HomeMy WebLinkAboutHAZMAT 89-0123 - 14470 58TH AVE S - SPILL (FLAMMABLE LIQUID SPILL) ON 1/19/198914470 58th Ave S.
SPILL (FLAMMABLE
LIQUID SPILL)
HAZMAT # 89-0123
O
WASHINGTON STATE FIRE INCIDENT REPORT
FIRE DEPT.
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NFIRS 1
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2 ❑.change.
10
FDID
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INCIDENT
C.� IC�
NO.
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OD 1 OTHER
EXP.
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MO.
1
DAY
1 J
YEAR
DAY OF WEEK�•OrThursday
20 Mo day 4 ❑ Wednesday 7 ❑ Saturday
,ay
ALARM TIME
`, 1Z-1-
ARRIVAL TIME
C I�"�1 I
TIME IN SERVICE
( L
I q I i4
B
D
TYPE OF SITUATION FOUND
1. FIRE, .EXPL..,1
I
I 3. RESCUE
1 5. • '-SER. CALL •
1
7. FALSE
i
2. PRESSURE RUPTURE
I
1 { 4. HAZ. COND.
I
j
•`/ 1) h \ 6. GOOD . INTENT
I
1 I 9. OTHER
1
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
3 Investigation only 7 ❑ Emerg. Med. 0 ❑ Undetermined/Not reported .
4 Remove Hazard -
0 1 Self extinguished 3 0 Portable extinguisher 6 0 Pre -connect hose/hydrant draft standpipe 9 0 Not ctassified
4 0 Automatic ext. system 7 0 Hand -laid hose/hydrant draft standpipe 0 0 Undetermined or not reported
MUTUAL AID
1 ❑ Recd
2 ❑ Given
�3N/A
/
,1/
FIXED P OPERTY USE (Occupancy)
.60C, STP -#6r- -
j
1 44_
IGNITION F CTOR
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( fir
f ADDRESS (Up to maximum of 21 characters)
(v AV.
ZIPCODE
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CENSUS1�TRACT"�
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11
OCCUPANT NAME (LAST, FIRST, M.l.)
m lit 11*1 / Pd lL
TELEPHON
t)6 6 __ «
ROOM or APT.
Ni �-1
12
OWNER NAME L (LAST, FIRST, M.I.)
iylitF fivj
ADDRESS
t V
TELEPHONE
c.,..6-6) G24, - / f'�
13
METHOD OF ALARM!
1 4 Telephone direct 4 0 Radio 8 0 Voice signal municipal alarm signal
2 Municipal alarm system 5 0 Verbal 9 0 Not Undetermined
3 0 Private alarm system 6 0 No alarm recd. 0 ❑Undetermined or 061 reported
7 0 Tie -line (91 )
/
CO. INSPECTION
DISTRICT
E on
SHIFT
NO. ALARMS
1
jj
H
NO. FIRE SERVICE PERSONNEL
RESPONDED /�
Iona
NO. ENGINES
RESPONDED
I 1
NO. AERIAL APPA
RESPONDED
ATUS i
���jf�1� -
NO. OTHER VEHICLES 4
RESPONDED j
I
K niC in, 6
20
NUMBER OF INJURIES Complete Form N 1IRS" 3
FIRE SERVICE C
COMPLETE FORM NFIRS 2
OTHER Cyr
NUMBER OF FATALITIES
FIRE SERVICE
+
OD 1 OTHER
tx:) IO
J
K
L
M
N
O
a
COMPLEX
I
MOBILE PROPERTY TYPE (Complete Line S)
1
AREA OF FIRE ORIGIN
SERIAL NO.
EQUIPMENT INVOLVED IN IGNITION (Complete Line T)
(N30.A. IF NOT APPLICABLE)
I
I
FORM OF HEAT IGNITION
f�� /y. �r
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TYPE OF MATERIAL IGNITED
IF EQUIPMENT (N.A. IF OT APPLICABLE)
FORM OF MATERIAL IGNITED
MAKE
MODEL
I
I
INVOLVED
1
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 ctassified
4 0 Automatic ext. system 7 0 Hand -laid hose/hydrant draft standpipe 0 0 Undetermined or not reported
IN IGNITION • ( .
LEVEL OF FIRE ORIGIN
ESTIMATED DOLLAR LOSS
1 0 Grade level to 9 ft. 6 0 Over 70 feet
2 ❑ 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
1
1 1 1 1 1 1 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. 8 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
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 ❑
4 Confined to the lire -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 o1 this type (N/A)
Smoke
1 ❑
2
3
4 ❑
5
6 ❑
0
9
P
DETECTOR PERFORMANCE
1 ❑ 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 smell 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 ❑ 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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COMPLETE IF STRUCTURE FIRE
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OFFICER IN CHARGE
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INS -913- 3
MEMBER KING REP/9
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IF MOBILE PROPERTY
YEAR
MAKE
MODEL
SERIAL NO.
LICENSE NO.
(N30.A. IF NOT APPLICABLE)
f�� /y. �r
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IF EQUIPMENT (N.A. IF OT APPLICABLE)
YEAR
MAKE
MODEL
SERIAL NO.
INVOLVED
40
IN IGNITION • ( .
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u
OFFICER IN CHARGE
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Incident History for: 4TF89000125 CN: $TF89000124
Entered 01/19/89 13:48:53 BY FDO1 VC4361
Dispatched 01/19/89 13:49:46 BY FD01 VC4361
Onscene 01/19/89 13:51:29
Closed 01/19/89 14:04:15
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Initial Type: HZLEAK Initial Alarm Level: 1
Final Type: SPILL !FLAMMABLE LIQUID SPILL (DEF?? Pri: 2 Dispo:
el: 1
Police TP400 Fire TF5230 Group: T9 Beat:
Loc: 14470 58 AV S ,TUK near UNK
Name: STATION 51 Addr:
/1348 (VC43511 ENTRY
/1349 CHANGE
/1349
/1349
/1350
/1351
/1404
/1404
DISP E52
ASNCAS E52
SUPP
ONSCNE E52
MOBINS E52
CLOSE E52
NO FURTHER INFORMATION
TYP: HZLEAK
-- SPILL .
STF89000124
TXT: A BROWN AUDI FOX
Alarm Lev
Phone: 575-4404
-52 - �e=�; /He G' e)1,