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HAZMAT 12-1546 - 20000 ORILLIA RD S - CHEMICAL SPILL OR LEAK ON 5/3/2012
20000 ORILLIA RD S CHEMICAL SPILL OR LEAK HAZMAT # 12-1546 Incident Report 2012-1201546 -000 Tukwila Fire Department 12 Mil, Page: 1 Printed: 05/03/2012 17:30:21 Basic Alarm Date and Time Arrival Time Controlled Time Last Unit Cleared Time Response Time Priority Response Completed Fire Department Station Shift Incident Type Initial Dispatch Code Aid Given or Received Mutual Aid Department Alarms Action Taken 1 Action Taken 2 Casualties Apparatus - Suppression Personnel - Suppression Personnel Hazardous Material Released Mixed Use Property Use Location Type Address City, State Zip District Census Tract Directions 10:25:38 Thursday, May 3, 2012 10:34:47 11:58:00 11:58:47 0:09:09 Yes Yes 51 B 422 - Chemical spill or leak Spill 2 - Automatic aid received 17M20 1 86 - Investigate 43 - Hazardous materials spill control and confinement No 3 7 0 - Special hazmat actions required or spill >= 55 gallons NN - Not mixed use 961 - Highway or divided highway Address 20000 ORILLIA RD S TUKWILA, WA 98032 006 0283.00 20000 ORILLIA RD S ,TUK Person Involved - ALLEN, MARK/CITY OF TUK, Involvement Code Last Name Street Address Phone REP ALLEN, MARK/CITY OF TUK 2065716301 Hazmat Area Affected Cause of Release Factors Contributing To Release 1 Disposition 1 - Square Feet 2 - Unintentional release 71 - Collision, overturn, knockdown 3 - Released to local agency O Hazmat Chemicals Chemical Name Hazardous Material Apparatus - E45 Apparatus ID Response Time Apparatus Dispatch Date and Time E45 0:07:13 10:26:07 Thursday, May 3, 2012 Page: 1 Printed: 05/03/2012 17:30:21 Incident Report 2012-1201546 -000 Tukwila Fire Department Apparatus - E45 En route to scene date and time Apparatus Arrival Date and Time Apparatus Clear Date and Time Apparatus priority response Apparatus Use Apparatus Type 10:27:34 10:34:47 10:41:02 Yes 1 11 - Engine Thursday, May 3, 2012 Thursday, May 3, 2012 Thursday, May 3, 2012 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 Number of People Apparatus Use Apparatus Type Personnel 1 B51 0:07:52 10:27:00 Thursday, May 3, 2012 10:27:00 Thursday, May 3, 2012 10:34:52 Thursday, May 3, 2012 11:17:00 Thursday, May 3, 2012 Yes 1 1 920 - Battalion Chief TF 1108 - Ewing, David Position: BC Apparatus - E51 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 Type Personnel 1 Personnel 2 Personnel 3 Personnel 4 Personnel 5 Personnel 6 E51 0:04:06 10:41:22 10:41:27 10:45:33 11:58:47 Yes 6 1 11 - Engine TF 1137 - Reed, Ken Position: CAPT TF1158 - Brooks, Merle Position: FFI TF 1174 - Kim, Brandon Position: FFI TF1181 - Popejoy, Toby Position: FFI TF 1106 - Johnson, Aaron Position: FFI TF1161 - Woolley, Charles Position: FFI Thursday, May 3, 2012 Thursday, May 3, 2012 Thursday, May 3, 2012 Thursday, May 3, 2012 Authority Reported By TF1137 - Reed, Ken 16:40:36 Thursday, May 3, 2012 Page: 2 Printed: 05/03/2012 17:30:21 Incident Report 2012-1201546 -000 Tukwila Fire Department Authority Officer In Charge Reviewer TF1137 - Reed, Ken 17:29:31 Thursday, May 3, 2012 apt - Cbvi ZilL-ca Narratives Narrative Name Narrative Type Author Narrative Text CAD Narrative CAD Narrative CAD Incident Number: TF12001436 Cross Ref Inc#s for each Jurisdiction Involved: #1={TP12010233 } Updated addl location info: near Short Report: SEMI TRUCK SPILL OF WHOLE PALLET OF UNK SUBSTANCE**RP NOT AT SCENE** NO F URTHER INFO <10:26:04>NAM: ALLEN, MARK/CITY OF TUK PHO: 2065716301 CON: 0 <10:26:52>RELAYED FROM EMPLOYEE PASSED BY SPILL 2012050310 <10:38:07>TXT: TP10233 B51<10:35:29>,WATER BASED PAINT, INVESTIGATING FURTHER B51<10:38:49>,THIS IS TUKWILA . DOE ADVISED AND REP ON LOCATION. THIS IS WATER BASED -WILL NEED PD FOR TRFC CONTROL B51<10:45:38>,CLEAN UP CREW ENROUTE Narrative Name 1201546 Narrative Type Incident Narrative Date 16:42:26 Thursday, May 3, 2012 Author TF 1137 - Reed, Ken Author Rank CAPT Author Assignment 1 Narrative Text At 1025 hours on Thursday May 3, 2012 we were dispatched to a chemical spill/leak. Three units were assigned to this incident. Seven personnel responded. We arrived on scene at 1034 hours and cleared at 1158 hours. The incident occurred at 20000 ORILLIA Rd S, TUKWILA in District 006. The local station is 51. The general description of this property is highway or divided highway. The primary task(s) performed at the scene by responding personnel was investigation. Other special haz mat actions were also taken. Automatic aid was received on this incident. Alarm number 1201546 has been assigned to this incident. B-51 and E-45 responded for a possible Hazardous Materials spill. B-51 arrived with E-45 and identified a large amount of water based paint had spilled onto the road. E-51 was asked to proceed to the scene for mitigation control. E-51 laid down 5 bags of amerizorb and completed the proper forms. We also assisted setting up dyking and diverting the product. Lastly, we watered down the paint and diverted it to a suction pump from the Page: 3 Printed: 05/03/2012 17:30:21 Incident Report 2012-1201546 -000 Tukwila Fire Depau linent Narratives clean up companies vehicles. E-51 assured that all mitigation would be complete and returned to quarters. Captain Ken Reed End of Report cwt IlcA4 Page: 4 Printed: 05/03/2012 17:30:21 u_pestovaNkor Amerizorb Form Responding Fire Department Incident Number: Incident Date: Time of Response (24hr format ex: 2:23 PM = 1423) 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: Vehide License number: Vehicle License state: Vehide 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 Ct- of UkJL U Fire -BIZ— 1c4=> Si3'I L lam: ZS 11: 20000 o ZIL / s 'TS. ,Jie�4car�cJl'�'L 1 i'o goX 97o, a re; cifo 1 Ace_ Aria ki cA J J -SA Hog -70c00/ 7!C Or- %a 1 CL ©81E W A r Oil r Diesel Antifreeze Gas Battery Acid r Blood Other: I w,vkr Lt o -i) No -1T 1 50 CS A LLo (i Z:Martinez/Forms/Amerizorb form.doc aWASHINSTDN STATE DEPARTMENT OF LICENSING 12/16/2011 VEHICLE•REGISTRATION CERTIFICATE 390 1u' 8660876. Lic/Plt 666087E Iss-Dt 11/2007 Tab -No N112742 Reg -Exp 12/31/2012 Val-Cd/Year 107955/2006 Dep 4 Mo -Reg 12 Mo-Gwt 12 Pwr • D Use CMB Mdyr. 2007 Make KW Equip 390 Body T800B Prev-Plt 08041RP VIN or Serial No 1NKDXU0X87R172167 Filing $3.00 TBD 3406 Res -Co 34 Sclwt 18134 Seats Model/BT T80/TM Gwt 84000 Gwt-St 01/01/2012 Gwt-Exp 12/31/2012 Flt BGI RTA Tax Subagent Gwt/Veh Wt $2071.00 Other $16.00 _ Total Fees $2090.00 Cash Gwt Cr GTS. DRYWALL SUPPLY CO LSE BANC OF AMERICA LEASING AND CAPITAL LLC LSR PO BOX 97090 KIRKLAND WA 98083 FLEET NO BGI 02 BANC OF AMERICA LEASING AND CAPITAL LLC CAPITAL LLC 2059 NORTHLAKE PARKWAY 4S TUCKER GA 30084 VEHICLE DRIVER AND OWNER SUBJECT TO FEDERAL DRUG PROGRAM TITLE 49 CFR PART 382 �y�C>e1;44. Ceia( "Ce-r5f-,w-7‘1- 4SIGNATURE OF EGSED 0 SIGNATURE OF REGISTERED OWNERS COMMENTS: DOT-31-3108—MCS1-50—LAST—UPDATED 1-0f08120-i-1---4----GOL-OR--WHITE——GOMMEROIAL—VEHi6L-ESAFETY—ENFORCEMENT PEE—PAID-- DISPLAY TAB ON BACK LICENSE PLATE ONLY - FRONTPLATE IS STILL REQUIRED. REMARKS: BRANDS: RPT TDA2WgatIMARE VALIDATION CODE 11400131113501216110087312143 THIS CERTIFICATE IS NOT PROOF OF OWNERSHIP PR:2009/30/6.00001(1) Carrier Responsible for Safety: GTS DRYWALL SUPPLY CO i LSE WASHINGTON INSURANCE IDENTIFICATION CARD COMPANY NUMBER COMPANY ® COMMERCIAL 0 PERSONAL 22667 ACE American Minnow Company POLICY NUMBER ISA 1108708691 YEAR EFFECTIVE DATE EXPIRATION DATE 4/30/2012 4/30/2013 MAKE/MODEL VEHICLE IDENTIFICATION NUMBER Fleet AGENCY/COMPANY ISSUING CARD Aon Risk Services Central, Inc. 4801 Main Street #350 Kansa City, MO 64112 INSURED GTS Interior Supply, Inc. #4201 10819 120th Ave NE Kirkland, WA 98032 USA SEE IMPORTANT NOTICE ON REVERSE SIDE AGENCY TELEPHONE NUMBER (816) 698-4600 Incident History for:#TF12001436 CN: $TF12001546 Xref:#TP12010233 Received 05/03/12 10:25:38 BY CR08 /BEGTOL Entered 05/03/12 10:25:38 BY CR08 /BEGTOL Dispatched 05/03/12 10:26:07 BY FD23 /VC2092 Enroute 05/03/12 10:27:00 Onscene 05/03/12 10:34:47 Closed 05/03/12 11:58:47 Initial Type:SPILL Final Type:SPILL v: 1 Police TP1250 Fire Police Rms: TG: Initial Alarm Level:1 (FLAMMABLE LIQUID SPILL (2A))Pri:2Dispo: Alm Le TF1264 Grp:T7Beat: Lt/Lg: Fire Rms: Medic Rms: KC1264 Loc:20000 ORILLIA RD S ,TUK near (V) Name:ALLEN, MARK/CITY OF TUKAddr: Contact:O Phone: 2065716301 10:25:38 BEGTOL CR08 ENTRY SEMI TRUCK SPILL OF WHOLE PALLET OF UNK SUBSTANCE**RP NOT AT SCENE** NO F URTHE INFO 10:25:38 CR08 $ASNCAS $TF12001546 10:26:04 CR08 SUPP NAM: ALLEN, MARK/CITY OF TUK PHO: 2065716301 CON: 0 10:26:07 VC2092 FD23 DISP E45 #IF1214 FIGEL, P. RUDY #IF5739 CATLIN, J. MONTE #IF4233 HUDSON, ELIAS C/F3 10:26:07 FD23 ASNCAS E45 $IF12001347 10:26:35 FD23 CONTRL GRP: T9 ---> T7. 10:26:52 BEGTOL CR08 SUPP TXT: INFO RELAYED FROM EMPLOYEE PASSED B Y SPILL 10:27:00 VC0496 FD24 ASSTER B51 [20000 ORILLIA RD S ,TUK] #TF1108 EWING, DAVE ,FRM STN 53 10:27:34 IF1214 E45 *ENROUT E45 10:34:47 E45 *ONSCNE E45 10:34:52 VC0496 FD24 ONSCNE B51 10:35:29 FD24 MISC B51 ,WATER BASED PAINT, INVESTIGATING FURTHE R 10:38:07 VC5172 CR07 SUPP TXT: TP10233 10:38:49 VC0496 FD24 MISC B51 ,THIS IS TUKWILA . DOE ADVISED AND REP 0 N LOCATION. THIS IS WATER BASED -WILL N ED PD FOR TRFC CONTROL 10:40:29 VC1140 PD33 CROSS #TP12010233 10:41:02 IF1214 E45 MOBINS E45 10:41:22 VC0496 FD24 ASST E51 [20000 ORILLIA RD S ,TUK] #TF1137 REED, KEN #TF1158 BROOKS, MERLE #TF1174 KIM, BRANDON 10.:41:27 TF1137 E51 *ENROUT E51 10:42:10 VC0496 FD24 CONTCT E51 ,CODE YELLOW 10:45:33 TF1137 E51 *ONSCNE E51 10:45:38 VC0496 FD24 MISC B51 ,CLEAN UP CREW ENROUTE 11:17:00 TF1108 B51 MOBINS B51 11:42:36 VC0496 FD24 OK E51 11:58:47 TF1137 E51 MOBINS E51 11:58:47 E51 CLOSE E45