HomeMy WebLinkAboutHAZMAT 12-2459 - 13435 INTERURBAN AVE S - OIL OR OTHER COMBUSTIBLE LIQUID SPILL ON 7/9/201213435 INTERURBAN AVE S
OIL OR OTHER
COMBUSTIBLE LIQUID
SPILL
HAZMAT # 12-2459
Incident Report
2012-1202459 -000
Tukwila Fire Department
12- Z¢51
Page: 1
Printed: 07/09/2012 16:27:09
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
09:05:04 Monday, July 9, 2012
09:11:56
10:31:38 Monday, July 9, 2012
0:06:52
Yes
Yes
52
B
413 - Oil or other combustible liquid spill
SPILL
N - None
1
43 - Hazardous materials spill control and confinement
No
1
3
571 - Service station, gas station
Address
13435 Interurban AVE S
Tukwila, WA 98168
001
0262.00
13435 INTERURBAN AV S ,TUK
Person Involved - Hoffman, Carl
Involvement Code
Last Name
First Name
Street Address
City, State Zip
Phone
REP
Hoffman
Carl
21841 Pacific HWY S
Des Moines, WA 98198
2068561934
Apparatus - E52
OK
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
E52
0:04:02
09:06:13 Monday, July 9, 2012
09:07:54 Monday, July 9, 2012
09:11:56 Monday, July 9, 2012
10:31:38 Monday, July 9, 2012
Yes
3
1
45 - Remove hazard
11 - Engine
TF1131 - Wojcik, Peter
Position: CAPT
Personnel Action Taken 1: 45 - Remove hazard
Page: 1
Printed: 07/09/2012 16:27:09
•
Incident Report
2012-1202459 -000
Tukwila Fire Department
ross Ref Inc#s for each Jurisdiction Involved:
#1={
}
Updated addl location info:
-- PACIFIC PRIDE GAS
Short Report:
2-3 GALS OF DIESEL SPILLED ON GROUND - RP DOESNT HAVE ENOUG DROP
CLOTHS TO ABSORB IT
Narrative Name 1202459
Narrative Type Incident
Narrative Date 16:22:10 Monday, July 9, 2012
Author TF1131 - Wojcik, Peter
Author Rank CAPT
Author Assignment 1
Narrative Text At 0905 hours on Monday July 9, 2012 we were dispatched to an oil or other combustible
liquid spill. One unit was assigned to this incident. Three personnel responded. We arrived
on scene at 0911 hours and cleared at 1031 hours. The incident occurred at 13435
Interurban Ave S, Tukwila in District 001. The local station is 52. The general description
of this property is service station, gas station. The primary task(s) performed at the scene
by responding personnel were hazardous materials spill control and confinement. No
mutual/automatic aid was given or received.
Alarm number 1202459 has been assigned to this incident.
E52 dispatched to a reported diesel spill at Pacific pride. E52 on location made contact
with a semi driver who was fueling his truck and the hose slipped out during the operation,
spilling approx. 3 gallons on the ground. The driver already had pads soaking up the
diesel. E52 spread Amerizorb to soak the remaining product. The driver bagged up the
pads. E52 returned.
Page: 2 Printed: 07/09/2012 16:27:09
Apparatus - E52
Personnel 2
Personnel 3
TF1181 - Popejoy, Toby
Position: FFI
TF2035 - Perry, Joel
Position: FFI
Authority
Reported By ,
Officer In Charge
Reviewer
- TF1131 - Wojcik, Peter
16:26:28 Monday, July 9, 2012
TF1131 - Wojcik, Peter
16:26:28 Monday, July 9, 2012
- ,
Narratives
Narrative Name
Narrative Type
Author
Narrative Text
CAD Narrative
CAD Narrative
CAD Incident Number: TF12002291
ross Ref Inc#s for each Jurisdiction Involved:
#1={
}
Updated addl location info:
-- PACIFIC PRIDE GAS
Short Report:
2-3 GALS OF DIESEL SPILLED ON GROUND - RP DOESNT HAVE ENOUG DROP
CLOTHS TO ABSORB IT
Narrative Name 1202459
Narrative Type Incident
Narrative Date 16:22:10 Monday, July 9, 2012
Author TF1131 - Wojcik, Peter
Author Rank CAPT
Author Assignment 1
Narrative Text At 0905 hours on Monday July 9, 2012 we were dispatched to an oil or other combustible
liquid spill. One unit was assigned to this incident. Three personnel responded. We arrived
on scene at 0911 hours and cleared at 1031 hours. The incident occurred at 13435
Interurban Ave S, Tukwila in District 001. The local station is 52. The general description
of this property is service station, gas station. The primary task(s) performed at the scene
by responding personnel were hazardous materials spill control and confinement. No
mutual/automatic aid was given or received.
Alarm number 1202459 has been assigned to this incident.
E52 dispatched to a reported diesel spill at Pacific pride. E52 on location made contact
with a semi driver who was fueling his truck and the hose slipped out during the operation,
spilling approx. 3 gallons on the ground. The driver already had pads soaking up the
diesel. E52 spread Amerizorb to soak the remaining product. The driver bagged up the
pads. E52 returned.
Page: 2 Printed: 07/09/2012 16:27:09
End of Report
•
Amerizorb Form
42.-2-4`;`1
S-ui,)171/1,iitgd '-
to ErfacovU
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:
Vehicle License number:
Vehicle License state:
Vehicle Year and Make:
t2CTD 2459
7/9
dS
41 2. —7,
6.1..1
1 21' 4 1 PAc_i Hwy %Q. Moats `;tt9
Prig S e-r•J ( M
UN:s.
13'4s91 o E.
WP
Type of Incident/ /was it the
vehicle that leaked fluid?
Type of Containment Spilled:
Check alt that apply
Size of spill & description (near
waterway, on soil near storm
drain, other
plESC. Pod( Ar F►l(lp,, STToiJ
E
Od
Gas
Diesel
Other: 1
Antifreeze
Battery Acid
Blood
LtXci Z,PaL, o- OoPOTIS.;
Consumables Total
PRODUCT
Absorbent po c.1'2
r
6, Felt
DESCRIPTION
Bag &,,
r
COST PER UNIT
TOTAL
Z:Martinez/Forms/Amerizorb form.doc
Incident History for:#TF12002291 CN: $TF12002459
Received 07/09/12 09:05:04 BY CR04 /VC7872
Entered 07/09/12 09:06:10 BY CR04 /VC7872
Dispatched 07/09/12 09:06:13 BY FD23 /VC5998
Enroute 07/09/12 09:07:54
Onscene 07/09/12 09:11:56
Closed 07/09/12 10:31:38
Initial Type:SPILL TG: Initial Alarm Level:1
Final Type:SPILL (FLAMMABLE LIQUID SPILL (2A))Pri:2Dispo: Alrm Le
v: 1
Police TP200 Fire TF815 Grp:T7Beat: Lt/Lg:
Police Rms: Fire Rms: Medic Rms: KC815
Loc:13435 INTERURBAN AV S ,TUK -- PACIFIC PRIDE GAS (V)
Name:HOFFMAN, CARL/DRIVER Addr: Phone:2068561934
09:06:10 VC7872 CR04 ENTRY 2-3 GALS OF DIESEL SPILLED ON GROUND - R
P DOESNT HAVE ENOUG DROP CLOTHS TO ABSO
B IT
09:06:10 CR04 $ASNCAS $TF12002459
09:06:13 VC5998 FD23 DISP E52 #TF1131 WOJCIK, PETE
#TF1181 POPEJOY, TOBY
#TF2035 PERRY, JOEL
C/F3
09:06:35 FD23 CONTRL GRP: T9
---> T7.
09:07:54 TF1131 E52 *ENROUT E52
09:11:56 VC7483 FD24 ONSCNE E52
09:22:01 FD24 OLIS E52
10:26:53 FD24 PGRSNT E52 ,FD24:E52 ARE U CLEAR NOW?
10:31:38 FD24 IQIS E52
10:31:38 FD24 CLOSE E52
12-21-5°