Issued Equipment Inventory
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1
2Exhibit 11
DeKalb County Fire Department
Issued Equipment Inventory
The below listed equipment has been issued to _____________________________.
All equipment listed on this form shall be accountable to the above person and returned
in proper condition upon departure from the Department:
Firefighting Equipment
Description
Condition
Date Issued
Serial #
Model #
Code
Pager
2-Way Radio
Bunker Pants
Bunker Coat
Suspenders
Gloves
Glove Strap
Helmet
Helmet Light
Boots
Hood
Bunker Gear Bag
Fire Dept. I.D.
SOG’s
Station Keys
Remote Door
Opener
Condition Codes: 1=New 2=Good 3=Fair 4=Poor 5=Not Issued
Notes:________________________________________________________
_____________________________________________________________
Signature of Receipt: ____________________________ Date: __________
Signature of Return: ____________________________ Date: __________
Approval of Return: ____________________________ Date: __________
(continued on back)
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