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HENNEPIN COUNTY SHERIFF’S COMMUNICATIONS DIVISION <br />CARBON MONOXIDE ALARM RESPONSE FORM <br />CITY/TOWNSHIP NAME <br />CITY MANAGER NAME (Please Print) <br />Cm^ MANAGER PHONE NUMBER <br />Select One <br />Level I Response <br />Police and fire service (and where illness indicated, an emergency medical unit) response <br />to all carbon monoxide alarms. <br />Level n Response <br />Police and fire duty officer service (only for agencies with “duty officer” program) to all <br />carbon monoxide alarms. Any indication of illness results in a Level I response. <br />Level in Response <br />Police given routine radio call to contact complainant, cither in person or by phone, and <br />advise complainant on course of action. Any indication of illness results in Level I <br />response. <br />CITY MANAGER SIGNATURE <br />Return in enclosed envelope no later than September 6, 1996.