HomeMy WebLinkAboutHAZMAT 88-0037 - 12840 48TH AVE S - SPILL (FLAMMABLE LIQUID SPILL) ON 1/6/198812840 48TH AVE S
SPILL (FLAMMABLE
LIQUID SPILL)
HAZMAT # 88-0037
HERTZ TRUCK RENTAL
WASHINGTON STATE FIRE INCIDENT REPOR
FIRE DEPT.
1 ❑ delete
2 ❑ change
10
FDID
i''] y l Qj
I IA Y 1 1
INCIDENT NO.
g y y
_ L) I I c 37
EXP.
./
Pool
MO.
(
DAY
YEAR
, ()
`
DAY OF WEEK 5 ❑Thursday
1 0 Sunday 3 Tuesday 6 0 Friday
2 ❑ Monday 4 Wednesday 7 ❑ Saturday
TYPE OF MATERIAL IGNITED
1
II
ALARM TIME
(SiIQ
ARRIVAL TIME
,(
1 I5i4
TIME IN SERVICE
p
6 IS1
B
D
TYPE OF SITUATION FOUND
1. FIRE, EXPL.
i
1 I 3. RESCUE I I 5. SER. CALL
I 7. FALSE 11 I
2. PRESSURE RUPTURE
i
{
4'. HAZ. COND.
1
/
-l1'
t i
( 6. GOOD INTENT 1 I 9. OTHER I I I
ACTION
TAKEN
-
1 0 Extinguishment 5 0 Stand by 8 0 Fill in. Move up
escue Only 6 ❑Salvage 9 0 Not classified
3 Investigation only 7 0 Emerg. Med. 0 0 Undetermined/Not reported
4 emove Hazard
MUTUAL AID
1 0 Reed2
2Given
N/A . NI A-
FIXED PROPERTY USE (Occupancy) S'-0-73
IGNITION FACTOR
ctic
PO
CORRECT ADDRESS (Up to maximum of 21 characters)
k2 zko 4% s
ZIP CODE
%1 (-)2
CENSUS TRACT
c317–*;
11
OCCUPANT NAME (LAST, FIRST, M.l.)
•
a Vl.rP t
TELEPHONE
G OM /
ROOM or APT.
NIA
12
OWNER NAME (LAST, FIRST, M.I.)
`l\T
T
ADDRESS
NIA-
TELEPHONE
w IA -
A -METHOD
13
METHOD OF ALARM
1 Telephone direct 4 ❑Radio 8 0 Voice signal municipal alarm signal
2 Municipal alarmmsystem 5 0 Verbal 9 0 Not terminad
3 0 Private alarm system 6 0 No alarm recd. 0 ❑Undetermined or not reported
7 ❑ Tie -line (911) •.
CO. INSPECTION
DISTRICT i
' fk4 1- } "
+ 1 'I "^ 7
SHIFT
{
4
NO. ALARMS
1
H
:
RESPONDEDNO. FIRE RVICE PERSONNEL RESPONDEDS I
ICP16 ICP 11
NO. AERIAL APPARATUS i
RESPONDED
i Pao
RESPONDED NO. OTHER VEHICLES
Q0'1'2-
20
NUMBER OF INJURIES Complete Form NFIRS 3
FIRE SERVICE
COMPLETE FORM NFIRS 2
OTHER
NUMBER OF FATALITIES
FIRE SERVICE
OTHER
L
M
N
O
4
R
COMPLEX
1
MOBILE PROPERTY TYPE (Complete Line S)
1I
AREA OF FIRE ORIGIN
i
I I
EQUIPMENT INVOLVED IN IGNITION (Complete Line T)
I I
FORM OF HEAT IGNITION
I
;
I1
TYPE OF MATERIAL IGNITED
1
II
FORM OF MATERIAL IGNITED
I
METHOD OF
EXTINGUISHMENT 2 0 Make shift aids 5 0 Pre -connect hose/tank only 8 0 Master stream device
3 0 Portable extinguisher 6 0 Pre -connect hose/hydrant draft standpipe 9 0 Not classified
0 1 Self extinguished 4 0 Automatic ext. system 7 0 Hand -laid hose/hydrant draft standpipe 0 0 Undetermined or not reported
SERIAL NO.
LEVEL OF FIRE ORIGIN
1 0 Grade level to 9 ft. 6 0 Over 70 feet
2 0 10 to 19 feet 7 0 Objects in flight
3 0 20 to 29 feet 8 0 Below ground level
4 0 30 to 49 feet 9 0 Not classified above
6 50 to 70 feet 0 Undetermined
INVOLVED
ESTIMATED DOLLAR LOSS
1
1 1 1 I 1 1 1 I
NUMBER OF STORIES
1 1 story. 4 5 to 6 stories.
2 0 2 story. 5 0 7 to 12 stories.
3 0 3 to 4 stories. 6 0 13 to 24 stories.
7 0 25 to 49 stories.
8 0 50 stories or more.
0 0 Number of Stories undetermined or not reported.
CONSTRUCTION TYPE
1 0 Fire resistive
2 0 Heavy timber
3 0 Protected noncombustible
4 0 Unprotected noncombustible
5 0 Protected ordinary
6 0 Unprotected ordinary
7 0 Protected wood frame
8 0 Unprotected wood frame
9 0 Not classified above
0 0 Undetermined or not
reported
EXTENT OF DAMAGE
Flame
1 Confined to the object of origin 1 0
2 Confined to part o1 room or area of origin 2 0
3 Confined to room of origin 3 0
4 Confined to the fire -rated comp. o1 origin 4 0
5 Confined to floor of origin 5 0
6 Confined to structure of origin 6 0
7 Extended beyond structure of origin 7 0
0 Undetermined/not reported 0 0
9 No damage of this type (N/A)
Smoke
1 ❑
2
3
4 ❑
5
6
7 ❑
0
s
P
DETECTOR PERFORMANCE
1 ❑ Det. in room or space of fire origin-oper.
2 0 Det. not in rm. or space of fire origin-oper.
3 0 Det in rm. or space of origin -not oper.
4 0 Det. not in rm. or space of origin -not oper.
5 0 Det. not in rm. or space of fire origin
but fire too small to oper.
8 0 No detectors present
9 0 Not classified
0 0 Undetermined or not reported
SPRINKLER PERFORMANCE
1 0 Equipment operated
2 0 Equipment should have operated—did not
3 0 Equipment present, fire too small to oper.
8 0 No equipment present (N/A)
9 0 Not classified
0 0 Undetermined or not reported
TYPE OF MATERIAL GENERATING MOST SMOKE
IF SMOKE SPREAD
BEYOND ROOM
OF ORIGIN
FORM OF MATERIAL GENERATING MOST SMOKE
AVENUE OF SMOKE TRAVEL
1 0 Air handling duct
2 0 Corridor
3 0 Elevator shalt
4 0 Stairwell
5 0 Opening in construction
6 0 Utility opening in wall
7 0 Utility opening in floor
8 0 No avenue of smoke travel
9 0 Not classified
0 0 Undetermined or not reported
0
0
r-
m
m
m
m
m
0
33
D
1
1'
Z
C)
m
z
0
0
m
—1
m
m
m
0
33
1
1—
m
m
rn
38ld 3af110fM1S AI 3131d01O0
30
IF MOBILE PROPERTY
(N.A. IF NOT APPLICABLE)
YEAR
MAKE
MODEL
SERIAL NO.
LICENSE NO.
IF EQUIPMENT (N.A. IF NOT APPLICABLE)
YEAR
MAKE
MODEL
SERIAL NO.
INVOLVED
40
IN IGNITION
u
FFICER IN CHARGE
-we
INS -913- 3
G REPORT
DATE
&-tge4a — %
4t„
,st
TIME: /Cr/
ADDRESS:
DATE:
TUKWILA FIRE DEPARTMENT
INCIDENT RUN SHEET
/4/171
/a�Yo -Yid � s
ALARM #:
3 7 SHIFT: 2?
NATURE OF CALL:
APPARATUS DISPATCHED: , :J 3,, 75
UNIT #:
RESPONDING:
ON
LOCATION:
IN
SERVICE:
RETURNING:
IN
QUARTERS
* NUMBER
CHIEF 51
CHIEF 52
CHIEF 53
CHIEF 54
GO,epL E ----;.3i- 5 S 5 7.SY.�
ENGINE 51
r
PERSONNEL
ENGINE 52
//��
/�C,�
/J YC
/5-55
/5-7 0
.
PERSONNEL/
e4 0/
A-7416.6-
f ei f
at[ s eace
3
ENGINE 521
PERSONNEL
ENGINE 53
/j ��
�,� 3
/ %'3' -
/5 ?�
PERSONNEL
i /
4 y71,44 dere
�/�Co
moi;.semi,-(L
ce
ENGINE 531
PERSONNEL
AID 51
PERSONNEL
AID 53
/5'f7
1-1"-3
5'
/ /,,
/.7lX
l///A
/7 I c(�
-
PERSONNEL
iederife0.2.7
•
MEDIC #
6�
AMBULANCE
,.----"-
LADDER 51
PERSONNEL
TRUCK 53
PERSONNEL
TRUCK 56
PERSONNEL
OTHER
PERSONNEL
/
Z/,40,12 /a,`%Q!2C(1(/
G
STATION51
STANDBY 52
PERSONNEL 53
l
14:6/
0
���"�.P-lo
VOLUNTEER 51
STANDBY 52
PERSONNEL 53
Q a.ck
l
P.D.
_
TOTAL ELAPSED TIME: HRS. 7 MIN. TOTAL MAN HOURS: HRS.
MIN_ *TOTAL: //7
T.F.D. Form 50
INCIDENT# 372 01/06/88
POSS NATURAL GAS LEAK
12840 48 AVE S
DISPATCHED AS: STR-RESID.
RP: EMP
PHONE: 246-7600
RC'D BY : 13
DISP BY : 8
15:52:27 WED JAN 06,1988
RUNI : 5205
MAP 801# : 5204
FDI# : 0
TIME: 1540:09
TUKWILA
ON -LOC ON -LOC RETURN RETURN IN -QTR OUTOTR IN -OTR
APPR. DISP. RESPOND OS IS I5 OS 1S IS OS
A53 11540:10 ! !1544:05 !
!1550:33 !
E52 !1540:10 !1542:10 '.
!1546:44 !
E53 !1540:09 ''1541:28 !1543:32 !
!1549:22 !
RUN CARD COMMENTS:
APPARATUS:
A = A53 E53 E52 A51 A23
E = E53 E52 E51 E24 E19
L = L51 Lil L7
E3
s-8- 37