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HomeMy WebLinkAboutbocc.con.008.1985 _ �-- _ - � , -�,. � ��� �� I ��t �I +t.` r�� ��=r} t::' �p_ei�r; � :t. `• �'.. " I �r . ._. ,��.. �'3 Q.4' ,. � t'� . . a j. _ . . _ _ ::,t�c5,-,:eY ... '��. ..., . . .: . . .. , ._ ._ � r�'� . AP'i'LIC1lT1t7C� FUR LICI•1��1: �O!'ER11T6 R�9riJfJ1.NCE Si:IN1Cfi IN !'I11CIN C4c►�tcY, Ct�L�ttAW CA 8(85) � - 1. S6RVIC�NM� ��AIJ�I vY1 C�� - �, � ' -�' �[ Q � ,.� „�'� 2. :1UUfiL.'S5 .(}, ���'�i� v��/� l,r�flC In� SNf1WIY1(�,SJ Vr/�AqC � V 3. 1!#L�vE l:tt+�ER ��� '9,?�i� �2?!� 4. C£9CttIPi'ICN O� ��..^Ft A�DULfi.� to be uneraCh3 tr; <�lfeanC (include tnakc. �1�}�ar af murafxcure, Colorado Stat� licens� nuk�er, m�cac v�t►icl� � i ,/� l.� R�UZ'`� • ,,,��G� �'l;sg� • 1 1 �1 J c� v�A� N v� Y� �d��C . � 1 aa�. �� P - �1a�3 G h� s� s No �- r�'7�ip 1�,5 ; � ; '�C�'��}'"�a r.., �c�. �OQ�tiI 1Ye�. Ti �!��cn� � �1e..� Q.� b.,�a N �)A�a� 1� � �,!.V� - ��-- '_ ,�1�as�L� � ��_ 1� � 1 �fSsC� �G�4�5 5 S. LOG►'�IQN .L"�9 OF.9C:2IFTia."t o: plaea or pl�ooa fr�m w�hich Ehn ap�llc,anE's . amtwi�usca aaYViev 6peroteae � ` �1:-C�! � F .} ,.� (�r� .!� �d kr[i��1 ��� tI��1 �Z3-'� �h.., 1 C¢. � S 'c r..,r,r► a s V►1(Ac�c Q � 6. 7lic ur��t�sic�J. ' re�aonei tho -�'F +zY .�liesnt l�u�i». ce�titla�. �r#th res�t i t0 tl�a teH�ularsca3 ,e�cv.ee tQr Miuch tl?� �xrrnut as �e►xaht (and ve'uc1Q,� E0 ba ,, nae�d hy kf� apgli..ant in pr�v�tling sus�!► s��vicel that� : ` a) Fach €e�b!�ar.�a 1�ted in pz�cag:-a�?h r � ia carrar�d by a ccm�lY3Mj 3 poliCy as clrFin�l in Sectieri ]Q-d-3fi�, C.R.S. 1973. � b) kach amAul�nca disced in paragcapl� 5 at�� wi21 b+n ��atf�cl by at lcast � tti�o Fc�sons at a��erf s�:�:iec e� a call f� medieal ass�tarxo. Asxl at ; all tim:.s tha4 a pc�ti•.�c is l�eisx� i.rue�pGrtc�l, a dri+n:r anc3 an attcncl�►t. � Eoch i:ab►�l�;ce d:i.�et pc�sesses a v:�lid Colar�lo i�iver's Li�ense �aci - � C4t1'[8t1t 4'EFC1t1CciLlO�t �n R.`.ttk;T /4Z7.'3C�!! .��OSS QF N.7f4C�Cs�(1 HCBSt � Associ�tia� c:�R. l•cidic#o;��21y, eacl� �ria��r holc;s cursent eertification $ in. at minirmr.�, ei�!s=r ��ri�sn HE^J tYaxs acivar.�.�cl First aid. 4�ash In]ucY i Ma�:aga+�e.^.t, vc Tr�ur� 1•t3���nr_r,t. FdCf1 dttCf�rl�1�lt 1S d CUCreRtl)• cerk�fied j E1�er9e��c}• If�.�diccll ;ecitnieiv�. or az Ffd w:n is c:3:li�ioRelly trained a[�d � c�ctified ?n Crash I�jury Ficsnay�:r:�t or Ttaun3 t-.�na��tnent as descri�eci . :_� �' ".,:� CT Faeh art�ul3�x�e Ii.ted 3� ►urag�-aj,h �1 a6a�e contairs equigc�nt whieh r�ets or ex:.ee3s tFa req�.u.raRnts set Icrtlt �n :kae '�u:aux�e Inspeccio� 5he�k.' :-4i .`z' d) Ezch tmbulancc liste:] in l�ragranb S ab�,ve shall maintain two-way radio *:�� anrr.uiic��ion capauility +,ith t� reeeivin3 iredial f3cility. �': ��``' NORE: In the event tUe anplican� seeks a waiver fran any of the fc,regoing re- quircments, please state the �iature of tt�e speci.fic waiver requestcjd, the neecl ''�„ - �� • '_�� �-,:i ..a;- ' y.•: "i{- . _ . • `' _�'� • , ,.:. � ,.,.,-: .+P�:i t.34A4-+��:'.��:a...N'.=_+€� `� . . �. _ : .iF� �2� AmbuLvic+a License hpplicatiun � for the paiver, any alternate pcopo�als, �ny plan ar Ca�mitma+t to m�et tho - ra;uitc��ce:., as�d a statnn:nt as to Mhy, if granted, the wa�,ver wili not 8�lv�ersely affect the publia w�ifaze: } naca �7 lt���.�•�t� /9.�� - , ! ' rura Y. t i K, , � GRNYP OF PERNtT i 7'hs undecai�p�e8. :+peram�tir� thci De�cA oC County Cam�instonarn oF Pitkirf ' ` , " t�unty. Colara�la. does lserc�y gr�nc a licr�nae to the al�ove na�� epplicent to peovid8 �ulanca aorvie�a�+iEhin PiEkin Cnw►E� l�e+,d daca �urthrr S�suo 0 pasmlt Lrr er�eh u:au�Ev�ca l�taci �n ��c��h 4 ef cht� r�plicacion eo t� � in provlcitnes surh a�xwiee). both a� rrhieH lfe�a asui }�cni�Ca1 ate�ll ba valld Efa'a►qh �ia� clat� eE ]l O�CFFI�DER .1t�Si . fra+� eh3 r.�.a .'•:;s•�E f�t����=z Qt���:�tx ss::�l:s:a L•� .`;Y i3a�::! s C��:t 4ci»n�:as�cri=r.� ��ar::�swe to t:�o prov.isiorsc o[ eh�s Ba�rd'u �cturia� :"�. ?9-1_9 0► any rn.snt4nr�lra►s�eo�. � . D�3lC oF Itt�l:otK.a � APRI6, 1985 �� 8 gs�cur� � C1�imnsn, i7Q.�td Of Cota��Y Crnmiae�iMe�rn i ( TiCla � GFW�T QR t�AIVF,R � � ThQ undRxsi��cl. r�Cesenting tha Aoard o[ CAUnly Ca�ssao�ers ot P.Lt1:in � � Cow�ty. Ccrivras?o. do�.s i���y ger.nC a r�ai�rer oE lacensa eaiclitions W the abova nanad b;>pleinnt as stated L►alaar: N/A ? � ; 17�te of Issuance ` Si�t►irce .R...._ - - y ChairnE�ls► Bpard of Catia#ty Casmi�ia�er. f . i ' T.itle i ;:j :� ::�-_; � . �;;•� <�.� ��. .;�� • { 11/16/� F C ��� .s 7" ' . � �-�': s'�:Y: . .. . � ���y. ��,- ��.t :'� „�� .;s. �K}�. � 4s� tl�„'�; . �� e' � - s ��� . '�� � y � -.,�z� �!+ i � , � ' '!t""eFm,� w. .`4,�adl�"�:2w*:�r'..de�s!�h��±i+, ....�.�Ya 'M."�F..''��'. . .._.i-.:� - , \ . �\/,�� �I�:ti���■U:t�- �� \ - 506 ease ma�n sereec a5pen, colorado f�1611 PITKIN COUNTY PUBLIt SAfEtY COUNCtI/ENS SUBCOtiNITTEE ' ! M19ULANtE fNSpEtT10N SHEET - � - . -AN6UlhfitE INfORifAT10N � � Serv�e�e �taae: Si✓d;vi�r��s cc�ic��ct; F��'� PPVi�cn:;n�b rs��ic— Ambulanen VebQelc tlumber: .�idC�:es,�;S 6 Lteeese Plate: Zn�2�3 i I NSPECT 10:1 I tIFOR►.11t 10N ` ! � inspaetor: r%�%�s�e r� ��*�E ��ii� Inspetciny Aganay: �7,�iJ�.�iY.S�iyE2°f� ' 08Ee Inspeeced: /�'-ZL,-:y3rr Passcd Itrr,x��tor► Yes >' Ho , ; ' i , ����o.�•����.��.«������r��������.����«������.����.`�.�.����������������•����«�� '. . � ' Yns No 3 • . ' Currnnt Vahtcic Rngistratlan ` ` � � IImd11flN:F (high �ed low bnaml `" � 7r11 llghEC ° '� I ; Tu�n Signals ' � ____ ' s , , . Naroing Iinhes (eoo€ orount�d ;60 roEaEing bQacoa ' eoneainiop four saalnd beaw bulbs, each having� 35.000 � cp or strobo oapable of 100,000 ap).or �qutvalent llghtiog ►rbich �;s+at Qe viaibl� frao any anglo. Fo*vtard. ; reAr� and tiido faeing flashers, 2 each. Warning II�hES � shall nat bo obsEructed by open doors. IJa�nleg Iights N/A It dAy usa only. ' ` ' .�.�— , � IMnrior 1lghis (drivac cornpartR+ont dcx�¢,�four � � patient ca�partc�ant danea). N/A if day use only. L ' � , Exterior iights: left, rtght. an��fe�r scalsd fload i 11ght., %5" or loas abav� prow�d, minte+wn Fl00 cp. roar i stu�ll nat bs obatructed by opon doors. N/A if day uso � � ; only. � �! i llsattr (adcguate fla� and tcmperaturc to �atsc patient � compartmc�t [p 75 degree� Fahrcnhalt in ten minutes). � �..—�.. Su(f�cient toterio� hcad ranm to perfpra� CPR pvo� . �- prlrrarY Patlent. • ,_�„ - _ Sufflcicnt sECUre storaga to insure effectivc contatrnncnt � ` i of all cquipnent (n thc event of tollision qr roliover. ' ; � t •1�,_ -- � _ -. , .. • • - -.T-�- -•--- •-- -- --- -- ��i�i.3;_ � a . .4�_u�,:: . . '� '�Fi'3� �"'..� . . �9ik'�;.;� e;.,'�.:F��,:�:: �w��m� � iF _ f�� ;�j;.':�. � � .-�.�: ;_�_-. .-� . ' '.�` t�� � .5t.1;' , � ,�' ��', '� -�� �- � s� , �{ ..;�°���*��, �,�,z„� t �: ;'��' „.+��, . aA _`t'♦ C.,�.Y . =� �'.t . .s.� �s,w.. �;.a'iG-�a��.,.a�rR �. 'a's. ' ' ..._ , ..;.,.,,.,... Z . Yes '`N� . . ` , � , . • ' - . • . ' i ' Yxo-Hay radto comm►nications ability wfth rcceiving '' • _ -hospttal . . . . ' . - Pol'table suction apparatus, with wide bore tubing `� ' . and �igid pharyngcal succion tip (laderai e� imp�tt) ' - t � � Pockct mask, r.i ch OZ port - � �,. ' T�+� 02 cannulas and/or masks ' - � . � � 1'hrcc oropharyngeat ain+ays, with aduit. ehtid, and ;_,___ ' • �. . infant Si:es ' . � - . , ' Ye�tilation unic. �ag vatve nask type, xith adult. '� . ehitd, and infan[ s:ze masks. Vencilation unit r.wst • . �. " oparata in coid weather and capablo df us� Nich an , , - _ ; o�9cn supP 1 Y• . ' • ' Portabie oxygen apparatus. Hust be eapable of m�tered ` ' " � - tta+, having ad�quate tubing and s�ni-opan vatv�ta�s. . . � � t�ansparaot r�tks .+ith aduic, ehild, and infant sizas. � , j . - TMa apporocus must bc capabin of detiv�ring oxyqan a[ - . . he �ate of 10 ltters p�sr minuce. Hinia�ur of 2 "D" ` . , , ; - _ ' �ottles. � - � ehfel�s oxygen epparacus. Vehiele mugt ca�tain eQuip- � � ,pent with tha capability to d�livec oxy9�n at ths rats • , ._ - •df 10 litnra par mtnnto for t�o hours. j = • ' Tcaction splirtc, la+nr e�ccreaity ' ; ' + • � 71io non-traetion spltnts. Ai� splfnts, eardboocd� ' - voeu�n-typa �aod spiints or wi�o loddors. . . : ° Sho�t spfna bw�d. wich adequata rostralnin9 deviees , ' , . 0� K,E.D. ` �`- — • ' long sptna toord . • � __ ' �� Ortlapodie �soop type stratehar ` �_, i ,` • . �1bur aatdba�c. fil.lod wi1�.h asnd � . . ` ,_. ' Yf►roe�corv[cat coltars. oee naoh {argo..aiodium, " ' - aed senal t �opt ional)_ • � � � , T►ro bito sticks , •r , � ,. • --=—' - . • ` : - � blood pressure wtfs (sphygmomara�netees). • �'„ � - adult and pediatrta st�es _ . • . , �-� SEothoswpo -- • . ,�_ Baby syrtnge, bulb tYPe. 3 oz. ,=,,.,� . . . . Yao omcsls b�sTns andlo� eaosls bags •- ' ._._..- . ' � Fouc biankots ' " � �-"_ ` �� ' • Fou� towals � � , . _ . . —•--- ' Two burn sheets. steri la a�d k�apped � �^,,, ._.—� ._- . ' ' • - • . � . ' _ . .........-._ . - ' • :,,:.�= .._._-°----- -• • . - '-.,'-•.._ .._._. __. . ,. -- _., . :_.� __.._.. -..._-� . - �~ Y ._a„-' • ' . �� . �•:_,.;, '�pY��'4., �`7 _ y'Yyr� w'-F,';y� _,,,�' �-�='.,aX�;r.. , •�`: � =,.f� ;`��::,� _ ,� ���. �,��� r.. _ 'q.i;. �r s M � �� ., c . . L�. ,,��'� c� . fSF�3.1f��{� $�*� ...--�,�t�;ry�� .. ..af�F ..�;� �^` S��r �. .+l7.�oM�.i•w`'rri..t�-t���et.i���i��L-.:=.. ..�..�.z _ . .. . _ _ '.�¢ . . t31 ��'�' , .� ' � ' . ' .� YCS _ND _ . ' Sfx universal dressings. sterile, compaetly folded �"' � � � � . -and pstkaged in tonvenieot sizcs , . - • .• 24 gauzc pads. ster�ic� 4" x y" �'• . - Urinal, female (optionai, univcrsal urinai) • ' � � � _ Urtnat. naic (optional. univcrsai urinal) � - ' Six bandagcs, soft roller. self-adhering types, � • ' • . Hw 6" bY 5 }ards. cy+o 4" bY S Yards. and 2" . . � ( by 5 .yac�ds,and/ar tr+o 6" and four 3" . . . � • tlirce 2" wide ro11s of non-a)Iergic cypc iype, �— ' one 1" wide roll . - . YMo 3" Nide roits of plain adhcsive tape ' �- - - � 51x triangulzr bandages • " � � �� . - = Four vas�llne 9auae pads. or cquivalent .,— • �- . � NeK ro11 of �tuminum foi1, staritized and Mrapped, •- - ._ approzierately 18" x 2S", o� aquiv�,c�it ba'+y s�raddtar ` . ,Sheers and/or banoaye scissors� 7 inchcs ' �-�' ' ; ... - " • . , . . , . • . � 71w t000cc containars sterite norma_1 Sbtine sotution� � � tor Irri9otion . � . , Onn 1000ec eo�tainer sto�ite wster °�- • • Y1a I�tant Glt� . . ` � 4 .� ° � . • . `. . -_ .. . . . . Stnrlle obate�rteal kle ° �- • - . Four bottles. Syrup of Ipaeae, 30 ee .�° . , � 71ro ac�tvat�A chnrcoal �= ' (brtabto battrry-oparoted Itght. wlth a �ainimwa � ' of 2-D aolt ° . ' Flre ex[I�guisher, with eurrent inspection sticke� `'�� ° . of tho Atl purposo dry ehemieal typ�e Mlth a DC rating and a alnt�num of 10/, or aquiv�lQnt ` ' . . � , , �,. ' Ono putr ot HkST pants . ' ' • • . , ' ' VAlvor of aoy ��qui�od ltcm awat be approved by tho Rublle Safoty Councll/EMS Su4canaslttae. . _Equlpmant vatved: . Reason fo� ++aiver ' ,t . ' ' . ' . ' ,- 11/1G/84 - . . . .. . , . - - ... . . _ : - . ;�-�?' • --•_--• �-- -� -.---• . .�,. - - - . --•- ;A- ...-..-__--�_ �' ,_�—_---_----,. �'K- - � �- . - „., . . �-:� :�.;•-;';: =r.:>f',,,:, ;-.�� , ,_ ��': ;.,;± �� ���; - .� _.: ,k�y, ��J%" . � 7.`: ;::'1;�; _ � ,> _- ��� - ����� . . , :,` �i;. , _ - � - ..,: ..±l�'- �`-��°�._� � �•, ....�. . L!d'� ` �]I��C�tl CE'�l.l:l�!/ � -- .��,.�...� ' S06 east mam street asptn, colorado �1611 � PITKitI tOUNTY PUBLIC SAFETY COUfttIL/ENS SU9COMHITTEE '� ' AH9ULAI�CE INSPECTIOY SHEET � � AFfBUTANCE INfORMATtON � . Service Name:�/���(�/l/}iS 'tIrGGC"AT Fi�F/�'�7EC7'I�N d'S7R�Ci �abulance Vehicle Number. .S/JLYJ4A55 9 � Licenae Plate: V136d-7g'7 INSPE[T10'1 INfO�hATt04 � (nspector: �'el���.51��r`c- (nspecting Aqa�cy:�il"K��vr"OLfNly�l/�i��'_ Datc IfISpCCIQf�: /2-�'�-13'-I Passed I�L�x�r�lefn Yas y' Ho ' . � . ' � _ ` Yss 1!o j t .. � Currant Vehicin Ra9lsEratiae " �"� � ? IleodligNts (hiyh ond la;r baam) v'`` � i Tali Li9htx = �°' 1 Turn 519r.als ' "`� _ � 1larntng Itphes (roo� mountcd ;60 rotaEtng boaeon � eontaininp four sealed beam bulbs, eaeh haviny 35.000 ' � ep or stroHc eapahle of 100,QQ0 ep),or equivalnnt Ilghting uhich r�ust be vistbia fraa any angle. Forvw rd.� j raar� and st3o facing flashars� 2 oaeh. Harning IlghEs shall not bo obstructcd by opee doora. 1larning ilghts � ( H/A It day usn only. . � , �� I Interlor 1lghts (drivar co�partavnt doc�e, tour 1 pationt c�npa�tn+cnt doa+a�). N/A if day use only. «`' ! � Exterior tishts; loft, �ight, And�reA� sealed flood � lf9hts. �S" or loss abave e�round, minimum 8Q0 ep� roar � shall nat ba abatructcd by opcn doors. N/A If day usc on1y. `" . � - c Heater (ad�quata flo>i anA temparaturo to raisc palient eompartment to 75 degrces Fahrenhait in ten m(nutes). '� Sufftctent totorior head �oan to perform CPR aver ; prlcwry paticnt. y ,,,__�. ' i Sufflcicnc sacure storage to insure effective contala�nent , of all equtpeent in thc event of collisiun or rallovcr. v • _ � - --- -... . . . , .. .. . . • — • ---_=;-__ __--. --_- -- -.. -` �' � ; � ♦ =.�': , y.� 3� , • '�'�`a.,%� . aY:_'��i _ . .�.u��b� .: ��S�i�. • �: } _y ,: � =�r:• ..;�.- .a. _ _ ...`.�.....r ' - �,- • hµ . :.y�e� r.�-� ` u� � ��,� ��.« xS"r lt�.d '(�� `��. 3 � �`�'�'� � ��ri' rvF F '�}7.i_. '+�!+1l�� � � � � �e . 4�i 'x c: i*l:,�p'..�' �+ � .+�s:;;.' -'�"` .Z .. .+w.� . e .i ;�,,�, 1'!S �Na . t'. ' • . . . • . - . . ' . � . � ' T►w�llay radio camn�nicattons ability Mfth rccclving • - 'hospital • - ' � Portable suctton apparacus, afth NTdc barc tubiog �' • , and tigid pharyngcal suction tip (laderal cr impaet) � � ' Poekec aask, Micb 02 porr � ' '� " Tao 02 eannufas and/or masks " . v� ?i4rcc oropharynqeaf ain+ays� with adult, ehild� arfd +� • • . � infant sizes ' . ' . , . ' Yentitation unit. bag vatve nask type, Niih adulc, +� • • • , chtid, and iofaet site masks. Vencif�tion unit must . • " operate in cold .reather and capabl� of use Mith an _ - . oxygcn supply. . ' .. � � • � Portable oxpgcn appa�atus. ttust be eapable of inetered � ' �� � . floN, having adequate tubing and smni-opan valvc��ss. . - transp��ant masks with adult. child. and infant sizes. � � ' • 7?►o apparacus asust bo capabta of deliveritig oxygan at • . . • thn ratc of 10 titers per mtnuc�, Minimur of 2 "p" - • • � . bottt s. � . . . : _. ' Vehie�+e oxygen apparotuz. Vehiele must eo�tain rquip- � ' . .rnaet Nith the eapabFlity to dnllver oxygen ac thee rete . ._ •oF 10 lito�s pnr minucc for tMO hours. " � . . ; � �" Traetion sptint� tower excremtty � - � - - • • TNO non-troction spiints. Atr spitnts. cardboard, �-- - - vaee�an-typa aood spltets or wlra laddero. , . _ , • Short sptnn board, witb odoquata rnst�aininp devlens ,o, ' • . o� K.E.O. - ` ' - r , ' toep 4pino toard . . v- �— , . " Orthopedie ccoop typa��trateher ' � ,, __ ,` � ' �1DUt sur►dbaqo, l311od vrith aat�d � . . � ` ' ' Thrno�eervleal col ta�s. one each iargo..mndium, k:- . ; and sa+al! (oattooal) . ' 7w�o 6ite sttcks � • .f � ' ' .. F� ' ' _ ; . . ' a , • - 11+o bload prasaure eu(fs (sphygmomaoon�oters). �' i:'. ' adult and pediatrfc stms • , , . �� Stathoscope � .. . e.' , , . . laby syrtnge. bulb tYPe• 3 oz. t-- ; , ' . . . Ywo Qaesis baslns and/or a�aosis baga • f� • Four blankots ' - � �-- . . •� ' • POYr �OWOIS - . . r-- Tra bu�n sheots, scerila and wrappcd . "" ' - . " � ' � -' .. :' ' � • . . • �� . • • , ��....--- ._.-- -- -- - ----- - '-.,- --._� .... __ _ . :. _ =-"- • - --- - � ----• --- • - � � + ' ,�. :s:.:. -.. . . . �>=�, - , .�•_:=;�y � ;x.s,=::��_ -y,,:s.- '�,x ''- t�'�'�+'�'� . .t..n"'� `--' .�`r' �� � i :�'.,.-,:.��s ��. , . �, .. ' t�^ ���.� -.,, s , �.� , �� �• � � r .�.:{� A' I �;" � �`.=�i:. , � ,� � �f�., �, - � � �,,. ._:::.�.�. 4':.-`?�+'"��,.�:::��`�.�.,�::.°:. .r:�" . . . ' .; - �. ,� ""•�" " . • ' • . ' . ' Yes -Ho - ' � Stx univcrsal dre3sings. sccrtic, compactly fotdcd �-' ' ' ' . ' end packaged in convenicnt sizes . . � •,' 24 gauze pads, sterile. 4" x�4" . +-- - � - - U�Inai. female (optional. universat urinal) • ' r-- " . ' Urieat� male (optional, univc�sal urinal) .— : ' ' SiX bandages, soft roller, self-adhering types. � • • . two 6" by 5 }a�• tr�t► 4" by 5 yards, and 2" ' br 5 .yarbs,and/o� cao 6° and four 3" ' .� ' Tfirce 2"wide roils of non-ailergic type iype. ''� - one 1" Nide roli • .' • � y1+o 3" wide ro11s oF plain adhasive tape - ✓ � ` � ' S1x crlangulrr bartdages � • - � v • � . • Four vasrltne gauzc pads, ar equivelent � - ` ' t1e►�r roll of atuminun► foil, steriiiznd and wrappcd, ,� � ' �,: _. opproximatcly 18" x ZS". ar cquivalent ba.+y sMaddlar � ` � . , Shears and/o� banda9a seissors. ] tnches �--'- � ' � , , . . ti 'Mo. t000ce contoina�s scerite nora►ai s0lina solution. �°—" • . - � for trrtflocton . . . Onn t000ee co�taino� cterile water . � Z�— ` � '11w 7natant Gl•acooe ' . ' • '. , • ' �+- , � . . . . . ` . Sterllo obatetrteat kit • �..- • ; . , Four botclQa. Sywp of Ipneac, 30 ee ' ..—°- , . � 1wo aeEtvaEnd elu�rcoal . „�_ ' Porta4ln battrry-oparoted 11ght. witM a minimum ,,�• or 2-o aolt • ' Flro axitaquislw�, wtEh curreec faspettton sttcker �" , of tho ail purposc dry clwmical typo Mith a 8C roting - and a eatntnwa of 101. or cquivalont ` � . ' � One patr of MAST pants �� - ' N°'� � , Wlver of any �equtred item nwst 6o approvcd by tho Publie Safnty Councii/EMS Subco+uui t tee. . .Equlpment ►�aivad• � Reason for walvcr• .' . . . , • ' � 11/16/$�3 f ' - - ' - . ' ; . . . ,. . . . . . ... _ _ .. , ..:.A!"".�„ '"_ ' ''. ' _':�• . .�ti, . ' , ".r-' . _ '� ...-w-..- ..'`�._......�__. .._M�.�.�..�.��-i. : � � + �c s ,, ' _a,_...,.-`:..-" =,�._._f..,.:���. � '� � �-= �.��}�4 '7,��3"'�`,''. �t � s:; +' -ii ." .n7�!x';,� . �}J+"' "