HomeMy WebLinkAboutHAZMAT 88-2510 - 12400 42ND AVE S - WASHDOWN, LIME ON ROADWAY ON 12/15/198812400 42ND AVE S
WASHDOWN, LIME ON
ROADWAY
HAZMAT # 88-2510
WASHINGTON STATE FIRE INCIDENT REPORT
• FIRE DEPT.
NFIRS 1
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10
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INCIDENT NO.
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DAY
1 I S.l
YEAR
DAY OF WEEK
5 0 Thursday
2 ❑ Monday 4 0 Wednesday Tuesday 7 ❑ Saturday •r
I
ALARM TIME
/101,-1 6
ARRIVAL TIME
1103 IT
TIME IN SERVICE
! lb 1/13
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B
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0
TYPE OF SITUATION FOUND
1. FIRE, EXPL.
1
t
3 RESCUE
I
( 5. SER. CALL 67 ' _ 7. .FALSE •
I I
2. PRESSURE RUPTURE
I I 1 I I 1 I I
4. HAZ. COND.
I
6. GOOD INTENT I 9. OTHER
1
ACTION
TAKEN
1 ❑ Extinguishment 5 0 Stand by 8 0 Fill in. Move up
2 0 Rescue Only 6 0 Salvage 9 0 Not classified
3 LJ Investigation only 7 0 Emerg. Med. 0 0 Undetermined/Not reported
emove Hazard
MUTUAL AID
1 0 ReedAA
2 Given
N/A
FIXED' PROPERTY' USE (Occupancy)
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11
OCCUPANT NAA{ME /�49 (LAST, FFIRSST,� Mw.l.)
TELEPHONE
or APT.
ROOM/or
12.
OWNER NAME (LAST, FIRST, M.l.)
ADDRESS
TELEPHONE
13
METHOD OF ALARM
1 0 Telephone direct 4 bRadio 8 0 Voice signal municipal alarm signal
2 ❑ Municipal alarm system Y'❑ Verbal 9 0 Not classified
3 0 Private alarm system 6 0 No alarm rec'd. 0 ❑ Undetermined or not reported
7 0 Tie -line (911)
CO. INSPECTION
DISTRICT
•
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SHIFT
NO. ALARMS
v
H
NO. FIRE SERVICE PERSONNEL
RESPONDED
01013
NO. ENGINES
RESPONDED
,Dloil
NO. AERIAL APPARATUS
RESPONDED
bid; l d
NO. OTHER VEHICLES
RESPONDED
idol /.
20
NUMBER OF INJURIES Complete Form NTS 3
FIRE SERVICE ®
COMPLETE FORM NFIRS 2
OTHER
NUMBER OF FATALITIES I
FIRE SERVICE
OTHER
a„
K
L
N
0
Q
R
COMPLEX
I
MOBILE PROPERTY TYPE
(Complete Line S)
I
AREA OF FIRE ORIGIN
I
EQUIPMENT INVOLVED IN IGNITION
(Complete Line T)
I
FORM OF HEAT IGNITION I
I
TYPE OF MATERIAL IGNITED
I
I
FORM OF MATERIAL IGNITED
I
METHOD OF
EXTINGUISHMENT 2 0 Make shift aids 5 0 Pre -connect hose/tank only
0 1 Self extinguished 3 0 Portable extinguisher 6 0 Pre -connect hose/hydrant draft standpipe
4 0 Automatic ext. system 7 0 Hand -laid hose/hydrant draft standpipe
8 0 Master stream device
9 0 Not classified
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
ESTIMATED DOLLAR LOSS
I I 1 I I 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 C .25 to 49 stories.
8 C 50 stories or more.
0 C 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 0 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 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
I ❑
2
3 ❑
4
5
6
7 ❑
o❑
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 apace 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 prevent
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
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IF MOBILE PROPERTY
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YEAR
MAKE
MODEL
SERIAL NO.
LICENSE NO.
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40
IF EQUIPMENT. NO J APPLICABLE)
INVOLVED
1 IN IGNITION
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YEAR
MAKE
MODEL
SERIAL NO.
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OFFICER IN CHARGE
INS -913- 3
MEMBER MAKING REPORT
DATE
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INCIDENT# 21850 12/15/88 10:52:28 THU DEC 15.1988
WASHDOWN. LIME ON ROADWAY
0 S 124 ST AND 42 S ALL CITIES
DISPATCHED AS: NON-STRUCT RUN* : 0
RP: TRUCK 56 MAP BOX* : 0
PHONE: FIRE 1 FDZ11 :
RC'D BY : 4 TIME: 1028:08
DISP BY : 4
ON -LOC ON -LOC RETURN RETURN IN -QTR DUTQTR IN -QTR
APPR. DISP. RESPOND OS IS IS DS IS IS 09
E52 !1828:23 !1028:26 '1034:58 ! '1043:59 ! '1052:04 ! 'e .wc /
RUN CARD COMMENTS:
APPARATUS:
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