Brian@briangameson Plus Com 151011 20090624

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Welsh Ambulance Service NHS Trust - PCS and ACS Operational Journey Sheet Crew Name 1 : Mr Brian Gameson

Pin No.

Driver AM/PM

Call Sign

Crew Name 2 :

Pin No.

Driver AM/PM

Vehicle Reg: KP06 ESU

Sheet 1 Run

of

3

Patient Name

From

Destination

Appt Time

Mob

NP11 6GN 7 Grove Road Risca Newport St Woolos Dialysis Dialysis 8.00 Newport NP20 4SZ

08:00

T1

Ms Pauline Clarke 00297088

NP11 6LD 3 Islwyn Court Risca Newport St Woolos Dialysis Dialysis 7.30 Newport NP20 4SZ

07:30

T1

01

Ms Pauline Fawcett 00261465

NP19 8NZ 18 Rothesay Road Newport

Velindre Hospital Main Outpatients Cardiff CF14 2TL

09:00

T1

02

Velindre Hospital Main Outpatients Cardiff CF14 2TL

09:30

T1

Unk Thamilmani Titus NP20 1EU 41 Emlyn Street Newport 00297293 >>>>>> Chemo Day Unit On 24/06/09

Shift Finish Time Printed : 23/06/2009 15:10:11

Date: 24/06/2009 Wednesday

Speedo Close

Total Mileage Journey Times

Ms Jenny Clarke 00297084

Shift Start Time

Speedo Start

Journey Details

01

02

: SV177

Vehicle Refuelled (Attach Receipt)

Radio Check Time

Esc

Mobile

Arrive

Leave

Dest

Clear

At Base

EMI Signature

1RE

Meal Break Time/Auth Code

Oil Check

Water Check

Tyre Check Equipment Check

Initials

Welsh Ambulance Service NHS Trust - PCS and ACS Operational Journey Sheet Crew Name 1 : Mr Brian Gameson

Pin No.

Driver AM/PM

Call Sign

Crew Name 2 :

Pin No.

Driver AM/PM

Vehicle Reg: KP06 ESU

Sheet 2 Run

of

3

Mob

Esc

Unk Thamilmani Titus Velindre Hospital Main Outpatients 00297294 Cardiff CF14 2TL >>>>>> Chemo Day Unit On 24/06/09

NP20 1EU 41 Emlyn Street Newport

11:00

T1

1RE

Ms Pauline Clarke 00297089

St Woolos Dialysis Dialysis 7.30 Newport NP20 4SZ

NP11 6LD 3 Islwyn Court Risca Newport 12:30

T1

04

Ms Jenny Clarke 00297085

St Woolos Dialysis Dialysis 8.00 Newport NP20 4SZ

NP11 6GN 7 Grove Road Risca Newport 12:00

T1

04

From

Llanfrechfa Grange Hosp Hydrotherapy Cwmbran NP44 8YN

T1

Mrs Sian Jones NP13 1SB 48 Rose Heyworth Road 00297303 Abertillery >>>>>> (01495 212007)

Shift Start Time Shift Finish Time Printed : 23/06/2009 15:10:11

Date: 24/06/2009 Wednesday

Speedo Close

Total Mileage Journey Times

Appt Time

05

Speedo Start

Journey Details Destination

03

Patient Name

: SV177

Vehicle Refuelled (Attach Receipt)

Radio Check Time

13:30

Mobile

Arrive

Leave

Dest

Clear

At Base

EMI Signature

1RE

Meal Break Time/Auth Code

Oil Check

Water Check

Tyre Check Equipment Check

Initials

Welsh Ambulance Service NHS Trust - PCS and ACS Operational Journey Sheet Crew Name 1 : Mr Brian Gameson

Pin No.

Driver AM/PM

Call Sign

Crew Name 2 :

Pin No.

Driver AM/PM

Vehicle Reg: KP06 ESU

Sheet 3 Run

06

of

3

Patient Name

Shift Finish Time Printed : 23/06/2009 15:10:11

Speedo Start

Date: 24/06/2009 Wednesday

Speedo Close

Total Mileage

Journey Details From

Mrs Sian Jones Llanfrechfa Grange Hosp Hydrotherapy 00297304 Cwmbran NP44 8YN >>>>>> (01495 212007)

Shift Start Time

: SV177

Journey Times

Destination

Appt Time

Mob

Esc

NP13 1SB 48 Rose Heyworth Road Abertillery

15:00

T1

1RE

Vehicle Refuelled (Attach Receipt)

Radio Check Time

Meal Break Time/Auth Code

Mobile

Arrive

Oil Check

Leave

Dest

Water Check

Clear

At Base

Tyre Check Equipment Check

EMI Signature

Initials

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