HomeMy WebLinkAboutHAZMAT 12-4157 - 340 ANDOVER PARK EAST - OIL OR OTHER COMBUSTIBLE LIQUID SPILL ON 11/9/2012This record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
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340 ANDOVER PARK EAST
OIL OR OTHER COMBUSTIBLE LIQUID SPILL
HAZMAT # 12-4157
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340 ANDOVER PARK EAST
OIL OR OTHER
COMBUSTIBLE LIQUID
SPILL
HAZMAT # 12-4157
r'
Incident Report
2012-1204157 -000
Tukwila Fire Department
12 -4191 --
Page: 1
Printed: 11/10/2012 10:09:39
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
Hazardous Material Released
Property Use
Location Type
Address
City, State Zip
District
Census Tract
Directions
11:16:29 Friday, November 9, 2012
11:16:45
12:58:10 Friday, November 9, 2012
0:00:16
Yes
Yes
51
A
413 - Oil or other combustible liquid spill
99R9
N - None
1
43 - Hazardous materials spill control and confinement
No
1
3
7 - Motor oil - from engine or portable container
963 - Street or road in commercial area
Address
340 Andover PARK E
Tukwila, WA 98188
005
0262.00
345 ANDOVER PK E ,TUK
Person Involved - Singh, Balbir
Involvement Code
Last Name
First Name
Street Address
City, State Zip
Phone
REP
Singh
Balbir
20846 100 AVE SE
Kent, WA 98031
2067248850
Apparatus - E51
Apparatus ID
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
E51
11:16:45 Friday, November 9, 2012
11:16:45 Friday, November 9, 2012
11:16:45 Friday, November 9, 2012
12:58:10 Friday, November 9, 2012
Yes
3
1
43 - Hazardous materials spill control and confinement
11 - Engine
TF 1119 - McFarland, Loren
Position: CAPT
TF 1175 - Smith, Patrick
OK
Page: 1
Printed: 11/10/2012 10:09:39
Incident Report
2012-1204157 -000
Tukwila Fire Department
Cross Ref Inc#s for each Jurisdiction Involved:
#1={TP12027339
Updated addl location info:
near STRANDER BL
Short Report:
}
Narrative Name 1204157
Narrative Type Incident
Narrative Date 08:45:16 Saturday, November 10, 2012
Author TF1175 - Smith, Patrick
Author Rank FFII
Author Assignment 1
Narrative Text At 1116 hours on Friday November 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 1116 hours and cleared at 1258 hours. The incident
occurred at 345 Andover Park E, Tukwila in District 1016. The local station is 51. The
general description of this property is street or road in commercial area. 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 1204157 has been assigned to this incident.
E51 on -viewed an overturned semi and intermodal trailer at the 3400 block of Andover
Park E.
The driver had self -extricated and denied any need for medical attention citing no injuries.
The driver related the intermodal trailer tipped over, taking the semi with it as he was
driving northbound through the curves. Driver also related he had no idea what he was
carrying or how much weight he was transporting. Driver did not have a bill of lading.
Driver related he was taking the intermodal trailer from a buisness named Atlas to the Port
Page: 2 Printed: 11/10/2012 10:09:39
Apparatus - E51
Personnel 3
Position: FFII
TF 1184 - Hansen, Greg
Position: FFI
Authority
Reported By
Officer In Charge
Reviewer
TF1175 - Smith, Patrick
08:45:11 S.. day, November 10, 2012
TF1119 - . and, Loren
08:45:14 • ay, Nov: i, . r ' , 20
li
CA
6
Narratives
Narrative Name
Narrative Type
Author
Narrative Text
CAD Narrative
CAD Narrative
- ,
CAD Incident Number: TF 12003862
Cross Ref Inc#s for each Jurisdiction Involved:
#1={TP12027339
Updated addl location info:
near STRANDER BL
Short Report:
}
Narrative Name 1204157
Narrative Type Incident
Narrative Date 08:45:16 Saturday, November 10, 2012
Author TF1175 - Smith, Patrick
Author Rank FFII
Author Assignment 1
Narrative Text At 1116 hours on Friday November 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 1116 hours and cleared at 1258 hours. The incident
occurred at 345 Andover Park E, Tukwila in District 1016. The local station is 51. The
general description of this property is street or road in commercial area. 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 1204157 has been assigned to this incident.
E51 on -viewed an overturned semi and intermodal trailer at the 3400 block of Andover
Park E.
The driver had self -extricated and denied any need for medical attention citing no injuries.
The driver related the intermodal trailer tipped over, taking the semi with it as he was
driving northbound through the curves. Driver also related he had no idea what he was
carrying or how much weight he was transporting. Driver did not have a bill of lading.
Driver related he was taking the intermodal trailer from a buisness named Atlas to the Port
Page: 2 Printed: 11/10/2012 10:09:39
Incident Report
2012-1204157 -000
Tukwila Fire Department
Narratives
of Seattle.
Under the engine compartment was an active leak of motor oil approximately 10' from a
storm drain. FF's Hansen and Smith applied a few bags of Amerizorb to stop the flow of
motor oil from entering the storm drain.
E51 stoodbye while Pete's Towing righted the vehicle. After tow trucks righted the vehicle,
more Amerizorb was applied to mitigate the hazard. There was an approximate total of 4
gallons of motor oil on the ground and a total of 4 bags of Amerizorb were used. E51
collected the oil -saturated Amerizorb into bags which a Pete's Towing employee took with
them.
E51 returned, in service.
End of Report
Page: 3 Printed: 11/10/2012 10:09:39
TUKVVILA FIRE DEPARTMENT
INCIDENT REPORT SHORT FORM
INCIDENT INFORMATION
DATE: 40V 4 r 2-11)1.2- TFD INCIDENT # ! 7.0'l15 7
DISPATCH TIME: It. t(, CLOSED TIME: I Z 5g TPD CASE# 2-0g. 7339
INCIDENT ADDRESS: ?TKO Itkp.A. over 1,r -k. 6
Apt/Room #
CITY: -rok.wi la STATE: WIN ZIP: 9815$
TIME ON INCIDENT: ZLt(from time of call to time in service, to nearest half hour)
TYPE OF SPILL: 0:1 M over r -1-urn%ea '54"`A: a,
DRIVER/OCCUPANT INFORMATION
OWNERS NAME: Siat13 c , i r DOB:
HOME PHONE #: 2 5 3 -2 39 "4 LI c s
CELL #: 2061 -391 - O Zoo
ADDRESS: (Include State/City/Zip)
OCCUPANTS NAME Sp,,,,.f e_ cus q b0 Vim. DOB:
HOME PHONE #: CELL #:
OCCUPANTS ADDRESS:
VEHICLE INFORMATION
YEAR: I q9 8 MAKE: lid 11/0 VN MODEL: Sty; Trrsckor
- 13229376 -Wp, Tr *or
LICENSE #/State: T,-62.1er - 28Co98 _GR SERIAL#: HVG?DARHcWA/ 158i{55
INSURANCE COMPANY: Con A4 tn+-a< We rn =nsurmnt.e. 60.
POLICY #: Ac 2q 2og93 AGENT NAME:
AGENT PHONE #: N Z 5 - 2 °1l - 52c -t)
-Ben- g cer'Son Xinsum" ( . 124A-10 G/L
&C M SL 3q .5+ 5u;+C Z 'O
`?.cc1+-oc> , w A 9 ws'v 5 7
WITNESS INFORMATION
#1. NAME: DOB:
HOME PHONE #: CELL #:
#2. NAME: DOB:
HOME PHONE #: CELL #:
- r4vtr b L; C- nSe.: - t,Ja14L.tv,0s+oc\
NOTES: "1 r-iyer- works or : `0.GiSt c. Cog+ E)czprr✓55
1=+-€ 4qq1"•�+' r-
F,d wa-d��
(Use back of form to show quantities of materials used)
?c --60A 118o
%len+, Rif °-36
(263) -at(' — cryo
tic -b-BA
ias
,v\e.r-t Z-0 C--6 u5.02
Incident History for:#TF12003862 CN: $TF12004157 Xref:#TP12027339
Entered' 11/09/12 11:16:29 BY FD23 /VC0969
Dispatched 11/09/12 11:16:45 BY FD23 /VC0969
Enroute 11/09/12 11:16:45
Onscene 11/09/12 11:16:45
Closed 11/09/12 12:58:10
Initial Type:ACCINF TG: Initial Alarm Level:1
Final Type:ACCINF (INJURY ACCIDENT (2A))Pri:1 Dispo:99R9 Alrm Lev: 1
Police TP1200 Fire TF1016 Grp:T7Beat: Lt/Lg:
Police Rms: Fire Rms: Medic Rms: KC1016
Loc:345 ANDOVER PK E ,TUK near STRANDER BL (V)
Name:ALLOWAY, ROBIN/WITN Addr: Phone: 2067248850
11:16:29 VC0969 FD23 COPY ,NO MORE INFORMATION
11:16:29 FD23 $CROSS #TP12027339
11:16:29 FD23 $ASNCAS $TF12004157
11:16:45 FD23 DISPOS E51 #TF1119 MCFARLAND, LOREN
#TF1175 SMITH, PATRICK
#TF1184 HANSEN, GREG
C/F3
11:16:58 FD23 GDISPO D/99R9
11:17:00 FD23 CONTRL GRP: T9
---> T7.
12:32:14 ELLSMI FD24 PGRSNT E51 ,FD24:E51 ARE YOU GUYS STILL ON THE SEMI
ROLLOVER?
12:33:22 FD24 CONTCT E51
12:58:10 FD24 MOBINS E51
12:58:10 FD24 CLOSE E51 D/99R9
2--415"
ncident Information
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
Driver Information
At fault driver name:
Address
Phone
Insurance Company:
Policy Number:
Agent Rlw -M mh r:
Vehicle License number:
Vehicle License state:
Vehicle Year and Make:
Descriptipn,of,Zncident..
Type of Incident/ /was it the
vehicle that leaked fluid?
Amerizorb Form
I 120,4(51-
tti
"'`.----110-e.N; rtl\_ i
mP Z. 7 33 __.._
t 0 IN -N Pim.
-14. .?
ffQc
cf-ik Pi1'JC Scyv .f'rvs l)CTl
G_.."z. S .f_ .C___.
199. ,oma 94.2
Cola. \ izes Z ----Vifivva: {Z..
Gas X Oil
Antifreeze
Type of Containment Spilled:
Check all that apply Diesel
Other:
Size of spill & description (near
waterway, on soil near storm
drain, other
pct.# -S q ua t — CU L
IA_ a/sit -- G0.46-1A4-
Battery
-1etc.
Battery Acid
Blood
Cansumablesarid,Egyipmerft Used. (list individually),
PRODUCT DESCRIPTION
( Absorbent .. — Bag c
Consumables Total
COST PER UNIT
TOTAL
Z:Martinez/Forms/Amerizorb form.doc