The URL can be used to link to this page

Home My WebLink AboutHAZMAT 05-1056 - 13138 INTERURBAN AVE S - GASOLINE OR OTHER FLAMMABLE LIQUID SPILL ON 4/2/2005This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. 13138 INTERURBAN AVE S GASOLINE OR OTHER FLAMMABLE LIQUID SPILL HAZMAT # 05-1056 THE ABOVE MENTIONED Page # DIGITAL Code RECORDS PERMIT FILE INCLUDES (DR) EXEMPTION LOG THE FOLLOWING REDACTED INFORMATION Brief Explanatory Description Statute/Rule Personal Information — The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 7 DR2 Financial Information — RCW 42.56.230(4 5) account numbers, which are exempt from disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. 42.56.230(5) (7a) Redactions contain information used to prove identity, age, residential address, social security number or other personal information Personal Information — required to apply for a driver's license or RCW DR3 Driver's License. — RCW identicard. 42.56.230 42.56.230 (7a & c) (7c) Any record pertaining to a vehicle license plate, driver's license, or identicard issued under (7a & c) RCW 46.08.066 that, alone or in combination with any other records, may reveal the identity of an individual. Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW DR4 Attorney -Client Privilege — RCW 5.60.060(2)(a); RCW disclosure pursuant to RCW 5.60.060(2)(a), which protects attorney-client privileged 5.60.060(2)(a); RCW 42.56.070(1) communications, and RCW 42.56.070(1), which protects, under the PRA, information exempt or prohibited from disclosure under another statute. 42.56.070(1) 13138 INTERURBAN AVE S GASOLINE OR OTHER FLAMABLE LIQUID SPILL HAZMAT # 05-1056 Incident Report 2005-0501056-000 Tukwila Fire Department Basic Alarm Date and Time Arrival Time Controlled Date and Time Last Unit Cleared Date and Time Response Time Priority Response Completed 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 Property Use Location Type Address City, State Zip District Census Tract Directions 08:47:18 Saturday, April 2, 2005 08:54:11 09:17:01 Saturday, April 2, 2005 0:06:53 Yes Yes 53 A 411 - Gasoline or other flammable liquid spill N - None 1 48 - Remove hazardous materials 1 3 $0.00 $0.00 $0.00 $0.00 571 - Service station, gas station Address 13138 INTERURBAN AVE S Tukwila, WA 98168 001 0261.00 13138 INTERURBAN AV S ,TUK Person Involved - TERRY/EMPL, Involvement Code Last Name Street Address Phone REP TERRY/EMPL SHELL DBA ARS WEST L 2062443520 Apparatus - E53 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 Number of People Apparatus Use Apparatus Action Taken 1 Apparatus Type Personnel 1 E53 0:04:28 08:47:43 Saturday, April 2, 2005 08:49:43 Saturday, April 2, 2005 08:54:11 Saturday, April 2, 2005 09:17:01 Saturday, April 2, 2005 Yes 3 1 48 - Remove hazardous materials 11 - Engine TF 1117 - Lyons, Philip Position: LT Personnel Action Taken 1:48 - Remove hazardous materials Page: 1 Printed: 04/03/2005 07:16:37 • S1. 4• Incident Report 2005-0501056-000 Tukwila Fire Department Apparatus - E53 Personnel 2 Personnel 3 TF1140 - Codenys, Alan Position: FFI 1155 - Karwhite, Jason Position: FFII Amount 1: $0.00 Amount 2: $0.00 Authority Reported By Officer In Charge Reviewer TF1117 - Lyons, Philip 07:13:28 Sunday, April 3, 2005 TF1117 - Lyons, Philip 07:13:31 Sunday, April 3, 2005 Narratives Narrative Name Narrative Type Author Narrative Text CAD Narrative CAD Narrative CAD Incident Number: TF05000994 Cross Ref Inc#s for each Jurisdiction Involved: #1={ Updated addl location info: -- SHELL Short Report: APPROX 5 GALLON GAS SPILL <08:48:04>CON: Y TXT: MOTORHOME THAT SPILLED STILL ON LOC Narrative Name New Narrative Narrative Type Incident Narrative Date 07:13:37 Sunday, April 3, 2005 Author TF1117 - Lyons, Philip Author Rank LT Author Assignment 1 Narrative Text At 0847 hours on Saturday April 2, 2005 we were dispatched to a gasoline or other flammable liquid spill. One unit was assigned to this incident. Three personnel responded. We arrived on scene at 0854 hours and cleared at 0917 hours. The incident occurred at 13138 INTERURBAN Ave S, Tukwila in District 001. The local station is 53. The general description of this property is service station, gas station. The primary task(s) performed at the scene by responding personnel was removal of hazardous materials. No mutual/automatic aid was given or received. Alarm number 0501056 has been assigned to this incident. Dispatched to fuel spill at gas island. Found 1-2 gallons of gas spilled from overflow while fueling motorhome. Spill removed with pads, then ash. Small quantity of pads and ash double bagged and placed in dumpster. Page: 2 Printed: 04/03/2005 07:16:37 IncjdetHistory for:#TF05000994 CN: $TF05001056 08:47:18 BY CRO3 /VC7042 08:47:40 BY CRO3 /VC7042 08:47:43 BY FD23 /VC4899 08:49:43 08:54:11 09:17:01 Re6eived 04/02/05 Entered 04/02/05 Dispatched 04/02/05 04/02/05 04/02/05 04/02/05 Enroute Onscene Closed os- /0,5'. Initial Type:SPILL TG: Initial Alarm Level:1 Final Type:SPILL (FLAMMABLE LIQUID SPILL (2A))Pri:2Dispo: Alrm Le v: 1 Police TP100 Fire TF5350 Grp:T7Beat: Lt/Lg: Police Rms: Fire Rms: Medic Rms: Loc:13138 INTERURBAN AV S ,TUK -- SHELL (V) Name:TERRY/EMPL Addr:SHELL DBA ARS WEST LLC Phone:2062443520 Contact:Y 08:47:40 VC7042 CRO3 ENTRY 08:47:40 CRO3 $ASNCAS 08:47:43 VC4899 FD23 DISP E53 08:48:04 VC7042 CRO3 SUPP 08:48:08 VC4899 FD23 CONTRL 08:49:43 TF1117 E53 08:54:11 VC4899 FD23 09:17:01 TF1117 E53 09:17:01 E53 *ENROUT E53 ONSCNE E53 MOBINS E53 CLOSE E53 APPROX 5 GALLON GAS SPILL $TF05001056 #TF1117 LYONS, PHIL #TF1155 KARWHITE, JASON #TF1140 CODENYS, ALAN C/F3 CON: Y TXT: MOTORHOME THAT SPILLED STILL ON LOC GRP: T9 ---> T7. ,CUPPLE GALLONS WILL BE ABLE TO HANDLE TO: FROM: SUBJECT: DATE: Tukwila Fire Department InterOffice Memo City Attorney Diann Martinez Incident Report Request April 19, 2005 RECEIVED APR 202 irCY Attached is a request, from ChoicePoint, regarding incident #05-1056. Will you authorize the release of the attached report? / TRAN: (PLEASE CHECK A CIRCLE BELOW o Report Attached: (Report Cost: $ 4/13/05 REPORT REQUEST 111 Number of Pages (including this sheet) 1 "rn not In our itur)4611 1111 Comments &SuggeStIons LOCATION OF LOSS TUKWILA 1111 II 11 1111 1 1 1 1 1 1 111 11 1 11 Choi c ePoinV I CS& P.O.BOX 25073 SANTA ANA, CA 92799-5073 (678)924-4900 FAX (678)924-4901 TOLL FREE FAX: 1/800-934-6449 Report/Case # Other Type of Report 4/2/05 08:30 AM Date of Occurrence Time APrecinct or District NTERURB N AVE SOU I H City KING WA County State MOTORHOME LEAKED 5 GALLONS OF GAS OUT OF GAS TANK - GAS SPILL Additional Information ( VEHICLE INFO ) (DRIVERS or VICTIMS INFO) ALLAN SARNO Car Tag # State Insured Party HURRICANE 2005 Make Year VIN (- POLICE or FIRE AGENCY who wrote report? TUKWILA FD ChoicePoint Client Division Page 1 of 1 AR 52.154 1335 Claim # 832806 -HM Internal Codes DOB SS# Drivers Lic # State SHELL GAS STATI Driver #2 Driver #3 HMCMO2 C aims Adjuster HEATHER MCMORROUGH TRAN: 1111 1 1 11111 1 11 Police Dept.: Please Return This Form With Your Response... Thanks (Rev.