HomeMy WebLinkAboutHAZMAT 89-1686 - 5800 INTERURBAN AVE S - SPILL (FLAMMABLE LIQUID SPILL) ON 8/2/19895800 INTERURBAN AVE S
SPILL (FLAMMABLE
LIQUID SPILL)
HAZMAT # 89-1686
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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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I 1 'I 1
INCIDENT NO.
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EXP.
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MO.
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'1
DAY
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1
YEAR
C 7 6
I
DAY OF WEEK
5 ❑ Thursday
1 ❑ Sunday 3 ❑ Tuesday 6 ❑Friday
p ❑Monday 4 ❑:Wednesday 7 ❑Saturday
FORM OF HEAT IGNITION
ALARM TIME
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ARRIVAL TIME
/
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1 1 1-
TIME IN SERVICE!
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477-7T1.
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TYPE OF SITUATION FOUND
1. FIRE, EXPL.
II • 3. RESCUE
1
I. 5. SER. CALL
I
I 7. FALSE'
1
2. PRESSURE RUPTURE
1 1 4. HAZ. COND.
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6. GOOD INTENT
1 I 9. OTHER
1
ACTION
TAKEN
1 0 Extinguishment 5 0 Standaivby 8 0 Fillin. Move up
2 0 Rescue Only 6 ❑Selvage 9 ❑Not classified
3 0 Investigation only 7 0 Emerg. Med. 0 0 Undetermined/Not reported
4 ❑,Remove Hazard ` 1
/
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MUTUAL AID
1 ❑ Recd
2 ❑ � Given
9 -N/A•
FIXED PROPERTY USE (Occupancy)
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b12-40
IGNITION FACTOR
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CORRECT ADDRESS (Up to maximum of 21 characters) , `°
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ZIP CO/DE/
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TRACT
010101 l Z.-
01010I.-11/—
OCCUPA� 4 �i A (LAST, FIRST, M.I.)
OCCUPANT
TELEPHONE
ROOM APT.
12
OWNER NAME J (LAST, FIRST, m.1.)
C/ rii 0 / 11.4 4- lil ; /4-
ADDRESS i7 ,�� L1
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TELEPHONE /cam
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METHOD OF ALARMCO.
1 0 Telephone direct 4 ❑'Radio 8 0 Voice signal municipal alarm signal
2 ❑Municipal alarm system 5 ❑Verbal 9 ❑Not classified
3 0 Private alarm system 6 0 No alarm rec'd. 0 0 Undetermined or not reported
7 0 Tie -line (911)
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INSPECTION
DISTRICT
1 1 1
SHIFT
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NO. ALARMS
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H
NO. FIRE SERVICE PERSONNELNO.
RESPONDED I��
1
ENGINES
RESPONDED
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NO. AERIAL APPARATUS
/ RESPONDED
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NO. OTHER VEHICLES
RESPONDED ` `
ISI 1
20
NUMBER OF INJURIES Complete Form NFIRS 3
FIRE SERVICE �L.'1
COMPLETE FORM
I OTHER
NFIRS2
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NUMBER OF FATALITIES
FIRE SERVICE
I
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OTHER
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COMPLEX r
Il 1
MOBILE PROPERTY TYPE (Complete Line S)
I 1
AREA OF FIRE ORIGIN I
EQUIPMENT INVOLVED IN IGNITION (Complete Line T)
SERIAL NO.
I 1
IF EQUIPMENT (N.A. IF NOT APPLICABLE)
FORM OF HEAT IGNITION
TYPE OF MATERIAL IGNITED
MODEL
FORM OF MATERIAL IGNITED
_L__
1
INVOLVED
1
1
I
METHOD OF
EXTINGUISHMENT 2 0 Make shift aids 5 ❑ Pre -connect hose/tank only 8 0 Master stream device
IN IGNITION
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
ESTIMATED DOLLAR LOSS
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
1 I 1 1 1 1 I I 1
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 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 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 o1 origin
2 Confined to part of room or area of origin
3 Confined to room of origin
4 Confined to the fire -rated comp. of origin
5 Confined to floor of origin
6 Confined to structure of origin
7 Extended beyond structure of origin
0 Undetermined/not reported
9 No damage of this type (N/A)
1
2
3
4
5❑
6
7
0❑
Smoke
1
2
3
4 ❑
5 ❑
6
7 ❑
o
9
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 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
1 1
FORM OF MATERIAL GENERATING MOST SMOKE- t
• 1 1
AVENUE OF SMOKE TRAVEL
1 0 Air handling duct 4 0 Stairwell
2 0 Corridor 5 0 Opening in construction
3 0 Elevator shaft 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
(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
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OFFICER IN CHARGE
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MEMBER MAKING REPORT
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DATE
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Incident History for: 4TF89001620 CN: $TF89001717
Entered 08/02/89 16:29:35 BY SP02 CRANDA
Dispatched 08/02/89 16:29:49 BY FDBl CHARON
Enroute 08/02/89 16:31:51
Onscene 08/02/89 16:41:57
Closed 08/02/89 17:10:17
Initiai Type: SPILL Initial Alar® Level: 1
Final Type: SPILL (FLAMMABLE LIQUID SPILL (2A)1 Pri: 2 Dispo: Alarm Leve
1: 1
Police TP100 Fire TF5390 Group: T9 Beat:
Police Rms: Fire Rms:
Loc: 5800 INTERURBAN AV S ,TUK near
Name: 2T9 Addr:
Medic Rms:
Phone:
/1629 (CRANDA) ENTRY 4 QTS OIL SPILLED ON RDWY, PD ON LOC
/1629 $ASNCAS $TF89001717
/1629 (CHARON) DISP E53
/1631 ASST E52 (5800 INTERURBAN AV S ,TUKI
/1631 IQIS E53
/1641 ONSCNE E52
/1647 AVL E52
/1710 MOBINS E52
/1710 CLOSE E53
Aged'
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