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An injury that required treatment, they have not had illness that introduced prolonged disability, they have been healthy. Without a mandatory periodic examination, there is no reason for them to come in so they are going to most of their medical encounters will occur with their primary care physician. They will always turn to their primary care physician for guidance. If you have a member that, for example, has attorney something in his leg, he is more likely to go to his doctor and talk to his doctor about that and get that fixed through the doctor than to come to you for care, correct . That is very true, yes. Under that circumstance you wont know whether or not that particular member is having that problem that may affect his job . Not at that moment. The only time that we will find out is if the member has been cleared by their doctor to come back to work. That is when we will know about it. If it occurred on the job, yes, we will know about it and we will always be ready for them to come back and request return to duty, but if it happened, you know, while they were on vacation in yosemite, we may not know about it. You know, there have been studies, and i used a broken leg or attorney something in your leg as metaphor for Something Else happening in the Fire Department. They say close to 30 some some level of ptsd or incidents of cancer is on the rise as well. How will you know unless it rises to physically impact their Job Performance or they filed something as a result of their Job Performance they have this particular ailment . We wont unless there is a mandatory periodic examination. Are there any Prevention Strategies that your office has implemented for any particular ailment relating to the health and safety of the department . Well, we have the ongoing respiratory protection program, we have the ongoing Hearing Protection program. Those are the big ones, but beyond that, no, there is no other prevention type program in place. What does the respiratory program aim to detect . First of all, it asks the question is the individual member do they have the ability to wear a respirator . Do they have a medical condition that could impact their ability to wear a respirator. How many of those do you get a year where people are impacted . Is that common . No, because the Overall Health of the department is pretty good. How many respiratory issues have you diagnosed in the last year . Well in the last month, not that we diagnosed but new respiratory diagnoses came to light in the last month. This is a Prevention Program related to respiratory disease. How many in the last year have you diagnosed . Through the respiratory protection program, none have been diagnosed. What was the other program, Hearing Program . Hearing. How many hearing problems have you diagnosed in the last year . Hearing loss will be identified on the hearing exam. I would say roughly about 15, 20 of the time. The good news is that most of the time the hearing loss isnt severe enough to impact the members ability to perform the job. It will be a new hearing loss and we track it to make sure it doesnt cross the threshold where it may impact their ability to perform the job. We seem to be finding results from the hearing Prevention Program and tracking those to make sure the health of that particular member with hearing problems is being treated or if they cant be treated at least tracked so we can see how the health of that member is doing. That is great to hear. In your entire presentation what i didnt hear until commissioner covington brought it up the word cancer or posttraumatic stress system or whatever else is ailing the department. My question is if it is one of your primary goals to implement, primary and secondary Prevention Strategies to the department, why arent we doing that in regards to cancer and in regards to ptsd. Why are we relying on the Cancer Prevention foundation for that stuff . Your question in my opinion goes to the issue of policy. Okay. On the policy issue, even though we have on paper a mandatory examination, it has been on hold for several years now. It has been on hold for several years because of the fact that even though it was mandatory, participation rates were low. Low enough that it was actually costing the department money in order to keep the program going. It was suspended several years ago, and that was one of the few programs that would have allowed identification of problems early enough that they could be addressed and in a timely manner that would not impact the members ability to do the job. So what i heard from you is that the office of the physician is not implementing Prevention Strategies for cancer because that would require somebody to participate in a mandatory way, and when that is done, members arent doing it . Is that right . Yes, but also keep in mind that if we dont have any other policy that mandates that something be done, we cant do anything. We need a policy. Without the policy there is no mandate for doing anything. Okay. Where does that policy come from the commission or the chief or from your office . I would say that it most likely is a collaborative effort. Doctor, here is my issue. Your office one of the primary goals of your office if you look at the job description, the very first duty in there is to develop and implement primary and secondary strategies for the Department Health and safety program. What i am hearing we are tracking hearing and lung capacity but not tracking ptsd or cancer or the unknown what is out there, to the extent that can be done, right . I am also hearing from you one of the primary reasons that a member comes to you is to decide whether or not that member is going to have a job when he comes out of your office because you are determining whether or not he has some sort of physical or mental impairment that will prevent him from doing the job, and i think that is very important. That is the primary reason why the member is coming to your office. I can totally understand why the member would not participate in the mandatory program. Do you understand that . Yes. Do you agree those two things are connectedded . Following your line of reasoning, yes. How do we make changes in this department . Maybe we can save that for a presentation, a future presentation. How do we make changes where we can get the members to come to or see your department as the place where they can get health and safety . Now they are currently looking at your department as a place where they could potentially lose their job. It is hard to see a doctor if they look at doctors as somebody that can take their job away. I know that is an important part that you have to be impartial in what you see and you have to report to the department because ultimately, you know, we are all here to make sure the public is protected and these members can do their job. How do we change that perception where a member looks at your department and says i want to spend as much time in there forever. I want to live as long as possible. I know this job has an incidents of cancer, ptsd and other stuff. And the other stuff with ptsd, alcoholism, addiction and divorces. How do we get your department to be the department that says i want to go there once a quarter because i want to be good at my job, i want to be there for my family past retirement. I want to live forever and be able to enjoy retirement. That is the biggest challenge of your office. It is one of the challenges inherent by the other factor we talked about. It is your job to make sure they can do the job. It is a challenge and needs to be a focus of your office because ultimately we are here to serve the members. The members cant serve the public unless their health and safety is our biggest concern. Now we have a new battalion chief that i am superexcited about that is going to be her daytoday job to think about these things, but to the chief and to you, doctor, this is your biggest challenge. It is something that we need to see some turnaround in the next year. People are now talking about ptsd, cancer. We have seen the cancer tests the urine analysis tests, right, chief . We had people show up for that thing like we have never seen before. We should look at that. Why did people rush to take the urinalysis test . Why are they rushing to do that . We need those policies to be sure they see your office that way, is that true . There is history with regard to the urine test. When the Department First implemented that, and most of the operational logistical and infrastructure was provided by the department, it was viewed as a department test. The participation rates were very low. When all of the infrastructure was transferred to the foundation, participatory rates began to creep up yearoveryear to where they are now. The farther the department was away from that test, the more it was viewed as a positive. What does that tell you, doctor . That ther there are two fact. There is culture within the department, and the need for education. We can provide all of the education we want. That is starting to come. We hope to see that. I am assuming that is happening from your office, too. Nothing prevents you from educating members of the department on best practices to avoid cancer to the extent possible or for that matter ptsd. That education could come from your office. I dont know whether or not it is. It could be and should be. To me what that says, and everybody in here probably has their own opinion about local 798s urinalsis test is successful and the departments isnt. My opinion is that people dont want to give your office their urine because they are afraid of losing their job. How do we mold your program to be as successful as local 798s program so we have people rushing in your office to give urine and blood to make sure their health and safety is being sought after . We have to look at what 798 is doing. Time is changing. I want to believe that members of this department are starting to wake up to these things. The fact that they are rushing to 798s program and afraid of our program for whatever reason is, i think, a lesson to us we need to learn from to try to change the unit to make it more inviting to test. Maybe make things more anonymous. Maybe passing a policy that says whatever results we find here arent going to impact your job unless your personal doctor says it does. Something like that that will not scare people away from wants to give you their results animalsis. We have no analysis. Do you have an idea of the health and wellness of the department, what the incidents of cancer are in the cancer . Do we know what percentage of members have cancer in the department . Off the top of my head, i couldnt give you the exact figure. Is something tracking that . Would you know if they have cancer unless it affects their job . We would know if they file a claim for it. If they dont file a claim we dont know. We dont know which members have performed tsd ptsd unless they have it. Now ptsd is now a workers compable illness so we will know when those workers comp things come in. There is no way of tracking that right now. We dont know what the health and safety of this department is today, and i think that is something we need to work on. Thanks, doctor, for your time. I hope if there are challenges in your department this commission can help with staffing or otherwise that you would bring those to us. Thank you. President nakajo thank you very much. Any other questions or comments with the doctor . Thank you very much, doctor Raymond Terrazas. I have a few things. In terms of your jurisdiction among the membership, how many of our membership are you responsible for in terms of our department . I would say everyone. Is that 1500 civilians in uniform . Correct. Would it be more than 1500 . Is that a pretty good figure . I believe we are at 18. Close to 18. Thank you, chief nic nichols. 18 total civilians in uniform. All right. In terms of the process and protocol, when a member is on duty and if the member is injured, that members injury is notified to the Physicians Office . Yes. Depending upon circumstance of that member on duty whether or not it is incident or whatever. Does the member report to you because of the incident be or go to their primary . If it happened on duty, if the member reports it as an on duty injury, we will know about it. Some of the time the member will call us following general orders to report their injury. Sometimes we have to reach out to the member to verify that, indeed, they were injured and then facilitate care for them. When a member is injured on duty, it is their duty to report to you at the Physicians Office and they do that on their own initiative . Correct. It doesnt go through the chain of command . It depends. The notice may come from the individual member or may come from their officer or we may have to reach out to the individual member. I am just talking about scenarios. Generally if that member is injured on duty, they report to you, but they report the incident to you but do they report physically to you . They dont have to because if they went to the emergency room for treatment of the injury and from the emergency room they were discharged to home, there is no reason to come back to the department maybe so they wont physically present to the office of the Department Physician. They will call in via phone, and the other reason why they may call in to the office of the Department Physician is because of emergency room didnt give them instructions what to do next, where to go for followup care if followup care is necessary. I am trying to follow this. It is supposed to be simple. I am trying to follow this that is member, he or she, if they are injured on duty, the first requirement or obligation or need is to deal with the injury. I am assuming they go through emergency or go through their physician and they dont necessarily report to you. What is reported to you is the incident report, but you dont see them physically for their injury. Is that pretty accurate . Correct. If they go to emergency and are discharged at home. If they dont call you in, you dont have any idea what happened with that injury, correct . Except for the fact we will review all of the injury reports every morning to see who was injured. We give them a little bit of time to call in and if they dont call in before the end of the day we receive notice, we will reach out to the member and speak to the member individually about the injury. When you say you follow up, meaning you or your nursepractitioner follows up . Correct. That incident of the injury is on the incident report by the command officer or captain or battalion chief, it is recorded, correct . It is recorded in the Department Information management system. If that occurs in the field, that goes to the computer that goes to your system as well . Yes, we have access to that information. If that member is injured or had followup with the physician, i automatic is prime i assume the primary physician, depending upon that injury does that mean that member is able to return to work or what is the protocol between that injury and the incident for being off for temporary work related modified duty or total disability . What is the steps in that. If they are discharged from the emergency room, they may or may not receive instructions from the er physician about what to do about work. Maybe they were but the information that is being thrown as they are leaving the emergency room, that may not be something that they remember. Or for that member it may not be documented in any of the forms, the multitude of forms that they get upon discharge from the emergency room. They might be trying to get back to work, not knowing that they need followup in one of the city and countys medical Provider Network clinics or providers for followup for that injury. They may have to go to one of these providers in order to get a return to duty note, whether return to regular or modified duty. All right. As i am trying to get clarity, i seem to be getting more confused. I will try to struggle through this as well. May i ask what question are you trying to get at. I am trying to figure out and get clarity on process and procedure. I know there are ranges of injuries. I am looking through the degree of injury, if it is severe i assume the member is being followed up. Huish shoes the notification that who would issue the notification to return to work . Also if the injury on duty might be a light juror such. Say the light injury. Say that member goes home. I am okay so i will go back to work. I am trying to find out if those scenarios apply as well . The most common scenario and logistically most simple is an injury that is reported during work hours, during normal business hours. The member is directed to go to one of the medical Provider Network clinics within the city and county of San Francisco. They go to the clinic, are evaluated for the injury. The doctor in the clinic issues the work status report to clearly identify the members work status. They go back to regular duty, placed on modified duty or placed completely offduty. Who is making that recommendation . The physician in the medical Provider Network clinic. Is that at the emergency unit or some other level . It is a clinic. That doctor is making the recommendation whether to return to work or get followup treatment . Correct. They are certified, so to speak, by the city and county of the San Francisco division of Workers Compensation to render medical treatment to that injured employee. If they have a scenario and cannot return to work, what does the member do next, report to the commander and stay home or tell me . There are different avenues that can be taken at that inflection point. The member may call our office to let us know that they were just seen in the clinic and the doctor put them off work. If they havent notified their officer that they were placed off work, then we will notify the Assignments Office to let them know the member has been placed off work. They will be put in off duty status. If the notice goes to the officer, the officer may then notify the battalion chief who may call into the Assignments Office to report that the member is off work. Or it may go to the division chief. I got the point of that. They are now known they cannot return to work until they get certain clearances. When do the members come see you at your office . The bulk of your work is in the report to duty scenario. I am trying to understand differentiation between temporary, total to modified. The members come see you because they have to see you. If they dont get clearance they cant return to work, is that accurate . That is accurate. They dont see you until they are in this category or if they get a shot or education. They come to see you workrelated . Thats correct. Is it in your job discretion you are the one that has authority to sign for them to go back to work or for modification. Our orders speak to that. In your 11 years of doctor, how many have you recommended for total removal is that something you cant answer or is that agria area . If we are, you dont have to answer that. I am curious. I dont believe i it is a h e. P. A. Violation. It has been a handful. They have appeal processes as well . Thats correct. What is the appeal process . If it is for work related injury, the appeal process goes through the states Workers Compensation system, and a independent physician will add e whether there is permanent or not. That is separate from the city and county of San Francisco. The severity in terms of approval going back to work has to do based on the return to duty clearance, is that correct . Can you repeat that . Again, i understand the members have to go to you to get clearance to return to work. Yes. You are the primary person to make that decision in terms of clearance to work . Within the department, yes. In terms of inference of being terminated within the department it is in that parameter if you and your office make a recommendation if the member can be medically approved to prove on. If the member cant be medically approved to move on, you make that determination . Correct. For work related injury always under the guidance of the division of Workers Compensation. If the division of Workers Compensation accepts the findings of the independent physician, we have the obligation to follow the guidance that is handed to us by the division of Workers Compensation. For nonwork related injury, it is a totally different path. That is a process that is handled through the division of Human Resources. And the appeals process in that avenue, again, goes through the department of the division of Human Resources and it is separate from the department. Last question. It says on one of your bullet points return to work. Perform fitness for duty examinations at the members request or request at the department. You get requests from the individual members for fitness exams . Well, for example, if they have undergone treatment with their personal physician for nonindustrial illness or injury and their doctor has advised them that may be they shouldnt perform firefighting or some other task or job, they may come to us. They may say, hey, my doctor said this. What do we need to do to rule it in or out . Then we engage the member and say talk to your doctor about doing this test or this functional test. Lets find out where you it is in this continuum. It is for them to get support from you and your Doctors Office so they can have some case justification to return be to work, is that what i am hearing . If the doctor says i dont think it is a good idea t to go back they can say, hey, look, we understand your concerns. You may not know there is a functional test to use as guidance for deciding whether it is appropriate for the member to come back or not. There has been a handful of situations where thanks to that functional test we were able to keep the member at work. You answered my comment in terms how many incidents. You said a handful. Thank you. At the request of the department so the Department Officers make requests for you to see a member, is that correct . Yes, it will go through chain of command and administration will call us to evaluate the member and the member will come to our office. Thank you very much, chief nicholson. Did you want to speak . Just a quick clarification. The urinalsis testing is supported by the San Francisco firefighters Cancer Prevention foundation. 798 is a donate or and supporter. I have been told there is an individual in the room who would like to make public comment, misunderstood you asked for im beforehand. If you can open it up after, that is up to you. Commissioner hardeman you had something to verbalize . Thank you. I dont know if you have the answer to this question, doctor. Can you clarify the financial or other distinctions that go, including return to work when a person is on workers comp or state disability . How does that person financially affected and return to work affected if they are hurt off the job versus on the job . Two different scenarios. If they have juror illness that prevents them from working and that injury or illness is not workrelated, then they have to use their accumulated time balances to restitute their pay. It will be sick pay or if they have time coming, vacation, the department has leave policies in place that facilitate use of the members accumulated time balances, but they actually have to petition the department. They have to give the Department Notice they need to use their accumulated time balances. As related to their seniority and their pension, do you know what those differences would be . I am not sure i understand the question. If they are in an off the job injury, they fall down stairs at home or break a leg or something, what effects does that have on their pension . Do the pension benefits continue when you are on the job injury . That is an hr question. As long as the member is being paid. If they are able to use sick pay or vacation or if they are on a temporary modified duty, as long as they are being paid, they are covered. It is when you are not being paid. I am not sure what the time period is that those benefits can become at risk. As far as seniority . Na stays. That stays the same. They dont get ducted for being injured off the job . If they off on leave without pay for a year, that will affect their pension. That year wont count towards their pension. Does that make sense . I didnt think you had all of the answers but i had to go through you. Thank you very much. Commissioner cleveland. Doctor, one question. In our meeting the other day i asked you what is your biggest challenge in the job as Department Physician . You answered that it was dealing with the power culture ingrained against being healthy and fit, and that you felt the union was not supportive. Can you elaborate more on what you believe are your Biggest Challenges as our Department Doctor . One truth is that health, a Persons Health is very personal. I understand that. If someone is not in good health, meaning they have some illness or some injury, they are not going to talk about it much, and they are not going to talk about it much because it is personal. They dont feel the need that they need to talk about this with anyone else. They may talk to their doctor about it, their personal physician. That is always welcome. But they may not talk to anybody at work about it, okay. Including you . Including me and anyone in my office. I think the fact that individuals hold their Health Information close to heart, you know, you can say that about anyone in the u. S. Work force, but it is a little bit more acute in the Fire Department. That is not a criticism, that is just a statement of fact. Trying to work within that belief system can be very, very challenging. It can impact the exchange of information, of necessary information, when our office is tasked with deciding whether it is safe for this individual to come back to work or not so they may not provide full disclosure. Thankfully, that doesnt happen commonly. It is an uncommon occurrence but it is one of the challenges introduced by the fact people hold their Health Information close to heart. I am not being critical. It is not necessarily a bad thing. Thank you very much. At this point i think we have concluded. I am going to respect the request of chief nicholson. There is a member of the public to comment. Thank you very much, doctor. We have to go through the process of the rest of the agenda. Please remain. The member of the public that would like to comment, plea approach the podium and identify yourself. Since you have came here we would like to afford you this opportunity. I am dan casey. I am an ems captain in station 49. I am here in my role as director from the executive board of local 798, and we understand there are updates and reviews of the Physicians Office. I will try to be brief. I want to address a couple things that came up. This has been our first formal opportunity to address our members lack of confidence from doctor Raymond Terrazas performance. This is our first formal opportunity. Two main categories. Interactions fall under people who have had uncomfortable and sometimes inappropriate interactions with the doctor and unnecessary obstacles and delays in the return to duty process. I personally have worked with three members who have engaged the same attorney in order to facilitate their return to duty when they have gone through our Physicians Office, been told they need certain tests, they get the tests then they are told to see an additional specialist. The doctor does not take these specialists opinions, and then further moves out the return to duty process and causing great stress to our members. These are people who want to come back to work. They are people who actually have been deemed by outside specialists as able to do the job. They are facing unnecessary and Unreasonable Expectations from our Physicians Office. To address commissioners question regarding preventative care. We have in the care had a Health Check Program that was collaborative between management and labor. Participation dwindled because of lack of confidence. Members are not willing to share Health Information with the Physicians Office. We understand that the Department Physician has a difficult job and must make some hard decisions in terms of whether or not a member is fittor duty, and that can mean someones livelihood. At the same time if the members do not have confidence they are going to be dealt fairly and in an ex pedish us manner that destroys the ability of the Department Physician to adequately serve the membership. Thank you. President nakajo thank you very much. Any other member of the public wishes to give public comment. Public comment is closed. Thank you very much. That concludes this report. Item 5. Report from cleave of department on Current Issues and current activities and events within the Department Since the fire Department Commission meeting including budget, special events, communications and outreach to Government Agencies and the public. Thank you very much, madam secretary. Chief nicholsochief nicholson. This is my report from two meetings an go since i missed the last one. I i want to thank chief wyrsch for standing in for me. In september i spoke on the 12th at the Mission High Schools first fire and ems program. They have a great thing going there. I hope we can continue that moving forward. On the 13th we had a Department Emergency Management Policy Group table top exercise. That includes a lot of Department Heads from the controller, police chief, mayor, and so forth and so on. That is an ongoing effort through the dem. You may have seen i was interviewed by channel 2 on the level zero issues. That came out on monday night. I was interviewed by heather homes. On the 21st we had the battle kickoff. We picked up a lot of bags of trash. It was really well attended. Cd2 and 3 have met with father green regarding his upcoming retirement and where this department is going to head in the direction in terms of chaplains and spiritual support. We are speaking with several members of the chief deputies, sort of their chaplains and spiritual support people to, you know, get a good idea in terms of what we need to do next. As you know, fleet week is here. I know the chief will speak more about that. I really want to acknowledge the preparations going on for months, and chief cochran has done a great job with that. The reason i wasnt here for the last commission meeting, i was attending the fire chief conference in ontario, california. The three main topics were ems, firefighter health, Behavior Health and cancer and urban fires in the state of california. Those were the hot topics this year. Just to clarify, we had a meeting regarding the San Francisco Fire Youth Academy funding, and commissioner covington is on that with us. We are moving forward with that. The money from last year that supervisor cohen had designated for the Youth Academy. We are moving forward on that. On the weekend of 28 and 29 we had the Northern California first alarm fire camp at Treasure Island facility. We had 50 Girls High School age that participated in all sorts of Fire Department related activities from cpr to actually wearing the scotts and going into burn rooms to climbing the aerial. It is a leadership empowerment activity based on firefighting skills. I attended a youth town hill and summit in the bayview. Also, with chief scott and amos brown. We have been meeting the fourth. Thank you for coming to the 15th e. M. T. Graduation. We had 20 graduates. Some started on saturday. Also, this past saturday i spoke at the black firefighters Youth Academy for an hour with the kids. This week attended the mayors signing ceremony for the heart trouble benefits legislation where it is making cardiac and some lung, specifically pneumonia issues presumptive for us, which is a great help. Also on the seventh, we welcomed 55 recruits to the 126th h2 academy. They are in the third day now. I wanted to also just i know chief ellis spoke last time about our new battalion chief parks who is our health, wellness and safety battalion chief who is inundated since she started a couple weeks ago she is works on all sorts of things like Behavioral Health to cancer and cardiac. She is a great team player. I played basketball with her in the 1990s. I would like her to come up and say hello to you all. She played center. Good morning, commissioners, president. I just want to introduce myself. I am battalion chief natasha parks, new health, safety and wellness chief. I will be glad to work with the department in getting our members healthy and talking about cancer, Behavioral Health, health check, things like that. Thank you. How long have you been in the department . I have been in the department for 22 years. And she did play college ball. Yes, i played at uc irvine. Thank you. I appreciate it. That concludes my report. Thank you very much. At this point if there are questions. Thank you, battalion chief can you return to the podium, please. Can you give us a little more of your background . My background. I have been with the department for 22 years. I was also with the Sheriffs Department for a few years. I have been a cap at thi captaid lieutenant and firefighter at station 13 for 8 years. I went to uc you are vine. Uc irvine. Very good. Thank you. Vice president does that conclude your questions . Yes, i wanted a fuller picture of her background. President nakajo commission. Come on up. We will keep you walking. I had the pleasure of meeting you at the mayors signing the other day. I have high hopes for your position. That psychology degree will come in handy because as you saw from doctor Raymond Terrazas testimony one of the problems is convincing the members to come to the department for their health and safety and wellness. I look forward to everything that you are going to be doing. I dont know if it is to ask you if it is just let me know. Have you and if so we would love to have you back once you have gotten your feet back you can give us a sense of what your goals are in this position, and i understand if it is too early for that. Do you have a sense what your goals are in this position . One is to get the health check to the members. We have set up a meeting with 798 to discuss topics about getting members more willing to do the health check. I am also a member of supervis supervising the stress unit, and the peer support team. We have a peer support class coming up next week. Then the stress unit we want to get more Data Collected so that we can strengthen the stress unit with more members. We are partnering with the Cancer Prevention foundation to get information out about best practices on preventing cancer. Great. Fantastic. I would recommend we can talk offline. Cal fire got 6 million towards mental health. That is a big deal. They are working on best practices for structure of peer support unit. Chief, i know we are coming on the oneyear anniversary of the resolution this commission passed in regards to peer support. I imagine you will have something to do with that as well. We look forward to seeing that. Thank you and welcome aboard. President nakajo thank you very much. If there are no other question, we will bring up chief victor wyrsch. Vert ogreater alarm fires, emy medical services, bureau fire prevention, Homeland Security and airport and update on drone program. Thank you very much. Welcome, chief. Good morning. I am deputy chief of operations victor wyrsch. This is my Operations Report for september. We had one greater alarm in the month of september during this reporting period. Second alarm on 9 25 at 29 thornton. No injuries. Arson investigation has deemed this undetermined for cause. This was a fire started in the rear of the fire building in a makeshift storage area against a cd corner of the fire building. Paint and batteries were stored in the rear of this building, and they dont know if it was caused from heat or if somebody lit the fire. Right now it is undetermined. It had smoldered for an extreme period of time. The fire ran up the rear exterior of the building and entered through the eves of the rear. Due to the location up against the zero property line, some of the fire spread to the exposure d corner. Lines were deployed. This was able to spread through the attic of the fire building. It burned through the ridge beam of the roof causing the rear of the peak to sag and drop on the interior ceiling. Companies were returned to extinguish the rest of the fire. The second alarm was struck at 1842 hours. It was contained at 1857 hours. We had 17 first alarm fires. One notable was on september 18th at 8 88delano. Two civilians lost lives. Four wild land fires. We had two bay rescues, three surf rescues, four cliff rescues, three bart train rescues and we rescued a total of 20 civilians in those rescues. Also, we had k9 and captain miller sent to North Carolina for hurricane response. He returned safely. They were just on standby. [please stand by]

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