Emergency. I was very impressed by their participation, taking the drill serious as well as the other agencies that assisted us in that drill. We had the agency chief williams, excuse me. Could you start at the beginning for those who may be watching and dont know what the vigilant guardian drill was about . Just, give those folks some framework. Of course. Assistant deputy chief francisco give us an overview and then i can continue with my role as well as his role. Thank you. Welcome, chief. Assistant deputy chief shane francisco, Homeland Security division. Large scale exercise involving radiological incident in San Francisco and the bay area. Occurred over a week long, a lot of training leading up to in the months ahead of time. Two aspects of radiological terrorism incident. First part of the drill was what we call left of boom. Detecting it, mitigating a radiological threat before it goes off. So, what about is about, dirty bomb, just give you a brief background. Dirty bomb, an existing radiation source and use an explosive to spread the existing radiation. It does not create Nuclear Explosion like nagasaki or hiroshima. This is radiation material and spreading by means of explosive. Scenario was, intel was developed that would, that Law Enforcement had word that a terrorist organization had stolen radiological material, they practiced methods to intradict that stolen material prior to a dirty bomb going off. So they practiced that throughout the bay area in the days leading up to it. Our portion as the Fire Department is the right of boom, after the explosion has happened. The Fire Services role in that. So we did a scenario over by station 4 where a car bomb, a dirty bomb went off. We responded to it and we practiced doing an m. C. I. , a mass casualty incident, 50 patients, hot zone, detect radiation present, respond to it and rescue the people out, triage them, and transport, the hospitals also did participate in the drill. Their portion was to receive contaminated patients and practice decontamination prior to going to the emergency room. So deal with that, m. C. I. , identify radiation present and recognize there are hot zones and establish the hot zones for the radiation fields so we can catalogue the responders safety to the incident. Our people would time out due to lifetime exposure limitations of radiation so they can no longer go into the hot zone. As such, now we need mutual aid to come in. At that point we magically transported this incident to Treasure Island. At Treasure Island we have rubbpiled there and buildings to practice this, so mutual aid to do hazmat work there and rescue as well, those Mutual Aid Companies practice going into the hot zone. They also timed out due to the lifetime radiation, they can no longer go in because of a lifetime dose of radiation. Who comes in next . We practiced mutual aid from the National Guard and from the California Task force. Three out of menlo park, and out of oakland, urban search and rescue. Simulated collapsed buildings, they conducted rescues throughout the training facilities. So very large scale, involved many agencies from the federal side, department of energy, Domestic Nuclear detention office, f. B. I. , Law Enforcement, fire, multiple Fire Departments from and the county and the region, and National Guard as well. One of the components that came from the National Guard was a medical component. So the 95th Civil Support Team out of hayward, a w. M. D. For the National Guard, a great partner with the fire service in the bay area the last 20, 30 years, medical component, and augment a medical suite with 550 people. Basically come in, and in an hour a tent set up and receiving patients. E. R. Doctors. Even in the event of a disaster, say an earthquake. We learned lots there. Lots of players coming in. We practiced mutual aid system from local level going all the way up to the state and federal level to come in and deal with a radiological incident if it were to happen here in the San Francisco bay area. Thank you very much. Chief, did you want to add something . Ok, did you want to add something, chief williams . I just want to acknowledge that assistant deputy chiefs hard work in the planning and preplanning, a lot of agencies participated and i was able to observe the suppression portion of this and he was able to observe the military portion over on Treasure IslandTraining Facility, and from d. M. Involvement, sheriff, police, as he mentioned, f. B. I. , alameda county, we had the helicopter land. It was very impressive, and as i said, everyone took the drill very seriously, participated as if it was a real actual incident and i just want to commend the assistant chief on the scene as the incident commander, she took control and mitigated the incident very well and i was really impressed with all of our participants, both local and regional and national level. Commissioner covington i want to thank you very much for that summation, i was not able to attend any part of the vigilant guardian exercise because i was in boise, idaho, but i did read, you know, the scenario, the name of the group, you know, the progress over the three days i think it was, and i have some questions that i can pose to you offline. But the amount of preparation that just went into that particular document was quite impressive, and you know, just setting up the scenario as well as pointing out all of the reasons San Francisco is a key target for terrorists, home grown and foreignborn both. So, i really want to thank everyone for participating at such a high level and as you said, repeatedly, chief williams, you know, for taking the drill so seriously. And also [laughter] is this an annual event, is it going to be every other year, or how often . Right now, this is the first time we have done this exercise on this scale. I see either parts of it being exercised annually or becoming an annual thing. So its right now unknown. Commissioner covington well, again, my hats off to everyone for participating hes who did the preplanning. Because planning is so very important, the execution goes smoothly, and and folks, hey, folks. Ok. Thank you. President cleaveland thank you, commissioner covington. This was an important discussion and thank you for broadening it and getting more information on the table. Commissioner covington im sorry. I want to acknowledge the volunteers, as chief francisco mentioned, over 50 volunteers scenario with the overturned bus and automobiles and like i said, they put a lot of work into this. This was a big deal for sure. Chief francisco, and i think Vice President nakajo has additional question. For chief gonzales. I want to thank, i forgot to thank for procuring and the equipment and the apparatus, all of you commissioners for helping, and a joint effort. Thank you. President cleaveland all right. Additional questions. Go ahead. Thank you, mr. President. Before you conclude, i just want to ask a question on your first page operation report last paragraph theres a reference communicated command talks about the union pulling ceilings and sounded like there was some clarification in that. Do you want to comment on that for clarification for the commission . The Rapid Intervention crew as you know, on the fire ground, usually stationed or positioned near the command post for use for rescue of our members in trouble inside the building or sometimes used for exterior operations. Somehow this crew got inside, was pulling ceilings. The commander recognized that so she pulled them out, and let fire attack know we had other companies out here for the second alarm that she can use. That point was clarified. Yes. Thank you very much, thank you, mr. President. President cleaveland thank you. I had one question for chief francisco if you dont mind. How many firefighters do we have that are booked to respond as hazmat people . About 200 firefighters in our Department Hazmat specialized trained. Hazardous material spills or whatever. I know probably other City Departments that have personnel trained for hazmat response as well, or we are the key or the major department. Thats correct. Hazmat situations, right . We have about 200 members trained to the hazmat specialist level, 242 hours of hazmat training. Our dedicated unit, engine 36, has hazmat one. They have six people there, so four on the engine company. Battalion 2 chief and aid are also trained to the same level. Upon any hazmat incident here in San Francisco, the hazmat team can respond along with our city partner, department of Public Health and emergency responders, industrial hygienist there, they respond as well, and they perform the function of technical reference for us. Also the county authority on hazmat. So, they can make the call if we are going to close this building or so forth, or transport a small amount of hazmat, they are licensed to do that. So we respond together with them. If its a more major hazmat incident, we can call both rescue squads and they can augment the entry team and so forth. Very good. Thank you very much for that clarification. Vice president i should say deputy chief gonzales, continue your report. And i think commissioner covington had a few additional questions. Commissioner covington yes, very quickly, thank you, mr. President. I had a question regarding the ambulance deployment facility. There is a mention that the budget discussions are ongoing and i was wondering if perhaps you or mr. Coreso would be able to tell us when the budget would be locked down. Its i can comment on it but i would say assigned to this task is Deputy Director coreso, as well as assistant deputy chief zanoff, and i believe attended a meeting yesterday. Can you give an update . Welcome. Good morning, we had a meeting yesterday, we meet every other week with the design team, d. P. W. When we had our discussion yesterday the plans are going to go to permitting, to the permitting process in december of this year. So the budget is pretty well looked down on the designs almost complete to the point we can submit them for permitting. So we are looking, hopefully, like i said, d. P. W. Assures me we are absolutely on track and on our time schedule for the development of the plans and for submission for the permitting process. And what is the budget . Its in the, between 20 and 30 million. Its more than that, huh . Mr. Coreso. How much is it exactly . Good morning, mark coreso. The 20 to 30 million that the chief mentioned is just for the construction portion of it. I believe the total budget is 45 million for the entire encompasses the entire project. Okay. So, that is the lock down budget currently. Is it going to increase, do you think, from 45 million . You know, in fairness to you, why dont we discuss this perhaps at the next meeting. Ok . And that way youll have yes, ok. Because i understand you just had the meeting yesterday, so all right. Thank you. I think that will be better. Those are all the questions i have right now. Thank you. President cleaveland ok. Thank you, commissioner covington. Just had a couple of questions chief gonzales. I know that apparently there was an adult female got stuck in a bunker and she, after she managed to squeeze into it and the crews had to cut out the cement wall to rescue her . She was not injured, but did we bill for that service . No, we dont. We dont bill for that service. We dont bill for stupidity, and hopefully dont get build for damaging the bunker. Just bog gles your mind sometime. On october 19th, a fully clothed male vanished into the surf and presumed d. O. A. Question mark, did the body, was the body ever found . When we report the report, no, but i can get an update from lieutenant baxter. Sometimes they do, they are found later. Sometimes not. Right. I know that you had a fire on an molimo drive, and one person died in that. Do we know what the cause was of the fire . Let me see, does it say here anything . I i can say it was i responded. Accidental, but its fire marshal or the chief who went to the fire. Cause and origin, defer to the fire marshal, i did respond to the fire and an adult male found by our crews at the front door that from smoke inhalation probably, right . Burns and smoke inhalation. I would speculate, yeah. Dont know what the cause of the fire was . Fire marshal on the spot here. Welcome. Good morning, commissioners, chief. The fire is currently under investigation at this time. It has been determined to be accidental. We have a pretty good idea but at this time its probably not appropriate to go into any kind of detail. Cant talk whether it started in the kitchen, smoking or cigarette. Looked like it started t he rear, the outside of the structure. Ok. Smoke alarms, any idea whether or not . I dont have that information in front of me. Twothirds, every month or so you hear that, excuse me, can i commissioner hardeman yes, just like every month or so now its like 65 , 67 you hear this over and over again about the news trying to make the public aware of how no smoke alarm or no battery in a smoke alarm and twothirds of all the deaths are caused, and so bears repeating year after year, its amazing when they are so available now. And the tenyear battery life on all the new ones that are sold, presumably, people keep dying, speculation on this may be that smoke alarm was not working accurately. Well, i cant go into detail. I would not make that assumption at this point. I cant go into detail but would agree with you about the importance of smoke alarms. Probably the single greatest thing, an individual in their home could do, to have them installed and maintain them. Commissioner hardeman sorry for the interruption. President cleaveland a couple of questions probably for chief zanoff. I know that you have, you have to maintain the ambulances and whatnot, and maybe its another chief has to answer it, what are the biggest issues with keeping the ambulances working and running . What are the biggest issues . The repairs needed to the boxes and the frames that are cracking because of the way that the vehicles torque when they go up and down the hills. Thats the biggest thing. It can be up to a month for them to weld all the frames and everything because it needs to go to a manufacturer to do it. Other than that, its general mechanical issues, you know, the vehicles are on the streets almost 24 hours a day, seven days a week, they just get run down. So because the ambulances are very high . Its more the frame and the cab and then the box is mounted on the back. And they actually move relative to each other when the vehicle makes these turns on steep hills, the box leans one way and the frame and the cab the other way, so stress there. A lot of stress, yes. And like chief rivera reports, we build the engines for the hills in San Francisco, try to do the same thing for the ambulances, but stressors on them. No way we can design it do not have the push and pull. Chief, would either of you want to comment on the Pilot Program for the newer style . Yes. One of the things we are looking at right now, instead of a vehicle in two pieces, we are getting single body vehicles, sprinter model, single body vehicle on a single body frame that should not suffer the same stressors as a twopiece apparatus would. Good, good news. Two of them as a pilot project. Should be delivered hopefully by the end of the year or early into next year, and then where he will use them on the streets with crews, and give us evaluations and evaluate how they work. President cleaveland thank you, thats very good news. I was wondering about that. And just one other question for you, dealing with the High Frequency callers that call our system, our 911 system, more than four times a month. How many do you estimate we have in the city that call 911 more than four times a month . Ill ask dr. Yay to come up. In his head good morning. Medical director for the department. So, the question you are asking about the number of High Frequency users, sort of depends on what level you are asking. Number of people who activate 911 services more than four times is quite high. We, but if you are referring more to the e. M. S. Six program, we actually focus on kind of a smaller subset of people that our transport units encounter and we identify as needing additional services. There are a lot of reasons people may need to contact 911 and have e. M. S. Service unrelated to being what you might think of as High Frequency users. That is a person who has just been discharged from the hospital, who may have some chronic medical illness, maybe just there for pneumonia, congestive heart failure, they may have a lot of contacts with the medical system. E. M. S. 6 is more dedicated to people who have complex psycho social needs. Chronic issues. Longer term chronic issues. But we have in the last month, excuse me, in september, we had about 84 unique individuals, e. M. S. Six was working with sort of on, you know, targeted basis, if you will. But thats a very, very small portion of the overall number of people who are activating or requesting services more than four times a month. President cleaveland whats the average . Whats the average every month of people in the city calling 911 four times or more. Average number. I dont think i could answer that with a lot of reliability. If you mean calling 911, we dont have a lot of individual data on people who are calling specifically, but i would say that people who, you know, we transport, you know, more than four times a month, i think that president cleaveland track it by addresses, generally speaking. Thats correct. But as you can imagine president cleaveland easy to pull up from a computer and run that. More than one person or patient that live at the same address. Address that we get dispatched to, it could be somebody either in front of that address and appears in the cad as the address or it could be one family member, another family member, a visito