HomeMy WebLinkAboutHAZMAT 88-2167 - 15400 INTERURBAN AVE S - SPILL (FLAMMABLE LIQUID SPILL) ON 11/1/198815400 INTERURBAN AVE S
SPILL (FLAMMABLE
LIQUID SPILL)
HAZMAT # 88-2167
WASHINGTON STATE FIRE INCIDENT REP
NFIRS 1
20
NUMBER OF INJURIES Complete Form NFIRS
FIRE SERVICE
COMPLETE FORM NFIRS
lila 1� I OTHER 104 10
NUMBER OF FATALITIES
FIRE SERVICE
OTHER
J
K
L
M
N
0
Q
R
lo del
COMPLEX
FIRE DEPT.J_
741 { ` tti i La
MOBILE PROPERTY TYPE
1 ■ delete
2 ■ change
10
FDID
117
INCIDENT NO.
j `S ,,.� j /
1 7f
EX,Pc.
jj1 a
MO.
/1 i
DAY
di/
YEAR
tjr
DAY OF WEEK
5 ID Thursday
2 ❑ Monday 4 edneaday 7 ❑ Saturday
FORM OF MATERIAL IGNITED
ALARM TIME
[Ali/ }0
ARRIVAL TI
,7 "
6'14/16--
THE IN SERVICE
j( 7
I
B
TYPE 0 SI ATIIOON! FOUND[
1. FIRE, EXPL. 1
3. RESCUE J 1
5. SER. CALL
1
t' v �'
7. FALSE
I 1//
2. PRESSURE RUPTURE I 4. HAZ. COND.
i
<1 11 6. GOOD INTENT I 9. OTHER I I
Z
0 W
►—Y
0<
Qf-'
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
MUTUAL MD
1 ❑ Rec'd
2 Given
N/A
,
FIXED PR0 ERTY USE (Occupancy)
/
17471/
IGNITION FACTOR
D e 01
CORRECT ADD SS Up m m of 2 t characters) �"/
/3.~4( 00 ZW /ek 4/R. 'LV
ZIP CODE
CENSUS TRACT "
a 6 1a 141 .
11
OCCUPANT NAME (LAST, FIRST, M.1.)
Md.*/ 6 4th Q1,0 ,
IIa
TELEPHONE
Yy 1 °z -V.
ROOM r APT.
O
41;4
12
OWNER NAME(LAST. FIRST, M.I.))
•
.5 15r? U f C Q. t r �/W Ric c
ADDRESS �j
6 7 0. �"7i. 40./les
TELEPHONE
tP w f - j9-2-7
13
METHOD OF ALARM
1 Telephone direct 4 0 Radio 8 0 Voice signal municipal alarm signal
iv apal alarmmsystem 5 0 Verbal 9 0 Not Undetermined
3 ❑Private alarm system 6 ❑ No alarm recd. 0 ❑Undetermined or not reported
7 El Tie -line (911)
CO. INSPECTION
DISTRICT
,t� J� '*^y��/'i�
I Gi 1.Id I k✓
SHIFT
M
NO. ALARFAS
/
H
NO. FIRE SERVICE PERSONNEL
RESPONDED
0inla
NO. ENGINES
RESPONDED
ICI 1
NO. AERIAL APPARATUS
RESPONDED
Ioitn
NO. OTHER VEHICLES
RESPONDED
16106
20
NUMBER OF INJURIES Complete Form NFIRS
FIRE SERVICE
COMPLETE FORM NFIRS
lila 1� I OTHER 104 10
NUMBER OF FATALITIES
FIRE SERVICE
OTHER
J
K
L
M
N
0
Q
R
lo del
COMPLEX
II
MOBILE PROPERTY TYPE
(Complete Line S)
i
AREA OF FIRE ORIGIN
I1_
EQUIPMENT INVOLVED IN IGNITION
(Complete Line T)
II
FORM OF HEAT IGNITION
I
TYPE OF MATERIAL IGNITED
I I
FORM OF MATERIAL IGNITED
METHOD OF
EXTINGUISHMENT 2 ❑ Make shift aids 5 ❑ Pre -connect hose/tank only
❑ 1 Self extinguished 3 ❑ Portable extinguisher 6 ❑ Pre -connect hose/hydrant draft standpipe
4 ❑ Automatic ext. system 7 ❑ Hand -laid hose/hydrant draft standpipe
8 ❑ Master stream device
9 ❑ Not classified
0 ❑ Undetermined or not reported
LEVEL OF FIRE ORIGIN
1
2
3
4
5
❑ Grade level to 9 ft. 6 ❑ Over 70 feet
❑ 10 to 19 feet 7 ❑ Objects in flight
❑ 20 to 29 feet 8 ❑ Below ground level
❑ 30 to 49 feet 9 ❑ Not classified above
50 to 70 feet 0 Undetermined
ESTIMATED DOLLAR LOSS
1 1 I 1 I 1 1 I i
NUMBER OF STORIES
1 0 1 story.
2 0 2 story.
3 0 3 to 4 stories.
4 ❑ 5 to 6 stories.
5 ❑ 7 to 12 stories.
6 ❑ 13 to 24 stories.
7 0 25 to 49 stories.
8 0 50 stories or more.
0 ❑ Number of Stories undetermined or not reported.
CONSTRUCTION TYPE
1 ❑ Fire resistive 6 ❑ Unprotected ordinary
2 ❑ Heavy timber 7 0 Protected wood frame
3 ❑ Protected noncombustible 8 ❑ Unprotected wood frame
4 0 Unprotected noncombustible 9 0 Not classified above
5 0 Protected ordinary 0 ❑ Undetermined or not
reported
EXTENT OF DAMAGE
Flame
1 Confined to the object of origin t 0
2 Confined to part of room or area of origin 2 0
3 Confined to room of origin 3 ❑
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 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 ❑
7 ❑
0 ❑
9 ❑
P
DETECTOR PERFORMANCE
1 ❑ Det. in room or space of fire origin-oper.
2 ❑ Det. not in rm. or space of fire origin-oper.
3 0 Det in rm. or space of origin -not oper.
4 ❑ Det. not in rm. or space of origin -not oper.
5 ❑ Det. not in rm. or space of fire origin
8 ❑
9
0 17
but fire too small to oper.
No detectors present
Not classified
Undetermined or not reported
SPRINKLER PERFORMANCE
1 ❑ Equipment operated
2 ❑ Equipment should have operated—did not
3 0 Equipment present, fire too small to oper.
8 ❑ No equipment present (N/A)
9 ❑ 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 ❑ Air handling duct
2 0 Corridor
3 0 Elevator shaft
4 ❑ Stairwell
5 ❑ 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 ❑ Undetermined or not reported
C)
0
0
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m
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0
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0
0
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0 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)
YEAR
MAKE
MODEL
SERIAL NO.
INVOLVED
40
IN IGNITION
0
OFFICER IN CHARGE
r C� m c Cott
INS -913. 3
MEMBER MAKING REPORT
sad
DATE
7
IrL„
A
elvt ecittel touziK6 Th41
40 E. , At4.t ,7,54
INCIDENT* 19864 11/81/88 8:48:47 TUE NOV 81,1988
WASH DOWN FOR A DIESEL LEAK
6888 SOUTHCENTER BLVD TUKWILA
DISPATCHED AS: NON-STRUCT RUN* : 5238
RP: SGT. ABBOTT MAP BOX* : 5298
PHONE: RADIO FDI* : 8
RC'D BY : 23 TIME: 8648:82
DISP BY : 18
ON -LOC ON -LOC RETURN RETURN IN -DTR OUTDTR IN -OTR
APPR. DISP. RESPOND 0S IS IS OS IS IS OS
E52 !8648:83 1641:37 !8645:45 !
1837:18 ! 1848:39 !
RUN CARD COMMENTS: SHEPARD IMMEDIATELY 322-8338 MEDIC 4/5
APPARATUS:
A = E52 A51 A53 A24 A23 All
E = E52 E51 E53 Ell E18 E76 E19 E13
L = L76 L51 Lll
8783:16 EPA ANSWERING SERVICE CONTACT
8734:48 MOVING RIG AND BLKIN6 LANE
8751:18 DOE ENROUTE ABOUT 28 AGO
8712:38 CONTACTING DOE
8714:38 DOE DISPATCHING ON CALL MAN
8714:47 WILL CALL WITH ETA
Cl4 ,or co„ ,! Zgel,Neot,