 156:0750 156.7 (6) FM 

AIRGAURD • Emergency Only 168.6250 168.6250 110.9 (1) FM 

HELICOPTERS ( Use page 2 if Needed ) 

F-AA# Type Make/Model Helil>ase Avail Start Remarks FAA# Type Make/Model Heiibase Avail 

9CH 1 Chinnok ORO 730 800 CWN / A-27 C901 2 UH-1H ORO 730 

7CH 1 Chinook ORO 730 800 CWN / A-23 C101 2 UH-1H ORO 730 

2CH 1 Chinnok ORO 730 800 CWN / A-28 506 2 Huey ORO 730 

1CK 1 S61 ORO 7-30 800 CWN / A-24 1GH 2 Huev ORO 730 

1KA 1 Kmax ORO 730 800 EU / A-22 1VR 2 Huev ORO 730 

804 1 Blackhawk ORO 730 800 EU / A-6 6TV 2 Huev ORO 730 

5PJ 1 Blackhawk ORO 730 800 CWN /A-5 ace 2 Huey ORO 730 

784 1 S61 ORO 730 800 CWN /A- 76T z Huev ORO 730 

5BH 1 UH60 ORO 730 800 CWN / A-21 4FD 2 UH-1H Chico 1800 

2PJ 3 Bell407 ORO 730 

9PJ 3 Bell 407 ORO 730 

4PJ 3 Bell:206L3 ORO 730 

Fl�D WING ( Use Page 2 if Needed ) 

FAA# Type Make/Model Base Avail Start Remarks FAA# Type Make/Model Base Avail 

' 

Prepared By 

Greg Bradshaw 

Operational Period - Time 

0700 - 0700 

Rescue Ship Information 

Day Night 

Name C901 Sac Metro 

Phone lncidonl C<>mms lntAc:le.nl Comms 

Make/Model UH-1H UH-1H 

Location Orovllle. HB ChicoAlrpor1 

Requeat Procedure for These Aircrafl: 

Incident Communications 

See Medical Plan For Additional Info 

Trainee Name Phone 

Chris WIison (951) 315-105• 

Aronld Ramirez (626) 512-•547 

Start Remarks 

800 Agency I A-4 

800 Agency / A-26 

800 EU / A-25 

800 CWN / A-36 

800 CWN / A-37 

800 CWNf A-32 

800 CWN / A-35 

800 CWN / A-34 

600 Night Rescue/ Agency/ A-53 

800 CWN / A-50 

800 CWN / A-51 

800 CWN / A-52 

Start Remarks 
-·· ---- -----· ... ---- -

ICS 205 - INCIDENT RADIO COMMUNICATIONS PLAN CONTROLLED UNCLASSIFIED 

INFORMATION//BASIC 

1. Incident Name:

-·-- -

��mp ln�ident 

--·-·-

4. Communications

Ch# Function Name 

1 COMMAND[1] BUTSUPT2 

2 COMMAND BUTSUPT4 

3 COMMAND BUT SUPT5 

4 COMMAND BUT SUPT13 

5 A-GCMO A/GCDFT18 

6 A/GTAC A/GCDFT25 

7 TACTICAL CDFT27 

8 TACTICAL CDFT28 

9 TACTICAL CDFT29 

10 TACTICAL CDFT30 

11 TACTICAL CDF T31 

12 TACTICAL CDFT32 

13 TACTICAL CDFT34 

14 TACTICAL COFT35 

15 MEDICAL CALCORD 

16 EMERGENCY GUARD 

17 

18 

19 

20 EMERGENCY GUARD 

5. Special Instructions

2. Datemme Prepared 3. Operational Period: -•· -

Date: 11/09'2018 Date From:_ 11/10/18 Date To; 11/11/18 

�

llili� ----�·

f �O,:••-:S;.,c���,�� ., . ll\�� 

Assigned To Rx Freq Rx Tone Tx Freq TxTone Notes 

COMMAND 154.4150 123.0 159.0000 TONE 2 SUNSET 

COMMAND 154.4150 123.0 159.0000 136.5 TONE 4 BA LD MTN 

COMMAND 154.4150 123.0 159.0000 146.2 TONE 5 MT. ST. JOHN 

COMMAND 154.4150 . 123.0 159.0000 141.3 TONE 13 BLOOMER MTN 

AIR TO GRO UND 159.3450 192.8 (T16) 159.3450 192.8 (T16) A-GCOMMAND

AIR TO GRO UND 159.2775 192.8 (T16) 159.2775 192.8 (T16) A-G TACTICAL

DIVA /N 159.3075 192.8 (T16) 159.3075 192.8 (T16) 

DIVB 151;1825 192.8 (T16) 151.1825 192.8 (T16) 

DIV D 151;3475 192.8 (T16) 151.3475 1928 (T16) 

DIVE / U 151.3925 192.8 (T16) 151.3925 192.8 (T16) 

DIV F/ Y 159.3825 192.8 (T16) 159.3825 192.8 (T16) 

DIVG 151.2425 192.8 (T16) 151.2425 192.8 (T16) 

DIVH 151.4675 192.8 (T16) 151.4675 192.8 (T16) 

DIV K/ CONT. 159.3225 192.8 (T16) 159.3225 192.8 (T16) 

MEDICAL 156.0750 156.7 (T6) 156.0750 156.7 (T6) 

EMERGENCY 168.6250 168.6250 110.9 

EMERGENCY 168.625 168.625 110.9 

6. Prepared by (Communications Unit Leader): Name: Signature: 

ICS 205 - CONTROLLED UNCLASSIFIED INFORMATION//BASIC I Date/Time: 11/09/18 11830 

lfl 

M 
INCIDENT NAME DATE & TIME PREPARED OPERATIONAL PERIOD MEDICAL PLAN 

ICS 206 CAMP 11/9/18 1700HRS 11/10/18�11/11/18 0700-0700HRS 

NAME CONTACT NlJMB�R SERVICE LEVEL 

Butte County EMS Chico, CA. 530-895-9124 ALS 

Air Ambulance- Reach /CALSTAR Marysville, CA. 800-338-4045 RN 

Enloe Air Ambulance Chico, CA. 800-344-1863 RN 

Hoist Ships-C901-Day/Sac Metro-night Oroville Helibase 

TRAVEL TIMEminutes Trauma Burn NAME ADDRESS PHONE# Center Center Helipad 

AIR GROUND 

Oroville 2767' Olive Hwy. Oroville, CA. 530-532-8334 12 37 □ ND □ No

Orchard Biggs Memorial 24.0Spruce St. :Gridley, CA. 530-846-5671 15 40 □ No □ No

Enloe (Trauma. Center} 1530 Esplanade Chico, CA,. 530•332-7743 6 20 Levef2 □ No

U.C Davis Medical Center 2315 Stockto n Blvd. Sacramento, CA. 916•73403790 37 108 Level 1 0Yes

INCIDENT REPORTING PROCEDURES: 

LINE EMERGENCY: CALCORD 

Crew Supervisor wlll contact Division Supervisor with, patient 

complalnt/condltlon and location. 

.. COLLECTALL INFO BELOW PRIOR TO INITIATING EMERGENCY"" 

• Division Group Supervisor Contacts: 

1. Closest EMS resource 

2. Communications Unit

• Communications Unit Contacts:

1. Ground or Air Ambulance as requested. 

2. Medlcal Unit (916) 622-3371 

3. Safety 

4. Operations 

• Division Supervisor or de5lgnee will &ervc,, as polnt of contact 

and run medical emergency on assigned channel.

1. A pre-assigned tactical frequency (CALCORD).should be used 

for IWI and only for duration of the e"lergel'lcy. 

- CommunicaUons Unll will clear 1h11 Command channel for 

emergency traffic as needed for duration ofthe nee·d. 

CAMP EMERGENCY� 

Contact Communications on CALCORD or @530-417-4561 with patient 

complalnt and locatlon Communications wifl respond appropriate 

medical response. 

• Communications contacts: 

1. Medical Unit 

2. Safety 

3. Logistics 

4. Operation& 

5. Crew Supervisor 

6. Comp/Claims 

CHIEF COMPLAINT ___________ LOCATION OF PA11ENT ___________ _ _ _

POINT OF CONTACT _____________ _ 

TRANSPORTATION REQUESTED BY: AIR_ GROUND __ 

POINT OF PICKUP _____________ _ 

LAT _____ LONG ____ _ 

PATIENT UNIT ID ___________ _ 

IS AN LINE MEDIC WITH PATIENT: YES NO __ 

AGE 

SEX:-M_A_L_E __ FEMALE 

ALL EMERGENCIES---Securethe area and Identify witnesses 

for later Investigation. Keep an accurate log of events. 

Hospital 

Oroville 

Orchard Biggs 

Enloe Trauma Center 

U.C Davis

LAT 

39 30.27 

39 22.10 

39 44.50 

38 33.33 

LONG 

121 32.52 

121 41.40 

121 51.10 

121 27.32 

PREPARDED BY: (Medical Unit Leader): Name: Darin Nelson Signatur 

APPROVED BY: (Safety Officer): Name: Jack Piccinini 

36 

0Yes 

□ No

0Yes

0Yes
TRAINING SPECIA·LIST . .. •' .. 

'MESSAGE-

.A :,.Traf ning Specialist is avail<;iple · for trainees. on 

. 

<ti• • I 

rt • 

the -incident. · - .·- ... 

\ . -•. •, . / 

·A.,11 · S;tate, :feder.(11 ·and l�cal gov.erh�int ;ag�n�y,:: ..

-Tf�inees. working· on Po-sition Tc;,isk e·o:ok� wilJr-•·:. ·

.: .n�ed t<? register with the Incid�"f Tr.ainihg ·

· __ : _ ·?p.ecicdi.sf . in o�der _ to� receive proper, ·cr,¢dJt fo_r :. 

'1 . . .•• • . . 

,. 

. • .. • . 

. . 

·- . .', ·-;-__ your assignm�n+.. We are ·locaf�d_.

_ ne$i:-t to··�:-

�: · x· •. .. Check�l:n. 

. .·. 

··•

., 

' 

.. . . 

'. . 

'(}(fainino specia(ist �$ . •..•.. > ; ' I • ©ennis :M.artin 

. 

�• I • • • 

: "{707) "479-8421 

37 
"':-- -·-�7

( ., . i

CAL-FIRE INCIDENT MANAGEMENT TEAM IV II

.

I�· 

24HR LINE RESOURCE - 2 OPERATOR 

EMERGENCY SHIFT TICKET and EVALUATION FORM 

The responsible Govemment Officer will complete this form each shift. 

Incident or Project Name I Incident Number I Request Number 

MISSION CA-MMU-018115 E-444 

Agra ement Number 

MMU-0000015953 

Equipment Make Equipment Model I Type 

1999 PETERBIL T 379 TRANSPORT 18 WHEEL 

Serial Number License NLllllber 

COMPLETE VIN# 12345A1 

Oate 

Eouioment 

ICildel 

Use 

lt10UJ'S J - Davs I .MJ!es 

Mo/ Oav Start Stoo Work -�•ianmenl 

· 9/5 0701 2400 17 DIVX 

9/6 0001 0700 7 DIVX 

Vendor Ratina 

Poor• Avg. I Good I Exe. NIA 

Met Performance E,:pectat;ons I I 

Equipment ;n Safe Working Condition 

Operator SllHI Level VENDOR RATING 

Operates Safely MUST BE DONE 

Ooeralor'• Cceperaucn Level 

Overall Performance ) I 

Contractor Name 

THE BEST DOZERS LLC 

Operator#1 Operator#2 

FIRST& LAST FIRST& LAST 

IX7, Operator Fnhed By: 

Conlracta- Gcvemn,ent 

Operating Supplies Furnls'1�d By; rxJcontractor nGcvemment 

Equi�I Status nlnspeded fxlund«AOteemeril 

I Released bv Government 

IWitMrawn bv Contractor 

Remar1<s/Coinments2 OPERATORS 

NO DAMAGE I NO CLAIM 

Govt Rep. Name and Position..; PRINT 

Pr1nt Your Name 

Govt. Rec. Sicnatun, 

'llo..c 

Contractor 

sSlanatura 

?,,A,,. Smith 

Date Time 

9/6/17 0700 

• NOTE; any rating of POOR requires an expla

naUon In Comment Section. CAL FJRE297 

- Final evaluation or ror more documentation. use a CALFIRE Form 230 or eouivalent. (Rev 3-201 1 l 

24HR / 12HR TRANSITION SHIFT TICKET 

EMERGENCY SHIFT TICKET and EVALUATION FORM 

The responsible Government Officer will complete this form each shift. 

Incident or Project Name I Incident Number I Request Number 

MISSION CA-MMU-018115 E-444 

Agreement Number 

MMU-0000015953 

Equipment Make Equipment Model I Type 

1999 PETERBILT 379 TRANSPORT 18 WHEEL 

Serial Number License Number 

COMPLETE VIN# 12345A1 

Date 

Eouioment 

ICirdel IHours l 

Use - Da= / Miles 

Mo/Dav Start Stec Work -l"\SStaruneo1 

9/6 0701 1900 12 DIVX 

9/6 1901 2400 5 OFF SHIFT 

Vendor Ratina 

Poor• Avg. I Good I Exe. NIA 

Mat Perfom1ance Expectations I I 

Equipment In Safe Wori<ing Condition 

Oaerator Sl<l/I Level VENDOR RATING 

Opel'llles Safety MUST BE DONE 

Oaeratol's c-ration Level 

Overall Perlormance I l 

Contractor Name 

THE BEST DOZERS LLC 

Operator#1 Operator#2 

FIRST& LAST FIRST& LAST 

Operator FIXl'llshed By: l'x7 Contrae10r n �e,nment 

I)(] Operating Supplinumist,ed By: 

Contra,:tor Gove mm ant 

Equipment Stat� n tmpo<:ted fxl Under ,t.gn,ement 

I Released bv Government 

IWrthdcawn bv Contractor 

Romar1<s/Comments2 OPERATORS 

NO DAMAGE/ NO CLAIM 

Govt. Rep. Name and Position -PRINT 

Pr1nt Your Name 

Govt. Reo. Si1matuta 

l'!Lw..5;,,,,,,;,,.,,_ 

Contractor SlonatV!'ll 

l'L.AwSmitA 

Date ume 

9/5/17 1900 

• NOIB any rating of POOR re(\\11res an explanabon in Comment Sedlon. CAL FIRE 297 

•• Final avaluaUon or for mofe doa.imentatlon use a CALFIRE Form 230 or eauivalent. 1 Rev 3-2011 l 

12HR LINE RES0URCE-1 OPERATOR 

EMERGENCY SHIFT TICKET 11/ld EVALUATION FORM Conln!ctor Naflle 

The responsible Govemment Officer will complete this fonn each shift. THE BEST DOZERS LLC 

lncldonl or Project Name I Incident Number 1

Req1.1est Number Operator#1 Operator#2 

MISSION CA-MMU-018115 E-555 FIRST& LAST -

Agreement Number Operator F umished By: 

MMU-0000015955 xj Cor,\redor n Government 

!;qulpment Mal<e Equipment Model / Type Operating Supplies Fumished By: 

2004 CAT D6N /TYPE II E x]contractor n Government 

Serial Number License Number Equ\pltl'!nt Stetus 

COMPLETE VIN# - I lnapectad rnl.lnd ... Agreement 

Enulnment US,8 - I Released by Goveinment 

Oat& IClrciel (HOU(S l' Davs / Mil&S !Withdrawn bv Contraetor 

Mo/Dav Start ' Stoo Worl< --•sianmenl Remarks/Comments•• 

917 0001 0700 7 OFF SHIFT 1 OPERATOR 

9/7 0701 1900 12 DIVX 

917 1901 2400 5 OFF SHIFT NO DAMAGE / NO CLAIM 

Vendor RaUng Govt. Rep. Name and Pos1Jjon - PRINT 

Poor• Ava. I Good I Exe. NIA Print Your Name 

Met P er!omumce Expedations I I Govt. Rep, Sl!lnature 

Equipmef!I In Safe Working Condition 'iJdwt S'4114ltR• 

Ooerator Sktll LJ!vel VENDOR RA TING Conlractor S1cnatura 

Operatos Safely MUST BE DONE 'L.A,,. Sml/4 

Oo.,ra!ot'a Coonenition Level Date nme 

Overall Performance I I 9/5117 1900 

• NOTE: any rating of POOR raqu!raa an explanatior, in Comment Sectlc,n. CAL FIRE 2.97 

·• Final evaltJation ot for more documentatlon. use a CALF IRE Form 230 or ""'•Valent. fRev 3-20111 

24HR IN CAMP RESOURCE 

EMERGENCY SHIFT TICKET and EVALUATION FORM 

The responsible Govemment Officer will complete th;s form Heh shift. 

Incident or Project Name I

lneidenl Number I Request Number 

MISSION CA-MMU-018115 E-333

Agreement Number 

MMU-0000015950 

Equipment Make Equlpment Model I Typec 

TENT WESTERN SHELTER 19X35 

Serial NLl!llber License Number 

. -

Eouloment Usa - Date ICirdel """""" J Davs / Mlles 

Mo/Day Start Stoo Work �ss,gnment 

9/2 0001 2400 24 ICP 

Vendor Ratlna 

Poor• Avg. I Good I Exe. NIA 

MetPerlomianceF>ttlAda{Jons I I 

EquipmeriUn Safa Wcoong Cwtion 

Ooerator Sl<lll Level' VENDOR RATING 

Operates Safety MUST BE DONE 

Operator's Cooperation Level 

OveraU Performance I I 

Contractor Name 

THE BEST CAMP LLC 

Operator#1 Operator#2 

FIRST& LAST . 

00 

I") 

Operator F urnlshed By: IX7con1rae1ar nGovemment 

Operating Supplies Furnished By: x]Contractot nGovemment 

Equipment S1atus I Inspected fxlUndor Agreement 

I Released by Government 

]Withdrawn bv Contractor 

Rematks/ConuMnts• • 

f4) TENTS, CANOPY W/SIDES 

FLOOR & INSULATED ROOF 57Dsq rt 

NO DAMAGE/ NO CL.AIM 

Govt. Rep. Name and Position -PRINT 

Print Your Name 

Govt. ReP. Sianature 

U-. -Slanaluu 

Contreelor Sianature 

l'ld..Smill, 

Date nme 

9/5/17 1900 

• NOTI:: any rating of POOR raqu!rus an e><planatlon in Cammenl Sadlon. CAL FIRE297 

- Final evaluation or lor mare documentation. use a CALFIRE farm 230 or ""'•Valent, !Rev J..2011 l 

I" f 
I Incident#: 18CABTU016737 Request #: 

GENERAL MESSAGE (ICS 213) 

1. Incident Name (Optional): 

2. To {Name and Position): 

3. From (Name and Position): 

4. Subject: 5. Date: 6. Time

7. Message:

-

. .

-

... 

8. Approved by: Name: Signature: Position/Title 

9. Reply:

10. Replied by: Name: PositionfTitle: Signatur-e: 

ICS 213 I DatefTime: 

39 
GROUND SUPPORT 

DRIVING DIRECTIONS 

RIGHT ON TO SILVER DOLLAR WAY 

RIGHT ON DR. MARTIN LUTHER KING JR. PRKWAY 

LEFT ON EAST PARK AVE. 

RIGHT ON NOTRE DAME BLVD. 

2535 NOTRE DAME BLVD., CHICO 

40 

Legend 

GROUND SUPPORT 

■: MECHANIC

GROUND SUPPORT 

TRANSPORTATION 
Showers >, :i.. 

"C 

r:: 

Sleepers ..J 

en 

C: 

ra 

a. 

-C: 

"C 

0 

C: 

11::::::: 1 

I I I I I I I I I I 

I I I I I I I I I I 

I I I I I I I I I I 

I I I I I I I I I I 

I I I I I I I I I I 

I I I I I I I I I I 

I I I I I I ,1111 

11:-:n:: II 

:·: l'I I I l: I 

I LI I I l 111 

I I rl I I I I I 

: I I 1 ·:II I I 

PIO 

� • .. Silver Dollar Way �- , * 

'\\ 

t 

North Parking Lot 

I I I I I I I I I I I I

Fuel t 

Fair Maintem1nce 

f-' 'Complex 

- Supply

' 

CDCR Gate 

outn-11­

T o,rtr Ma rt 

Gas "Station 

CCC 

Feeding 

COSTCC 

Base Camp • 

"C 

C 

Exit 

Out of State 

Traffic Onl� 

� . . 

Out of State

c Resources � 

(!)_ 
THIS PAGE INTENTIONALLY LEFT BLANK 

42 
UNIT LOG (ICS 214) 

1. Incident Name: ,

2. Operational Period: Date From: 11/10/18 DateTo: 11/11/18 _,,__ ---

Camp Incident Time From: 0700 Time To:: 0700 

3. Unit Narm:/Deslgnat�rs ,

4. Unit Leader (Name and ICS Position)

··- -

5. Personnel Assigned/Designators 

NAME ICS POSITION HOME BASE 

. 

• 

6. Activity Log (Continue on Reverse)

Tl.ME MAJOR EVENTS 

7. Prepared By: Datemme: 

43 
UNIT LOG CONT. (ICS 214) 

1. Incident Name: 12. Ope�ational Per!od� Date From: 11/1 o/1'.8; Date To: ; 11/11/18 

··-

Camp Incident Time From: 0700 ,Time To:; 0700

6. Activity Log

TIME MAJOR EVENTS 

.

.

' 

' 

7. Prepared By: Datemme: 

44