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HomeMy WebLinkAboutHAZMAT 88-2494 - 13435 INTERURBAN AVE S - GASOLINE OR OTHER FLAMMABLE LIQUID SPILL ON 12/14/198813435 INTERURBAN AVE S GASOLINE OR OTHER FLAMMABLE LIQUID SPILL HAZMAT # 88-2494 ARNOLD'S EXPRESS LANES WASHINGTON STATE FIRE INCIDENT REPORT FIRE. DEPT.,) , 1 1 ❑ delete 2 LI change 1O FDID M ( l / Vr(1 I 1 INCIDENT NO. s q 70lsaClyl! 5 EXP. ©16 MO. -/la DAY f f 1, / YEAR (fi ( D IU .,DAY OF WEEK C,'. 1 \\ ' r 5 ❑ Thursday' 1 ❑ Sunday 3 Tuesday 6 ❑ Friday 2 ❑ Monday 4 Wednesday 7 ❑ Saturday - y ALARM TIME . - ,r 0 I I9 Ii' ARRIVAL TIME (/ d 1^'k I! TIME IN 013h l0 SERVICE g B C 0/VI .".ThrERu/tpi4A/ TYPE OF IT ATION FOUND` 1. FIRE, EXPL. ' ';3. j',`.,RESCUE I I I's' 5. SER. CALL I J r r 7. 'FALSE I 't 2. PRESSURE RUPTURE '"'I - 4.. HAZ. COND., /'. ..6. GOOD INTENT - I 9. OTHER I 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 7 ❑ Emerg. Med. . 0 ❑ Undetermined/Not reported 4 Remove Hazard 91 MUTUAL AID • M 1 ❑ Rec'd - 2,.❑ Given 4,43❑nvestigationonly -AN/A - _ FIXED PROPERTY USE (Occupancy) • %)..; T. , -e e r,e; V5. 44Aoj/ 5712 IGNITION FACTOR . . J ; IrZ/ I d ORRECT ADDRESS (Up to maximum of 21 characters) ,U S,, . - ZIP CODE J/Q',LO I! Ict lU CENSUS TRACT 01 dIsoIlI 2'OCCUT 11 NAME (LAST, FIRST, M.I.) :A( Not DJ- IXPn pss L 4 /.;s TELEPHONE . 93 // 03 ROOM or APT. ,% 12 OWNER NA%MEE (LAST, FIRST, M.I.) •Q /` /1J0/ ,f Lodz- 11111/ (/ v V ► `/ ADDRESS ` / r V/ 2 n©'^r ' '; TELEPHONE j t-mot,,kMETHOD 4(JN/O. 13 OF ALARM e.Telephone direct 4 0 Radio 8 0 Voice signal municipal alarm signal 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 77 0 Tie -line (911) CO. INSPECTION DISTRICT 1©I(%fi SHIFT j 11 /' ALARMS / H NO. FIRE SERVICE PERSONNEL RESPONDED • e Io a NO. ENGINES i RESPONDED I / 14I NO. AERIAL APPARATUS RESPONDED j 01010 NO. OTHER VEHICLES RESPONDED el `7/'C J L M N O Q R COMPLEX NUMBER OF INJURIES Complete Form NFIIRS 3 COMPLETE FORM NFIRS 2 AREA OF FIRE ORIGIN NUMBER OF FATALITIES EQUIPMENT INVOLVED IN IGNITION (Complete Line T) 30 FORM OF HEAT IGNITION Ij I I TYPE OF MATERIAL IGNITED I 20 FIRE SERVICE a 0 OTHER' 0 A 1J FIRE SERVICE• 0 OTHER ( / J L M N O Q R COMPLEX 1 MOBILE PROPERTY TYPE (Complete Line 5) 1 I AREA OF FIRE ORIGIN I EQUIPMENT INVOLVED IN IGNITION (Complete Line T) 30 FORM OF HEAT IGNITION Ij I I TYPE OF MATERIAL IGNITED I FORM OF MATERIAL IGNITED 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 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 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 IF EQUIPMENT (N. ESTIMATED DOLLAR LOSS 1 1 I 1 1 I I I NUMBER OF STORIES 1 1 story. 4 5 to 6 stories. 2 0 2 story. 5 ❑ 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 1 ID 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 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 A 0 .9 r m .a m 0 D r r Z C) v m z --f (n 0 0 1 r m m m 0 1 -n m rn 381d 31il10ld1S dl 3131d11O0 U INS -913- 3 MEMBER MAKING REPORT DATE IF MOBILE PROPERTY YEAR MAKE MODEL SERIAL NO. LICENSE NO. 30 (N.A. IF NOT APPLICABL ) IF EQUIPMENT (N. OT AllPLICABLE) YEAR MAKE MODEL SERIAL NO. INVOLVED 40 IN IGNITION. U INS -913- 3 MEMBER MAKING REPORT DATE a,42_ Ca..aa 0J.One., 617e )41-ev" YT 1/Lp Pita ads de. bzw•-' , eA4-4-AR , Afitejeu,< ,4010-4" - - ,744e 4 ' • ••• INCIDENT* 21769 12/14/88 3:33:58 WED DEC 14.1988 WASH DOWN FOR A 6AS SPILLAGE/APPROX 18 GALLONS ON GROUND 13435 INTERURBAN AVE S TUKWILA DISPATCHED AS: NON-STRUCT RUN* : 5210 RP: FRED TAYLOR MAP BOXt : 5214 PHONE: 243-1103 FR* : 8 RC'D BY : 18 TIME: 0249:37 DISP BY : 18 ON -LOC ON -LOC RETURN RETURN IN -OTR OUTOTR IN -OTR APPR. DISP. RESPOND OS IS IS OS IS 1S OS E52 !0249:37 !0250:49 1254:28 ! !0320:34 ! 1324:21 ! RUN CARD COMMENTS: MEDIC 4/5 APPARATUS: A = E52 A53 A51 A23 A11 E = E52 E53 E51 E24 Ell E76 E18 L = 176 L51 111 ,2/q