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HomeMy WebLinkAboutHAZMAT 88-0705 - 14800 INTERURBAN AVE S - SERVICE CALL - IDENTIFY CHEMICALS FROM RAID ON 4/20/198814800 INTERURBAN AVE S SERVICE CALL - IDENTIFY CHEMICALS FROM RAID HAZMAT # 88-0705 SANDMAN MOTEL WASHINGTON STATE FIRE INCIDENT REPORT FIRE DEPT. / ✓K C.v/ t_ fJ FIRS 1 1 ❑ delete 2 ❑ change 10 FDID , 7 / 1 121/1"1/ 1 1/ (9 INCIDENT NO. 8l810I7101r EXP. dip MO. 0y.'Z.I©gle DAY YEAR DAY OF WEEK 5 ❑Thursday 1 0 Sunday 4 ®'Wedn slay 7 O Friday atu day ti ti+' ALARM TIME ,/ 12.1ZiC ARRIVAL TILE /121311 TIME INSERVICE /13101/ B C D TYPE OF SITUATION FOUND 1. FIRE, EXPL. 1 I 1 3. RESCUE 1 L 1 5. SER. CALL 1( 7. FALSE i 1 1 2. PRESSURE RUPTURE 1 1 1 4. HAZ. COND. 1I/191 6. GOOD INTENT1 1 9. OTHER 1 I 1 ACTION TAKEN 1 ❑ Extinguishment 5 0 Stand by 8 ❑ Fill in. Move up 2 ❑ $ascuOnly 6 ❑Salvage 9 ❑Not classified 3 nvestigetsion only 7 0 Emerg. Med. 0 0 Undetermined/Not reported 4 0 Remove Hazard 3 MUTUAL AID 1 0 Rec'd 2 ❑ viersA [ 'N FIXED PROPERTY USE (Occupancy) , / _ f 0 ,i En_ 20 iiA//7-S17 IGNITION FACTOR //o T s9 FK'E 1°P COR ADDRESS (Up to maximum of 21 characters) /'/800 /1vrrAvd.44• / At ✓ .Co ZIP CODE 9` lei/ a8 CENSUS TRACT O1 C14121414- 11 OCCUPANT NAME (LAST, FIRST, M.1.) 5:6A/0/4/09•.N' /707E=- TELEPHONE / /ei 1%11/1/' ROOM or APT. 12 OWNER NAME (LAST, FIRST, M.1.) //r44 ADDRESS NM TELEPHONE oly/t? 13 METHOD OF ALARM 1 0 Telephone direct 4 I'dio 8 0 Voice signal municipal alarm signal 2 0 Municipal alarm system 5 0 Verbal 9 0 Not classified 3 ❑ Private alarm system 6 0 No alarm recd. 0 0 Undetermined or not reported 7 0 Tie -line (911) CO. INSPECTION DISTRICT 1 ) 3 SHIFT Ic . NO. ALARMS / 1 / H NO. FIRE SERVICE PERSONNEL RESPONDED / 10(0 17 NO. ENGINES RESPONDED 1101/ NO. AERIAL APPARATUS RESPONDED 1010#_ NO. OTHER VEHICLES RESPONDED ImO1f 20 NUMBER OF INJURIES Complete Form NFIRS 3 FIRE SERVICE COMPLETE FORM NFIRS 2 1111 OTHER 1 1 1 NUMBER OF FATALITIES FIRE SERVICE 111 OTHER 1 1 1 K L M M 0 0 R COMPLEX 11 MOBILE PROPERTY TYPE (Complete Line S) 11 YEAR AREA OF FIRE ORIGIN 4 I_ 1 EQUIPMENT INVOLVED IN IGNITION (Complete Line T) SERIAL NO. FORM OF HEAT IGNITION 11 TYPE OF MATERIAL IGNITED FORM OF MATERIAL IGNITED I!_ .11 METHOD OF EXTINGUISHMENT 2 0 Make shift 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 CI Not classified 4 0 Automatic ext. system 7 ❑ Hand -laid hose/hydrant draft standpipe 0 0 Undetermined or not reported 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 ❑ Not classified above 5 50 to 70 feet 0 Undetermined ESTIMATED DOLLAR LOSS _ I I 1 1 1 1 1 1 I 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 ❑ 50 stories or more. 0 ❑ Number of Stories undetermined or not reported. CONSTRUCTION TYPE 1 0 Fire resistive 6 ❑ Unprotected ordinary 2 ❑ Heavy timber 7 ❑ Protected wood frame 3 0 Protected noncombustible 8 0 Unprotected wood frame 4 0 Unprotected noncombustible 9 0 Not classified above 5 ❑ 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 o1 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 8 Confined to structure of origin 6 ❑ 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 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 ❑ 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 ❑ No detectors present 9 ❑ Not classified 0 ❑ Undetermined or not reported SPRINKLER PERFORMANCE 1 0 Equipment operated 2 0 Equipment should have operated—did not 3 ❑ Equipment present, fire too small to oper. 8 ❑ 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 ❑ Stairwell 5 0 Opening in construction 6 0 Utility opening in wall 7 0 Utility opening in floor 8 ❑ No avenue of smoke travel 9 0 Not classified 0 0 Undetermined or not reported O -o r m m m 0 XI D r r z 0 mm Z -4 0) C) 0 r -4 m 4 0 D r r t1 cnm 0 0 r- r m m-71 m rn 3, --1-f C 3, m 11 m V OFFICER IN CHARGE ©L/LAS- .1/Ch'/c-F INS -913- 3 MEMBER MAKING REPORT j--- DATE / • e;SF27 L7 S VA048 IF MOBILE PROPERTY YEAR MAKE MODEL SERIAL NO. LICENSE NO. 30 N.A. IF NOT APPLICABLE) I IF1FOUIPMENT N.A. IF NOT APPLICABLE) YEAR MAKE MODEL SERIAL NO. INVOLVED 40 e, swum V OFFICER IN CHARGE ©L/LAS- .1/Ch'/c-F INS -913- 3 MEMBER MAKING REPORT j--- DATE / • e;SF27 L7 S VA048 r • ,9s/-7740-v/i..4 LiAl/ Adigov 77#ey. . Hen1 ic • "4'1. CoA/A75 •9 rev 4:1 /241/43 ode 4Vorti .4 oPcitogrAw ,ne OA/ G. Af ,7 cP ,•11 0 re-< oeleuiseio he,litc').E. 971,76 Ci'' -"E- 404 /41414/4 Y'S`E C telE1/c44. 5 Ar•s, o EC 04 o "/"."94/0-E AO/S/4'01.9c • INCIDENT# 6458 84/28/88 13:25:87 WED APR 28,1988 SERVICE CALL SANDMAN MOTEL PARKINS LOT 14888 INTERURBAN AVE S TUKWILA DISPATCHED AS: NON-STRUCT RUN# : 5238 RP: TPD MAP BOX# : 5262 PHONE: FDZ# : 8 RC'D BY : 58 TIME: 1226:13 DISP BY : 19 ON -LOC ON -LOC RETURN RETURN IN -OTR OUTOTR IN-9TR APPR. DISP. RESPOND OS IS IS OS IS IS OS E52 '1226:14 '1227:14 !1231:24 !1381:28 !1328:26 ! '1324:57 ! RUN CARD COMMENTS: SHEPARD IMMEDIATELY 322-8338 MEDIC 4/5 APPARATUS: A = E52 A51 A53 A24 A23 A11 E = E52 E51 E53 Ell E18 E76 E19 E13 L = 176 L51 L11 -0 70.E a€471,-Sealzeilvz42