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HomeMy WebLinkAboutHAZMAT 88-0113 - 21216 72ND AVE S - SPILL (FLAMMABLE LIQUID SPILL) ON 1/19/198821216 72ND AVE S SPILL (FLAMMABLE LIQUID SPILL) HAZMAT # 88-0113 WASHINGTON STATE FIRE INCIDENT REPORT FIRE DEPT. 1 ❑ delete 2 ❑ change 10 FDID I I f q INCIDENT NO. 1 Koi EXP. MO. 0,1 DAY I YEAR j AY OF WEEK 1 ❑ Sunday 2 Monday 5 ❑ Thursday 3XTuesday 7 ❑ Friday 40 Wednesday7 Saturday ALARM TIME If (J 17 ARRIVAL TIME / ( TIME IN SERVICE yI ) 11 B C D TYPE OF SIT ATION FOUND I i I i 1. FIRE, EXPL. 1 i 1 3. RESCUE ( 1 1 5. SER. CALL 11 7. FALSE 1 I I 1 2. PRESSURE RUPTURE 1 1 4. HAZ. COND. 11:�.1 I 6. GOOD INTENT I I 1 9. OTHER 'I I 1 ACTION TAKEN 1 0 Extinguishment 5 0 Stand by 8 0 Fill in. Move up 2 0 Rescue Only 6 0 Salvage 9 0 Not classified 3 0 Investigation only 7 0 Emerg. Med. 0 0 Undetermined/Not reported 4* Remove Hazard • 1 1 MUTUAL AID 1 ❑ Rec'd 2 Given N/A METHOD OF FIXED PROPERTY USE (Occupancy) ‘•.,_,L—s—/---IGNITION UK.d-cf sij ?mowk1v>_ 1-.-±I(��is' FACTOR ..... I No - -El re- 00 CORRECT ADDRESS (Up to maximur T 21 characters)l g/ 14 73 vi(J� `�-�. 5e 0 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 �iZIP CODE L 101©13f4-QUI0ACt14 CENSUS TRACT 11 OCCUPANT NAME (LAST, FIRST, M.1.) 1 0 Grade level to 9 ft. 6 0 Over 70 feet TELEPHONlEi k ROOM or APT.T. �jj/ 12 OWNER NAME (LAST, FIRST, MI) C1 fV✓ t L ADDRESS u iC— TELEPHONE 1 3 METHOD OF ALARM 1 0 Telephone direct 4Radio 8 0 Voice signal municipal alarm signal 2 0 Municipal alarm system 5 Verbal 9 0 Not classified 3 0 Private alarm system 6 0 No alarm rec'd. 0 0 Undetermined or not reported 7 0 Tie -line (911) CO. INSPECTION DISTRICT E JJJ i / I / SHIFT I �. i NO. ALARMS 1 " NO. FIRE SERVICE PERSONNEL 1 RESPONDED 1 i�1 1 1 NO. ENGINES r RESPONDED I !i c�410 NO. AERIAL APPARATUS i RESPONDED 10100 NO. OTHER VEHICLES f •RESPONDED 704 a -k s r 1010i 1 20 NUMBER OF INJURIES Complete Form NFIRS 3 COMPLETE FORM olV+I FIRE SERVICE J K L M N 0 4 R NFIRS 2 NUMBER OF FATALITIES OTHER 101010 FIRE SERVICE 1 dldol OTHER } I©I Q COMPLEX 'rl1 MOBILE PROPERTY TYPE (Complete Line S) • 1 AREA OF FIRE ORIGIN i EQUIPMENT INVOLVED IN IGNITION (Complete Line T) SERIAL NO. If 40 IF EQUIPMENT (N.A. IF NOT APPLICABLE) INVOLVED IN IGNITION YEAR MAKE II FORM OF HEAT IGNITION TYPE OF MATERIAL IGNITED FORM OF MATERIAL IGNITED 1 • 1 1 1 1 I METHOD OF EXTINGUISHMENT 2 0 Make shin aids 5 0 Pre -connect hose/tank only 8 0 Master stream device 0 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 LEVEL OF FIRE ORIGIN ESTIMATED DOLLAR LOSS 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 ❑ Not classified above 50 50 to 70 feet 0 Undetermined 1 1 1 1 I I I I I 1 NUMBER OF STORIES 1 1 story. 4 5 to 6 stories. 2 0 2 story. 5 0 7 t0 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 6 0 Unprotected ordinary 2 0 Heavy timber 7 0 Protected wood frame 3 0 Protected noncombustible 8 0 Unprotected wood frame 4 ❑ Unprotected noncombustible 9 0 Not classified above 5 0 Protected ordinary 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 o1 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 o1 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 60 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 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 C) 0 13 1 m —f m '1 0 33 D 1- 1- 2 C) 0 m z rn 0 0 r m m m T 0 D r -n m rn 3ald 3Ul10(*liS dl 3131dWO0 30 IF MOBILE PROPERTY (N.A. IF NOT APPLICABLE) YEAR MAKE MODEL SERIAL NO. LICENSE NO. 40 IF EQUIPMENT (N.A. IF NOT APPLICABLE) INVOLVED IN IGNITION YEAR MAKE MODEL SERIAL NO. U MEMBER MAKING REPORT DATE otex/vt-4 1 4_5 943 Cer-vccRA4 rD-ft-t. r - OtC2-- 01- •-, -5 e iotvb,„ a.w2}% f P ra ;ter t 0191‘ A-41 eiLe3,6L.o 00-er-ro' ce 7Z-672-74.(4 5 4- 7 s oavkA.__ • ( • D-0 s---Z5 V-IA/zAvk 51- 5- 1 TIME: d/( TUKWILA FIRE DEPARTMENT %INCIDENT RUN SHEET DATE: 11I F/ffr ALARM #: ADDRESS: 7Q?/ — %,� eme --4/2/3 SHIFT: C— NATURE OF CALL: gg2, % APPARATUS DISPATCHED: /7/Z -/(T S7 UNIT #: RESPONDING: ON LOCATION: IN SERVICE: RETURNING: IN QUARTERS * NUMBER CHIEF 51 CHIEF 52 CHIEF 53 CHIEF 54 ENGINE 51 PERSONNEL ENGINE 52 PERSONNEL , 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 /4z-/67 SI OTHER //V /,W6 ( /,e/ /w/q 1-z °q PERSONNEL %%/"/c Coy 1 l I46t /// a -2..,..41_,,:,-4 r(,/i, STATION 51 STANDBY 52 PERSONNEL53 A.,014.5o,,, N//LLZ 1:-(.‘, -ve- Oj 9,e �� -� El,C2% G4 -,C -I__ 2___ 4c4F4 cc_/E0"v491,5 kin..14,-,c- Yeo - - 54/ VOLUNTEER 51 STANDBY 52 PERSONNEL 53 P.D. TOTAL ELAPSED TIME: HRS. MIN. TOTAL MAN HOURS: [I HRS. Ct MIN_ TOTAL: /7 T.F.D. Form 50 !£!ENT# 1129 EG983 gees TUE JN Page DIESEL SPILL 40 GALLONS 3262 RE: KENT m9R:«DAS: CO4LgR q#: 7650 RP: JCORP MAP DOH ; Ra PHONE: 072-2940 Ga: 7041 S ? BY ;@ TIME: e24;2 29 R:B ON -LOC ON -LOC RETURN RETURN IN -OTR OUTOTR mgt 99. 2 SP. RESPOND 3 IS. 3 OS E 5 m CH73 : . 70»@52! m21: 5026:221031:2! . ! E71 3024:56 &026G7\032:14! 50324! . . . E76 5024:2 §mat 50358 §gat! . 12422! ae : .z.e281:25! 1213@' 1252! L76 2024:56 gees !1030:32 &2556d133a0: RUN CARD COMMENTS: APPARATUS: A = A7! Q = E76 L76 R71 E71 E51 E73 e; E77 E = E76E71 S! E73 E74 E_ E77 E5 E. L = L76 Lil L5! 102:05 L76 ADV Im' DIESEL SPILL 10ee2 METRO/ COAST GUARD ADV 1144:34 REO TUK HZMT 1152;33 CROSBY/OVERTON ON LOC