HomeMy WebLinkAboutHAZMAT 11-0342 - 15300 INTERURBAN AVE S - HAZARDOUS CONDITION ON 1/30/201115300 INTERURBAN AVE S
HAZARDOUS CONDITION
HAZMAT # 11-0342
Incident Report
2011-1100342 -000
Tukwila Fire Department1 0 3
Page: 1
Printed: 01/30/2011 22:56:46
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
Initial Dispatch Code
Aid Given or Received
Alarms
Action Taken 1
Casualties
Apparatus - Suppression
Personnel - Suppression Personnel
Property Use'
Location Type
Address
City, State Zip
District
Census Tract
Directions
15:45:22 Sunday, January 30, 2011
15:52:18
16:10:13 Sunday, January 30, 2011
0:06:56
Yes
Yes
52
C
400 - Hazardous condition, other
SERVIC
N - None
1
45 - Remove hazard
No
1
3
961 - Highway or divided highway
Address
15300 Interurban AVE S
Tukwila, WA 98188
005
0262.00
FORT DENT WY/INTERURBAN AV S ,
Person Involved - 1T9,
Involvement Code
Last Name
Street Address
REP
1 T9
Apparatus - E52
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
Personnel 2
Personnel 3
E52
0:05:20
15:45:24 Sunday, January 30, 2011
15:46:58 Sunday, January 30, 2011
15:52:18 Sunday, January 30, 2011
16:10:13 Sunday, January 30, 2011
Yes
3
1
45 - Remove hazard
11 - Engine
TF1131 - Wojcik, Peter
Position: CAPT
Personnel Action Taken 1: 45 - Remove hazard
TF1130 - Graham, Matthew
Position: FFI
TF1111 - Green, Wilbur D
O
Page: 1
Printed: 01/30/2011 22:56:46
Incident Report
2011-1100342 -000
Tukwila Fire Department
Apparatus - E52
Position: FFI
Reported By
Officer In Charge W
Reviewer
Authority
TF1131 - Wojcik, Peter
22:56:29 Sunday, January 30, 2011
TF1131 - Wojcik, Peter
22:56:30 Sunday, January 30, 2011
Narratives
Narrative Name
Narrative Type
Author
Narrative Text
CAD Narrative
CAD Narrative
CAD Incident Number: TF 11000316
Cross Ref Inc#s for each Jurisdiction Involved:
#1={TP11002368 }
Updated addl location info:
INTERSECTION
<6700,000>
Short Report:
REQ NON -CODE RESPONSE, SMALL AMOUNT OF ANTIFREEZE ON THE
ROADWAY, NEAR S TORM DRAIN
<16:05:45>, **E52 , REQ 1T9 RETURN TO SCENE TO PU PAPERWORK
<16:06:56>EET AT 65 AV S/SC BL
E52<15:47:50>,PROCEEDING
Narrative Name 1100342
Narrative Type Incident
Narrative Date 22:53:52 Sunday, January 30, 2011
Author TF1131 - Wojcik, Peter
Author Rank CAPT
Author Assignment 1
Narrative Text At 1545 hours on Sunday January 30, 2011 we were dispatched to a hazardous condition.
One unit was assigned to this incident. Three personnel responded. We arrived on scene at
1552 hours and cleared at 1610 hours. The incident occurred at 15300 Interurban Ave S,
Tukwila in District 005. The local station is 52. The general description of this property is
highway or divided highway. The primary task(s) performed at the scene by responding
personnel was hazard removal. No mutual/automatic aid was given or received.
Alarm number 1100342 has been assigned to this incident.
E52 dispatched to a possible anti freeze leak from a non -injury accident. E52 on location
found TPD on location . E52 found a non injury accident with a leak of antifreeze. E52
applied amerizorb. E52 returned.
End of Report
Page: 2 Printed: 01/30/2011 22:56:46
Incident History for:
Received 01/30/11
Entered 01/30/11
Dispatched 01/30/11
Enroute 01/30/11
Onscene 01/30/11
Closed 01/30/11
#TF11000316
15:45:22
15:45:22
15:45:24
15:46:58
15:52:18
16:10:13
CN: $TF11000342 Xref:#TP11002368
BY PD33 /VC4898
BY PD33 /VC4898
BY FD23 /VC1443
Initial Type:SERVIC TG: Initial Alarm Level:1
Final Type:SERVIC (NON AID SERVICE CALL (2A))Pri:4Dispo:
1
Police TP200 Fire TF967N Grp:T7Beat: Lt/Lg:
Police Rms: Fire Rms: Medic Rms: KC967
Loc:FORT DENT WY/INTERURBAN AV S ,TUK <6700,000> (V)
Add'l Loc Info:INTERSECTION
Name:1T9 Addr:
Phone:
Alrm Lev:
15:45:22 VC4898 PD33 ENTRY REQ NON -CODE RESPONSE, SMALL AMOUNT OF A
NTIFREEZE ON THE ROADWAY, NEAR S TORM D
AIN
15:45:22 PD33 $ASNCAS $TF11000342
15:45:24 VC1443 FD23 DISP E52 #TF1131 WOJCIK, PETE
#TF1130 GRAHAM, MATT
#TF1111 GREEN, DAVE
C/F3
15:45:27 VC4898 PD33 CROSS #TP11002368
15:45:38 VC1443 FD23 CONTRL GRP: T9
---> T7.
15:46:58 TF1131 E52
15:47:50 VC6423 FD24
15:52:18 FD24
16:05:45 FD24
16:06:44
16:06:56
16:10:13
16:10:13
FD24
FD24
TF1131 E52
E52
*ENROUT E52
MISC E52
ONSCNE E52
SUPP 1T9
CHGLOC E52
SUPP 1T9
IQIS E52
CLOSE E52
,PROCEEDING
, **E52 , REQ 1T9 RETURN TO SCENE TO PU
PAPERWORK
[65/SC BL ]
, FD REQ MEET AT 65 AV S/SC BL
Amerizorb Form
c7uul,tAitc-Nect 10
kov'ttrq
??9i(
Responding Fire Department
Incident Number:
Incident Date:
ctietw1v4
- 30 —
Time of Response (24hr format E
ex: 2:23 PM = 1423) \SIAS
Time Back in Service
Police Investigative Agency:
Police Report Number:
Incident Address
At fault driver name:
Address
Phone
Insurance Company:
Policy Number:
Agent Phone Number:
Vehicle License number:
Vehicle License state:
Vehicle Year and Make:
Type of Incident/ /was it the
vehicle that leaked fluid?
Type of Containment Spilled:
Check all that apply
Size of spill & description (near
waterway, on soil near storm
drain, other
\ LA
113V.A..k3\ Oki at
7:rt4-TL-tzuc2c),6 A\4
1,w,it..1t,ok-r,41oe k4,,,AA4,001,4
t•le ‘6%AObJ- SQ
Ast*740:1&?:
Gas
Diesel
Other:
)"AQS1,%r-3 %%
Oil
Antifreeze
Battery Add
Blood
si x
Consumables Total
PRODUCT
Absorbent
i+ASZA 2,0 IS
.T.4.54A
DESCRIPTION
Bag
COST PER UNIT
Inkilkr'.;atei45
TOTAL
I 1. AG-
Z:Martinez/Forms/Amerizorb form.doc