HomeMy WebLinkAboutHAZMAT 88-0042 - 14247 INTERURBAN AVE S - FOUND 55 GALLON ABANDONED DRUM ON 1/7/198814247 INTERURBAN AVE S
FOUND 55 GALLON
ABANDONED DRUM
HAZMAT # 88-0042
CITY OF TUKWILA COMMUNITY CENTER
WASHINGTON STATE FIRE INCIDENT REPOR
FIRE DEPT.-
(LA
EPT.-
(LA
FIRS t
1 ❑ delete
2 ❑ change
10
FDID INCIDENT NO.
vtyItI/]TN"Ii
EXP.
V
MO.
DAY YEAR
07 Vei
DAY OF WEEK
5 Thursday
osdCCtow2 Sunday
o day 7 ❑ Friday
Dd4oTuesday
EQUIPMENT INVOLVED IN IGNITION (Complete Line T)
ALARM TIME
/1601/
ARRIVAL TIME
/1607
TIME IN SERVICE
/(o?'
B
C
D
TYPE OF SITUATION FOUND{
f
1. FIRE, EXPL. I I 1 •3. RESCUE I I 5. SER. CALL
I
7. FALSE
2. PRESSURE RUPTURE
I i
1 4. HAZ. COND. i I 1 6. GOOD INTENT
I I
E
I 9. OTHER
ACTION
TAKEN
1 0 Extinguishment 5 0 Stand by 8 0 Fill in. Move up
ly 6 0 Salvage 9 0 Not classified
3 Investigation only 7 ❑ Emerg. Med. 0 ❑Undetermined/Not reported
4 Remove Hazard
MUTUAL AID
1 0 Recd
2Given
N/A
1,42
FIXED PROPERTY USE (Occu ancy)
4 /0/1 t 1 i rf - - - ..:,
MO
IGNITION FACTOR
\ , fivee-
110
CORRECT ADDRESS (Up to maximum of 21 characters)
/ ?4/2 jvizare 4 f
ZIP CODE
( IgM'O60'1
CENSUS TRACT
0,/z',4;216P2 I `I6p
11
OCCUPANT NAME .y `''/ (LAST, FIRST, M.I.)
114.11(.i•"/ 1( f/G1 ci aptrae,
TELEPHONE
16(4
ROOM orr, APT.
we_
12
OWNER NAME (LAST, FIRST, Mi.)
1
r0 of itoik.,74
ADDRESS
peb Lliyc Bzi6
TELEPHONE
g33- /Soo
13
METHOD OF ALARM
1 0 Telephone direct 4 0 Radio 8 0 Voice signal municipal alarm signal
2 ❑Municipal alarm system 5 ❑Verbal 9 lal Not classified
3 ❑Private alarm system 6 ❑ No alarm recd. 0,❑ Undetermined or not reported
7 0 Tie -line (911)
CO. INSPECTION
DISTRICT
, PO,?—.
SHIFT ,
A. AAA
f( 4
yi"
NO. ALARMS I
H
NO. FIRE SERVICE PERSONNEL
RESPONDED j
. 1001
NO. ENGINES
RESPONDED I
ool,
NO. AERIAL APPARATUS
RESPONDED
'ao
NO. OTHER VEHICLES
RESPONDED E
II
NUMBER OF INJURIES Complete Form NIRS 3
NUMBER OF FATALITIES
K
L
M
N
0
Q
R
FIRE SERVICE
FIRE SERVICE
COMPLEX
l
II
MOBILE PROPERTY TYPE (Complete Line S)
II
AREA OF FIRE ORIGIN
I
II
EQUIPMENT INVOLVED IN IGNITION (Complete Line T)
11
FORM OF HEAT IGNITION
1
I I
TYPE OF MATERIAL IGNITED
I I
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
CI 1 Self extinguished 3 0 Portable extinguisher 6 0 Pre -connect hose/hydrant draft standpipe 9 0 Not classified
4 0 Automatic ext. system 7 0 Hand -laid hose/hydrant draft standpipe 0 0 Undetermined or not reported
1
LEVEL OF FIRE ORIGIN
1
2
3
4
6
0 Grade level to 9 ft. 6 0 Over 70 feet
0 10 to 19 feet 7 0 Objects in flight
0 20 to 29 feet 8 0 Below ground level
0 30 to 49 feet 9 0 Not classified above
50 to 70 feet 0 Undetermined
MAKE
ESTIMATED DOLLAR LOSS
I
I I I I I I 1 I 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 of room or area of origin 2 0
3 Confined to room of origin 3 0
4 Confined to the fire -rated comp. of 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 ❑
0
9
P
DETECTOR PERFORMANCE
1 0 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 shaft
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
0
r
m
1
m
-n
0
37
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0
33
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MEM7-19A ING R ' OR
/VS
DATE
IF MOBILE PROPERTY
(N.A. IF NOT APPLICA E)/,
YEAR
MAKE
MODEL
SERIAL NO.
LICENSE NO.
30
IF EQUIPMENT (N. F NOT APPLICABLE)
YEAR
MAKE
MODEL
SERIAL NO.
INVOLVED
40
IN IGNITION
U
MEM7-19A ING R ' OR
/VS
DATE
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157
TUKWILA FIRE DEPARTMENT
INCIDENT RUN SHEET
TIME: AI/ DATE: 4//57j9"/ ALARM #: ,=§y SHIFT: le
/ W/ d3-14‘er- 5,
ADDRESS:
NATURE OF CALL: "67n.16(P1/
APPARATUS DISPATCHED: j aZ
UNIT #:
RESPONDING:
ON
LOCATION:
IN
SERVICE:
RETURNING:
IN
QUARTERS
* NUMBER
CHIEF 51
CHIEF 52
CHIEF 53
CHIEF 54
ENGINE 51
PERSONNEL
ENGINE 52
is
,i
7 /
PERSONNEL
ie A r
l�lc6`% -
a--ze -�-
ENGINE 521
PERSONNEL
ENGINE 53
PERSONNEL
ENGINE 531
PERSONNEL
AID 51
PERSONNEL
AID 53
PERSONNEL
MEDIC #
AMBULANCE
LADDER 51
PERSONNEL
TRUCK 53
PERSONNEL
TRUCK 56
PERSONNEL
OTTER
PERSONNEL
GP`- %vae fig 6.
,,,
STATION 51
STANDBY 52
PERSONNEL 53
//
el
.,;G
,s,'�Z
.5
% «%..a-
"oz°t
,e/�y1
i�Z
VOLUNTEER 51
STANDBY 52
PERSONNEL 53
/
P.D.
TOTAL ELAPSED TIME:/
HRS. HRS. /,y MIN. TOTAL MAN HOURS:
HRS. MIN. *TOTAL: k
T.F.D. Form 50
INCIDENT* 443 01/07/88 17:16:41 THU JAh 07,1988
FOUND 55 GAL ABANDONED DRUM
14247 INTERURBAN AVE S TUKWILA
DISPATCHED AS: NON-STRUCT RUN* : 5210
RP: 1512 MAP BOX# : 5236
PHONE: AIR FDI* : 0
RC'D BY : 8 TIME: 1601:12
DISP BY : 8
ON -LOC ON -LOC RETURN RETURN IN -OTR OUTQTR IN -QTR
APPR. DISP. RESPOND OS IS IS OS IS IS OS
E52 !1601:12 '1601:39 ! '1609:18 !
RUN CARD COMMENTS: MEDIC 4/5
APPARATUS:
A = E52 A53 A51 A23 All
E = E52 E53 E51 E24 Ell E76 E18
L = L76 L51 L11
1653:51 DOE ON LOCATION
''1716:12 !