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Home My WebLink AboutHAZMAT 03-3576 - 12642 INTERURBAN AVE S - HAZMAT RELEASE INVESTIGATION W/ NO HAZMAT ON 10/29/200312642 INTERURBAN AVE S HAZMAT RELEASE INVESTIGATION W/ NO HAZMAT HAZMAT # 03-3576 Incident Report 2003-0003576-000 Tukwila Fire Department O Basic Alarm Date and Time Arrival Time Controlled Time Last Unit Cleared Time Response Time Priority Response Fire Department Station Shift Incident Type Aid Given or Received Alarms Action Taken 1 Apparatus - Suppression Personnel - Suppression Personnel Property Loss Contents Loss Property Value Contents Value Hazardous Material Released Mixed Use Property Use Location Type Address City, State Zip District Census Tract 10:00:00 Wednesday, October 29, 2003 10:16:00 10:16:01 11:58:00 0:16:00 Yes 52 C 671 - Hazmat release investigation w/ no hazmat N - None 1 42 - Hazmat detection, monitoring, sampling, & analysis 2 4 $0.00 $0.00 $0.00 $0.00 N - None 59 - Office use 849 - Outside storage tank Address 12642 Interurban AVE S Tukwila, WA 98168 001 0262.00 Apparatus - E52 Apparatus ID E52 Response Time 0:16:00 Apparatus Dispatch Date and Time 10:00:00 Wednesday, October 29, 2003 En route to scene date and time 10:00:00 Wednesday, October 29, 2003 Apparatus Arrival Date and Time 10:16:00 Wednesday, October 29, 2003 Apparatus Clear Date and Time 11:58:00 Wednesday, October 29, 2003 Apparatus priority response Yes Apparatus Personnel Amount 1 $0.00 Apparatus Personnel Amount 2 $0.00 Number of People 3 Apparatus Use 1 Apparatus Action Taken 1 Apparatus Type Personnel 1 Personnel 2 42 - Hazmat detection, monitoring, sampling, & analysis 11 - Engine 1137 - Reed, Ken Position: LT Personnel Action Taken 1: 42 - Hazmat detection, monitoring, sampling, & analysis Amount 1: $0.00 Amount 2: $0.00 1121 - Hayman, Ben Position: FFIII Page: 1 Printed: 10/30/2003 06:48:34 ., Incident Report 2003-0003576-000 Tukwila Fire Department Authority Reported By Officer In Charge Reviewer 1137 - Reed, Ken 06:45:27 Thursday, October 30, 2003 1137 - Reed, Ken 06:45:30 Thursday, October 30, 2003 L -r . lL_(2-(4 Narratives Narrative Name Narrative Type Narrative Date Author Author Rank Author Assignment Narrative Text New Narrative Incident 06:40:19 Thursday, October 30, 2003 1137 - Reed, Ken LT 1 At 1000 hours on Wednesday October 29, 2003 we were dispatched to a hazmat release investigation with no hazmat. One unit was assigned to this incident. Three personnel responded. We arrived on scene at 1016 hours and cleared at 1158 hours. The incident occurred at 12642 Interurban Ave S, Tukwila in District 001. The local station is 52. The Page: 2 Printed: 10/30/2003 06:48:35 Apparatus - E52 Personnel 3 Personnel Action Taken 1: 42 - Hazmat detection, monitoring, sampling, & analysis Amount 1: $0.00 Amount 2: $0.00 1181 - Popejoy, Toby Position: FFII Personnel Action Taken 1: 42 - Hazmat detection, monitoring, sampling, & analysis Amount 1: $0.00 Amount 2: $0.00 Apparatus - B51 Apparatus ID Response Time Apparatus Dispatch Date and Time En route to scene date and time Apparatus Arrival Date and Time Apparatus Clear Date and Time Apparatus priority response Apparatus Personnel Amount 1 Apparatus Personnel Amount 2 Number of People Apparatus Use Apparatus Action Taken 1 Apparatus Type Personnel 1 B51 0:16:00 10:00:00 Wednesday, October 29, 2003 10:00:00 Wednesday, October 29, 2003 10:16:00 Wednesday, October 29, 2003 11:58:00 Wednesday, October 29, 2003 Yes $0.00 $0.00 1 1 42 - Hazmat detection, monitoring, sampling, & analysis 92 - Chief officer car 1108 - Ewing, David Position: CAPT Personnel Action Taken 1: 81 - Incident command Amount 1: $0.00 Amount 2: $0.00 Authority Reported By Officer In Charge Reviewer 1137 - Reed, Ken 06:45:27 Thursday, October 30, 2003 1137 - Reed, Ken 06:45:30 Thursday, October 30, 2003 L -r . lL_(2-(4 Narratives Narrative Name Narrative Type Narrative Date Author Author Rank Author Assignment Narrative Text New Narrative Incident 06:40:19 Thursday, October 30, 2003 1137 - Reed, Ken LT 1 At 1000 hours on Wednesday October 29, 2003 we were dispatched to a hazmat release investigation with no hazmat. One unit was assigned to this incident. Three personnel responded. We arrived on scene at 1016 hours and cleared at 1158 hours. The incident occurred at 12642 Interurban Ave S, Tukwila in District 001. The local station is 52. The Page: 2 Printed: 10/30/2003 06:48:35 Incident Report 2003-0003576-000 Tukwila Fire Department Narratives general description of this property is outside storage tank. This is a mixed use property described as office use. The primary task(s) performed at the scene by responding personnel were material detection, monitoring, sampling, and analysis. No mutual/automatic aid was given or received. Alarm number 0003576 has been assigned to this incident. E52 and B51 responded to the scene of two propane cylinders that were brought in by a customer that had a suspicious odor coming from them. E52 arrived and re -conned the tanks by taking pictures, we found no leaking, no odor, the valves intact but a green discoloration next to one valve. B-51 arrived and called for Haz-Mat 52 and E-53 so that we could perform the approiate tests on the tanks which were all negative. DOE was called for recovery and all returned in service. Lieutenant Ken Reed End of Report Page: 3 Printed: 10/30/2003 06:48:35 i4/29:,(p3 Iriciderlt Received Entered Dispatched Enroute Onscene Closed 15:33:45 PRINT REQUESTED BY TERMINAL TFT7 History for:#TF03003394 CN: $TF03003576 Xref:#TP03029543 10/29/03 10/29/03 10/29/03 10/29/03 10/29/03 10/29/03 Initial Type:HZINV Final Type:HZINV : 1 Police TP100 Fire Police Rms: 09:58:41 BY CR08 /VC9243 10:00:33 BY CR08 /VC9243 10:00:51 BY FD23 /VC0496 10:47:24 10:04:28 13:15:37 TG: Initial Alarm Level:1 (HAZ MATERIAL INVESTIGATION)Pri:2Dispo: Alrm Lev TF5351 Grp:T7Beat: Lt/Lg: Fire Rms: Medic Rms: Loc:12642 INTERURBAN AV S ,TUK -- SUBURBAN PROPANE C (V) Name:WOLSEY, DUANE /EMPLOYEEAddr:SUBURBAN PROPANE Phone:2062441530 /1000 VC9243 CR08 ENTRY PD HAS CALL. CUSTOMER BROUGHT IN SOME PROP ANE CYLINDERS THAT HAVE PROBABLY BEEN USED I N METH LAB.. .. ONE IS EMPTY , OTHER HA S SOMETHING IN IT, BAD ODOR FROM BOTTLE. /1000 CR08 $ASNCAS $TF03003576 /1000 VC0496 FD23 DISP E53 #TF2065 PETERSON, LAVERN /1000 FD23 /1001 FD23 /1004 /1004 /1007 /1007 /1008 /1010 /1010 /1013 /1016 /1044 VC4899 FD24 FD24 VC0496 FD23 VC4899 FD24 FD24 VC0496 VC4899 FD24 FD24 FD23 FD24 FD24 /1047 VC5998 FD23 /1057 TF2065 E53 /1113 VC4899 FD24 /1115 FD24 /1118 FD24 ASST B51 CONTRL MISC B51 NEWLOC B51 PGRSNT E53 PREMPT E53 ASST E52 #TF1593 DYER, STEVE #TF7597 BUTLER, WES C/F3 #TF8163 EWING, DAVE C/F3 GRP: T9 ---> T7. ,MONITORING [MONITORING ] ,FD23:ARE U RESPONDING [MONITORING ] #TF9701 REED, KEN #TF8523 HAYMAN, BEN #TF4756 POPEJOY, TOBY ENROUT E52 CHGLOC E52 [TO LOC ] PGRSNT B51 ,FD23:DISREGARD THE CALL TO F1 . FOR B51 ONSCNE E52 SUPP ,FIRE ON LOC REQ PD TO RESPOND UNK IF THEY WANT TO MAKE A REPORT ASSTER E53 [TO LOC ] #TF2065 PETERSON, LAVERN #TF1593 DYER, STEVE #TF7597 BUTLER, WES *ONSCNE E53 NEWLOC B51 MISC B51 MISC E52 [SUBURBAN COMND ] ,ONE ENTRY TEAM ENTERING THE HOT ZONE ,PH NUETRAL Ad120%. FD24 MISC E52 ,NEG ON THE AMONIA TUBE & NO CHANGE ON GAS MONITOR /1121 FD24 MISC B51 ,ENTRY TEAM IS OUT OF HOT ZONE /1137 VC0496 FD23 CLEAR E53 /1141 VC4899 FD24 NEWLOC B51 [12642 INTERURBAN AV S ,TUK] /1158 FD24 CLEAR E52 /1315 FD24 CLEAR B51 /1315 FD24 CLOSE E53 TO: FROM: SUBJECT: DATE: Tukwila Fire Department InterOffice Memo City Attorney Diann Martinez Incident Report Request March 2, 2004 FILE 3luloy MAR 0 3 2004 Attached is a request, from Ben Hamilton with HSEES Program, regarding incident #03-3576. Will you authorize the release of the attached report? 04/6 j ",,,03/0/2004 13:35 FAX 360 226 2261 DOH EHS : a 002 STATE OF WASHINGTON DEPARTMENT OF HEALTH OFFICE OF ENVIRONMENTAL HEALTH AND SAFETY fi IOf+ 7171 Cleinwater Lane, Building 4 • P.U. 47825 Olympia, Washington 98504.7825 A ' TDD Relay Service (800) 833-6388 , March 1, 2004 Tukwila Fire Department `1.14a21 444 Andover Park East Tukwila, WA 98188 Fax: 206-575-4439 To Whom It May Concern The Hazardous Substances Emergency Events Surveillance (HSEES) program of the Washington State Department of Health collects data on emergency releases of hazardous materials which threaten the public health. Information on incidents involving hazardous substances is provided to the Department of Health by local, state, and federal agencies mandated to manage emergency releases. I am currently investigating an incident that your department may have responded to that occurred on: October 29, 2003. The location of the incident was: 12642 Interurban Avenue South, Tukwila. Ths incident involved: Substance (ammonia?) from propane tank exposes employee acid possibly a responder. Please FAX (or mail) a copy of your incident report to me and indicate the chemical released, if it is not identified in your report. Victim information needed for our surveillance program includes: nature of the injury, age, sex, and whether the injured individual is a responder, member of the general public, or an employee where the incident occurred. We do not disclose personal identifiers on individuals. The information you provide to us significantly contributes to developing accurate profiles of hazardous material events in Washington State_ 1 welcome your questions, please call me at (360) 236-3364 or my e-mail address is benjamin_hamiltonedoh.wa.gov; my fax # is (360) 236-2261. Please visit our website at www,doh.wa.gov/ehplts/hsees.htm for more information about the HSEES program or for reports on hazardous material releases. Thank you for your assistance_ Sincerely, Ben Hamilton, HSEES Investigator WA Department of Health/ HSEES Program P. 0. Box 47825 Olympia, WA 98504-7825 City of Tukwila Fire Department Fax Transmittal Fax Number (206) 575-4439 To: Ben Hamilton Date: 3/4/04 Title: HSEES Investigator From: Diann Martinez Company: Title: Department: Department: Fax No. (360) 236-2261 Total No. of Pages Transmitted, Including This Cover Sheet: 4 Sent By (Initials): dm Subject: Requested Records (#03-3576) Comments/Message: Per your request...this is our report of the requested incident as you can see in the narrative all the tests came back negative. If you should have any further questions do not hesitate to call us. If This Communication Is Not Clearly Received, Please Call: (206) 575-4404 Tukwila Fire Department Headquarters - 444 Andover Park East, Tukwila WA 98188 (206) 575-4404. Martinez/Word/F:Faxtrans.doc T.F.D. Form 51