HomeMy WebLinkAboutHAZMAT 88-1530 - 13200 INTERURBAN AVE S - SPILL (FLAMMABLE LIQUID SPILL) ON 8/5/198813200 INTERURBAN AVE S
SPILL (FLAMMABLE
LIQUID SPILL)
HAZMAT # 88-1530
STATE HIGHWAY
WASHINGTON STATE FIRE INCIDENT REPORT
FIRE DEPT.
T K tv r n.
1 ❑ delete
2 ❑ change
10
MID INCIDENT NO. EXP. MO.
Q
1i7 1l1 glvill i3q C C3C"'
DAY YEAR
C),5'$
DAY OF WEEK 5 ❑Thursday
2 ❑ Monday 4 ❑ Wednesday 7 ❑ Saturday
o
ALARM TIME
Z,1Z1
ARRIVAL TIME TIME IN SSE"
Z/I242I24)4
B
C
TYPE OF SITUATION FOUND
1. FIRE, EXPL. I 1 1 3. RESCUE ' I , 5. SER. CALL 1 1 7. FALSE I I 1
2. PRESSURE RUPTURE 1 I j 4. HAZ. COND. 1711 I 6. GOOD INTENT 9. OTHER 1 I 1
ACTION
TAKEN
1 ❑ Extinguishment 5 ❑ Stand by 8 ❑ Fill in. Move up
2 ❑ Rescue Only 6 ❑ Salvage 9 ❑ Not classified
3,X Investigation only 7 ❑ Emerg. Med. 0 D Undetermined/Not reported
4 ❑ Remove Hazard
3
MUTUAL AID
1 ❑ Rec'd
2 ❑ Given
X N / A /f
t ,•
FIXED PROPERTY USE (Occupancy) G
5T>4TG /l 1tsl1t' % til1! 1iCjj
IGNITION FACTOR / /
/ lo' - A FIRE
c
00'
CORRECT ADDRESS (Up to maximum of 21 characters)
ZIP CODE
CENSUS TRACT
l 3 200 ", /..i -r-ERLs iz.F Arr /- v S ,
Fev,643004i2.4,2
11
1.
OCCUPANT NAME J f /(LAST,, .FIR,ST, MI)
`'.: YA7e J7 `t "%7 PL! it T
-
TELEPHONE /
ilfv ;
ROOM or APT.
/LifJQ
12
OWNER NAME (LAST, FIRST, M.I.)
Li /J Li-
ADDRESS
(J 4 i'r-
TELEPHONE
t/nl1C.
13
METHOD OF ALARM
1 1XTelephone direct 4 ❑ Radio 8 0 Voice signal municipal alarm signal
2 ❑ Municipal alarm system 5 0 Verbal 9 0 Not classified
3 0 Private alarm system 6 0 No alarm rec'd. 0 ❑ Undetermined or not reported1
7 Tie -line (911)
CO. INSPECTION
DISTRICT
""]
LOI t 2
SHIFT
IA
NO. ALARMS
11
H
NO. FIRE SERVICE PERSONNEL
RESPONDED
I0166
NO. ENGINES
RESPONDED
14°12
NO. AERIAL APPARATUS
RESPONDED
0100
NO. OTHER VEHICLES
RESPONDED
lcicsi 1
NUMBER OF INJURIES Complete Form NFIRS 3 COMPLETE FORM NFIRS 2 NUMBER OF FATALITIES
20 FIRE SERVICE a p OTHER FIRE SERVICE 0 OTHER Q
J
K
L
N
0
Q
R
COMPLEX 1
1 I
MOBILE PROPERTY TYPE (Complete Line S)
_ I I
AREA OF FIRE ORIGIN
1 1
EQUIPMENT INVOLVED IN IGNITION (Complete Line T)
MODEL
FORM OF HEAT IGNITION
1
TYPE OF MATERIAL IGNITED
1 1
FORM OF MATERIAL IGNITED
1
METHOD OF
EXTINGUISHMENT 2 ❑ Make shift aids 5 ❑ Pre -connect hose/tank only 8 0 Master stream device
3 ❑ Portable extinguisher 6 ❑ Pre -connect hose/hydrant draft standpipe 9 ❑ Not classified
❑ 1 Self extinguished 4 ❑ Automatic ext. system 7 ❑ Hand -laid hose/hydrant draft standpipe 0 ❑ Undetermined or not reported
MAKE
LEVEL OF FIRE ORIGIN
1 ❑ Grade level to 9 ft. 6 ❑ Over 70 feet
2 ❑ 10 to 19 feet 7 ❑ Objects in flight
3 ❑ 20 to 29 feet 8 ❑ Below ground level
4 ❑ 30 to 49 feet 9 ❑ Not classified above
5 50 to 70 feet 0 Undetermined
SERIAL NO,
ESTIMATED DOLLAR LOSS
I I I
I 1 I
I I I
NUMBER OF STORIES
1 1 story. 4 5 to 6 stories.
2 ❑ 2 story. 5 ❑ 7 to 12 stories.
3 ❑ 3 to 4 stories. 6 ❑ 13 to 24 stories.
7 ❑ 25 to 49 stories.
8 ❑ 50 stories or more.
0 0 Number of Stories undetermined or not reported.
CONSTRUCTION TYPE
1
2
3
4
5
Fire resistive
Heavy timber
Protected noncombustible
Unprotected noncombustible
Protected ordinary
6 ❑ Unprotected ordinary
7 0 Protected wood frame
8 ❑ Unprotected wood frame
9 ❑ 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 ❑
3 Confined to room of origin 3 ❑
4 Confined to the fire -rated comp. of origin 4 ❑
5 Confined to floor of origin 5 0
8 Confined to structure of origin 6 ❑
7 Extended beyond structure of origin 7 ❑
0 Undetermined/not reported 0 0
9 No damage of this type (N/A)
TYPE OF MATERIAL GENERATING MOST SMOKE
IF SMOKE SPREAD
BEYOND ROOM
OF ORIGIN
Smoke
1 ❑
2 ❑
3 ❑
4 ❑
5 ❑
6 ❑
7 ❑
0 ❑
9 ❑
DETECTOR PERFORMANCE
1 ❑
2 ❑
3
4 ❑
5 ❑
8❑
9
0 ❑
Det. in room or space of fire origin-oper.
Det. not in rm. or space of fire origin-oper.
Det in rm. or space of origin -not oper.
Det. not in rm. or space of origin -not oper.
Det. not in rm. or space of fire origin
but fire too small to oper.
No detectors present
Not classified
Undetermined or not reported
SPRINKLER PERFORMANCE
1 ❑
2 ❑
3 ❑
8 ❑
9 ❑
0 ❑
Equipment operated
Equipment should have operated—did not
Equipment present, fire too small to oper.
No equipment present (N/A)
Not classified
Undetermined or not reported
FORM OF MATERIAL GENERATING MOST SMOKE
AVENUE OF SMOKE TRAVEL
1 ❑ Air handling duct 4 0 Stairwell
2 0 Corridor 5 0 Opening in construction
3 ❑ Elevator shaft 8 0 Utility opening in wall
7 0 Utility opening in floor
8 0 No avenue of smoke travel
9 0 Not classified
0 ❑ Undetermined or not reported
0
0
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0
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30
IF MOBILE PROPERTY
(N.A. IF NOT APPLICABLE)
YEAR
MAKE
MODEL
SERIAL NO.
LICENSE NO.
IF EQUIPMENT (N.A. IF NOT APPLICABLE)
INVOLVED
YEAR
MAKE
MODEL
SERIAL NO,
40
IN IGNITION
U
OFFICER IN „L RGE
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INS -913-
3
MEMBER MAKING REPORT
S AMS
DATE
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INCIDENT# 1743 08.//05/88 22:09:04 ERI AUG 05.1988
A SMELL OF PROPANE IN THE AREA OF
1'050 INTERURBAN AVE S TUKWILA
D1EEPATCHED AS: COMMERCIAL RUN# : 5205
R?: MR. SLANGY . MAP BOY* : 5202
PHONE: 764-6378 FDZ# : 0
RCD BY : 25 TIME: 2121:37
DI.EP BY : 10
ON—LOC ON—LOC RETURN RETURN IN—OTR OUTOTR IN—DTR
APPR. 019?. RESPOND O5 IS IS OS IS IS O5
A51
!21, a + 3: !2135. !2138:05
. iaLir•? !2c � •� .L1Ji.41
!2147:09 !
!212. !2122 8 !2
t5i .2iiT :.�= .iitt:st0 !2127:'t3 . c13ij:07
E52 :2121:38 !2122:51 !2126:07 ! !2206:04 !
RON CARD CENTS:
APPARATUS:
A — A5 E53 E52 A51 A23
E = E53 E52 E51 E24 EIS E3
L = L51 Li1 L7
2127:57 WA. NAT. GAS ADVISED.
2147:48 WA. NAT. GAS ON LOC.
!2147:12 !
!2208:4i .
(R /S 4 f 1. FL o,2 e.:g
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