EFTA01157905.pdf

Ott, Wackenhut INCIDENT REPORT CLIENT: AC.0 AREA OFFICE: (i-Rtg ADDRESS. Ic.e? Sa(kt . (,3 1›,..e.a.Se-o-a, ssgso REPORTED BY: DATE / TIME OF INCIDENT: z .m t tl*.x,or.s (PRINT OR TYPE NAME) INCIDENT: pf IRREGULARITY 0 CLIENT COMPLIANT O FIRE REPORT arm, LIST PERSONS(S) INVOLVED: '1-OO(.O CL-C\ASLA24- IX>o t (A)Nst4A- cte4X6v Lc,CMTCA--- DETAILS:- OA CIL11-3 t to 14- a.m-bc-A-t-- -(14-4- ICAroc.S go {A 4/‘. Address 1 1,1 is rt.( ccetAce. Skft3CA-k...O A-Ca- Cory -es--- Et err L e,Jzi, 4 ,4 e..La-ale-x-- ba-C-Va I A-koz, r-z-Ccceace.t -?.c.e.r ..C a__tf ‘ k. EC Sh.11,e S-6S4a tA. o ita, to , Az tOW _? 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Fe_rs,sitat v-th-Lca (41-0 -164 1,4,4aate/WAA•l titc“,c_w_ ot?e_ft upt•-t. 102.4-t -tDc.D.e_s-cts 4tut. C-(44/14- 6" AcedreSS • (,,3 /fro kz_d ' ( 1-&- art C6X-A)P6Z.Ac--e_ OA OZ,OZWO tfi_d c>r- echert jex9k- Ad-ie AAd (bad- tn ,i (. (10"- 9te•-te -,S42- 1 ACTION TAKEN: 11041- 4-d Ca71.4."- C..f• REPORT COMPLETED BY: SCALil Dr - DATE: 03//3 / (0 REVIEWED / HANDLED BY: TITLE: CLIENT CONTACTED: 0 BY PHONE 0 IN PERSON TICKLE / FOLLOWUP DATE: CLAIM POTENTIAL YES 0 NO 0 COPY TO HQ'S YES 0 NO 0 (MUST BE SIGNED ON REVERSE) .4 3 W.14 PR (11/06) Copies To: Area Office Copy to: HO'S EFTA01157907  COMMUNITY INCIDENT REPORT COMMUNITY INCIDENT REPORT - CONTINUATION FORM COMMUNITY A ct..) TWC CASE 11 NARRATIVE In.e.-d /cacti./ c A.r.k( 1- ,e_ar r -- a.4 Adz) v-ect--.../4-t .-- 4.".L.S Oad-e.A1,,ok-- 4,e4),,c1-&40. `W'S r•xacr-L..a.-L r.4-V.-e-0( are.2a. OAS T , varil-a, l e• -pi--- -iee..SS. Ta_ixt Be.a_ej, R )/ect -4/1</- 71e1721-44141 4-CraMci. WM. 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"RA Bezck- et- -s --sc-Lbc, CC' REPORTED BY: SctxAL DATE / TIME OF INCIDENT: 7 iws-s 1,c (PRINT OR TYPE NAME) • INCIDENT: 04 IRREGULARITY L CLIENT COMPLIANT 0 FIRE REPORT UST PERSONS(S) INVOLVED: DETAILS: Oft GS S CL° 24- 1.-VIS 1"msrs ( a L.lac-V- ikAs-x-citcru-s 6t94#-- RiDracx -has (fS.GI \I'M droVe-- c,)? auzivt--ts resat-eNce- "IQ- tdas-ck(-e.n.L..) 4,2.-C%-kt-e-e_ •-ez.rt,#4,42 A,e44-- 4D 0 cADTA Can-t -cr .vakest -cAc/A.1 eask.604. F --fie: gerco_creer z- ski) So 142- Xr(sf.er 'Sat < -O", 4- eptAcGx.n ,frttgrs S- --ereM" u-%,140:"- 024 2-tAt,,44— Ite_ &A.4" eigA-ra-tnea. Z c,D(1.4. (c- ( 6)-(--C.. O-c t„*.e.,...t_ t,942.re_ 2-ei>0. 16C,„ t_a tke.- ACTION TAKEN: REPORT COMPLETED BY: S.c.4-extor- DATE: -V.S710 REVIEWED / HANDLED BY: TITLE: CLIENT CONTACTED: 0 BY PHONE El IN PERSON TICKLE / FOLLOWUP DATE: CLAIM POTENTIAL YES 0 0 0 COPY TO HO'S YES 0 0 •. (MUST BE SIGNED ON REVERSE) IN-11 rft Copies To: Area Office Copy to: HCIS 1 EFTA01157910  COMMUNITY INCIDENT REPORT • CpliMUNITY INCIDENT REPORT - CONTINUATION FORM COMMUNITY ,..; '. g'il. • TWC CASE # 4:1 (••;t t.......1 . , N`e.z.:,.., - 1 : ; NARRATIVE cc-4 t -t de( •.,((,•.e• 0: lane. Lit ...,),n • C. --I a VLA A 6:0 .4 E. f ke 10 I INA i 4 • '' I LC La k L " :"In --1 OR: u% •. ( C' r-; , t t.,..• (,at e: " L (e ( 1 . 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ADDRESS: rt ("Ls, REPORTED BY: 45Sicat i-UX34-- DATE / TIME OF INCIDENT:a3/17 /143 (PRINT OR TYPE NAME) INCIDENT: IRREGULARITY 0 CLIENT COMPUANT I FIRE REPORT UST PERSONS(S) INVOLVED: t tpo t to, CtOuL zee.. -71-e4/us 6ze-r, DETAILS: CA U° 24- St≤Z G.ors t.06-(Le- ta.a-sz .e.A`CC.O•‘--C 4 -0 e.e21N-10 -.atk .i .f>"a-S Cep a ,a0ditc, crco r--, 3oc, toQ LA 4- 0 ,4_ c atrtisGe_r Ili et Scl. c•• oc-c-E- owN.12, 244-t4A-L tz-a-& Lots s L4-(--to.3 to -trAz_ cCrtv c..)as .aelcCead n6(- ic214- its(AA-S- on o-re-' Ls on `t- 6Z " a, aett (cot-e; cleuts• zoo $d•oci4re:-.0 673,z as, !,?a.-e`;'" 'too a" of px.,-,rcar- se° -4-.0 sorve-e f oor- 4d,,eress. ACTION TAKEN: ilaititec ( PEPt ) REPORT COMPLETED BY: e.-37-C4-642.140 DATE: OZP7A0 REVIEWED I HANDLED BY: TITLE: CLIENT CONTACTED: 0 BY PHONE I IN PERSON TICKLE / FOLLOWUP DATE: CLAIM POTENTIAL YES O COPY TO HQ'S YES O (MUST BE SIGNED ON REVERSE) W.14 PR (11/0(t) Copies To: Area Office Copy to: HQ'S EFTA01157913  COMMUNITY INCIDENT REPORT COMMUNITY INCIDENT REPORT-CONTINUATION FORM COMMUNITY 1TWC CASE it . 41 41t.,.• NARRATIVE 1 4' ona c Asi.e. r ( Loo .1 4. -( a ...-(64 e.' or r a. C ,- .-14e4 I e.S.S. •71-.Cic r 1 :pz-c (e-ce.4 mci -rz.r-fc, riz"/ 4 ';-7)( 't --1 ()ix,' rJ -,..,- (.../44-f 7.7.-/4- , .:7s a 1- 6...beet- ii....- I.e. 1. .1 . / ....TA? '&41- /%7.::" Cei • rc-,r-,-..7 - 0,, ../k. „Ste:Le c>i-141 f e:)"- e"-( c02..1c 6 ( p <,-...../ 6.! L141/I ,S6E r . ill:k c "..7Lool.. ic---,,r.-c-.),, --4, ( --(( ,z.,-(. - 77--',14.1 s 6,-).-' (I -1/1--1 ,...5-14 P-A- .-1 4A)a( 144 P. c..). .:?9)-i1 --4-1-32(,-(..c ---ace c &la 'd -P -Q - -. eSelff ,.. . , --.7-1 .e/1-(- C.f. 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