HomeMy WebLinkAboutHAZMAT 88-0062 - 6437 S 144TH ST - GAS LEAK (NATURAL GAS OR LPG) ON 1/11/19886437 S 144TH ST
GAS LEAK (NATURAL GAS
OR LPG)
HAZMAT # 88-0062
GT DEVELOPMENT NATIONAL
WASHINGTON STATE FIRE INCIDENT REPOR
FIRE DEPT.
11440 rt c%
NFIRS 1
1 Li delete
2 O change
10
FDID Q
I
l TI I (I J
INCIDENT /NO.
8&1 61(g
EXP./
bo
/MMO..
X11
DAY
1 4
YEAR
86
DAY OF WEEK 5 ❑Thursday
1 Sunday 4 ❑ Tuesday 7 ❑ Friday
2 Monday 4 ❑Wednesday 7 ❑Saturday
'
ALARM TIME
1 I / ILl
ARRIVAL lTIME
1 I/ I / I 1
TI1ME IIN SERVICE
` lZ Ito
B
C
D
A
TYPE OF SITU TION FOUND
1. FIRE, EXPL. . 1 I. 3. RESCUE I I I 5.
SER, CALL
I• \ 7. FALSE
1
I 1
2. PRESSURE RUPTURE I 1 4. HAZ. COND. I,(i)
11
I
6.
•GOOD INTENT,
i
I I , • 9. OTHER
I
ACTION
TAKEN
21 0 Extinguishment 6 0 Standala by 8 0 Fillin. Move up
❑Rescue Only 6 ❑Salvage 9 ❑Not classified
3 Investigation only , , 7 0 Emerg. Med. 0 0 Undetermined/Not reported
4 0 Remove Hazard
MUTUAL AID
1 0 Rec'd
2 ❑ Given
N/A
Ak
FIXED PROPERTY
//USE ((OQOcccupancy) (
a g1.Mel atif ?id p I /f✓ 9
IGNITION FACTOR/ I
dor A- T-1 6 eX)
CORRECT ADDRESS (Up to maximum of 21 characters)
loy37 5o lye-'` 5/
ZIP CODE
9;6I14
CENSUS TRACT
b, 0,a f9,ba
11
OCCUPANT NAME
J (LAST, FIRST, M.I.)
--1! f - 6/ in th77ti&
TELEPHONE
//
LlA 1
ROOM or APT.
LI Cj...
12
OWNER NAME (LAST, FIRST, MI)
tin
ADDRESS!,oar-
ar-
TELEPHONE
E/l t is
13
METHOD OF ALARM
1 0 Telephone direct 4 0 Radio 8 0 Voice signal municipal alarm signal
2 0 Municipal alarm system 5 0 Verbal 9 1Not classified
3 0 Private alarm system 6 0 No alarm rec'd. 0 Undetermined or not reported
7 0 Tie -line (911)
CO. INSPECTION
DISTRICT t .^}
An
l ,/
SHIFT III'
///
- i
_____
NO. ALARMS
—I /
H
NO. FIRE SERVICE PERSONNEL
RESPONDED
CJ/ II
NO. ENGINES
RESPONDED II
I IC
NO. AERIAL APPA ATUS ,
RESPONDED n2
Ic/t00
NO. OTHER VEHICLES I
RESPONDED I
(J%.J1t-✓
20
NUMBER OF INJURIES Complete Form NFIRS 3
FIRE SERVICE
COMPLETE FORM NFIRS 2
OTHER
001
NUMBER OF FATALITIES
FIRE SERVICE
[16
OTHER
0°,0
J
K
L
M
N
0
4
R
COMPLEX
MOBILE PROPERTY TYPE (Complete Line S)
YEAR
AREA OF FIRE ORIGIN
t
EQUIPMENT INVOLVED IN IGNITION (Complete Line 1)
I
SERIAL NO.
FORM OF HEAT IGNITIONTYPE
i
I
OF MATERIAL IGNITED
I
FORM OF MATERIAL IGNITED
I
MAKE
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
5 50 to 70 feet 0 Undetermined
ESTIMATED DOLLAR LOSS
I
1
I 1 1 1 1 1 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 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
t ❑
2
3 ❑
4 ❑
5
8
7
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 apace 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 ❑ 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
C)
0
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m
11
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0
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0
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to
31:11d 31:M101181S dl 3131d11O0
30
IF MOBILE PROPERTY
(N.A. IF NOT APPLICABLE) ,
YEAR
MAKE
MODEL
SERIAL NO.
LICENSE NO.
40
IF EQUIPMENT (N.A. IF NOT PLIBLE)
INVOLVED / /d
IN IGNITION l
YEAR
MAKE
MODEL
SERIAL NO.
U
DATE
l l i
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•
TUKWILA FIRE DEPARTMENT
INCIDENT RUN SHEET
TIME: ///W:',/DATE: / �� ALARM #: F��d2 �Z SHIFT:
ADDRESS: •� 7 Gr n,%4/?77` )
NATURE OF CA�
APPARATUS DISPATCHED:
UNIT #:
RESPONDING:
ON
LOCATION:
IN
SERVICE:
RETURNING:
IN
QUARTERS
* NUMBER
CHIEF 51
//57-/
// 2'
CHIEF 52
/j5..3
/
/
CHIEF 53G
v
CHIEF 54
ENGINE 51
//'S/*
//
//4 )4)i
/3/V'
PERSONNEL
Li
r��%`rs�'�'�
-�
ENGINE 52
//
///7
/e?R
%ok
/R. ,? Z-
.
PERSONNEL
7a46/
/,j,W,W%�-
:xG'/---i2/
ENGINE 521
PERSONNEL
ENGINE 53
PERSONNEL
ENGINE 531
PERSONNEL
AID 51
//15`
// 7
//5/d/L
/a0_5
/a 0 7
PERSONNEL
p .✓ ?
.
AID 53
PERSONNEL
MEDIC #
AMBULANCE
LADDER 51
PERSONNEL
TRUCK 53
PERSONNEL
TRUCK 56
PERSONNEL
OTHER
PERSONNEL
STATION 51
STANDBY 52
PERSONNEL 5 3
/��
����'�l/�r'
,!/,C�
,,,l 4 7z----)„,
/" GJ2,27
VOLUNTEER 51
STANDBY 52
PERSONNEL 53
P.D.
TOTAL ELAPSED TIME:
HRS. 38'MIN. TOTAL MAN HOURS: HRS.
MIN_ *TOTAL: /7
T.F.D. Form 50
dam•
INCIDENT* 660 01111/88 12:22:23 MON JAN 11,1988
GAS LEAK
6437 S 144 ST TUKWILA
DISPATCHED AS: COMMERCIAL RUN* : 5230
RP: ALLAN MAP BOX* : 5253
PHONE: 244 1305 FDZ* : 0
RC'D BY : 51 TIME: 1143:41
DISP BY : 5
ON -LOC ON -LOC RETURN RETURN IN -QTR OUTOTR IN -QTR
PPR. DISP, RESPOND OS IS IS OS IS IS OS
A51 '1143:43 !
'1147:31 11159:22 '1203:08 '' 11207:16 '
E51 11143:42 11145:47 11147:33 11159:26 !
'1214:43 !
E52 11143:42 '1146:01 11147:31 !
'1208:34 ! '1222:19 !
RUN CARD COMMENTS: SHEPARD IMMEDIATELY 322-0330 MEDI: 4/5
APPARATUS:
A = E52 A51 A53 A24 A23 All
E = E52 E51 E53 Ell E18 E76 E19 E13
L = L76 L51 L11
1157:12 MNG ON LOCATION