HomeMy WebLinkAboutHAZMAT 97-0876 - 4628 S 144TH ST - SHOWALTER MIDDLE SCHOOL - INDENTIFICATION/ANALYSIS OF HAZARDOUS MATERIAL ON 3/13/19974628 S 144TH ST
1NDENTIFICATION/ANALY
SIS OF HAZARDOUS
MATERIAL
HAZMAT # 97-0876
TUKWILA FIRE DEPARTMENT
FIRE INCIDENT REPORT
*°I
FDtD: 17M19 Incident No: 97-000876-000
Date: 03/13/97 Multi -Agency:
Dispatch: 1234 Arrival: 1238 End: 1407 Days: 0 Response: 0 04
First Co: E54 District: 11 Temperature: 047 (F)
Aid: 0 NO AUTOMATIC/MUTUAL AID RECEIVED OR PROVIDED
Alarm Method: 6 NO ALARM RECEIVED - NO RESPONSE
Weather: 2 CLOUDY
Situation(s): 42 TOXIC CONDITION
Act ion(s) Taken: 16 SMOKE OR TOXIC GAS REMOVAL_
42 IDENTIFICATION/ANALYSIS OF HAZARDOUS MATERIAL
33 PROVIDE EMERGENCY MEDICAL SERVICE
43 EVACUATION
Property Mangmnt: 1 PRIVATE TAX --PAYING PROPERTY
Address/Location: 4628 S 144 ST
Room/Apartment: Zip: 98168-0000
City/State: TUKWILA, WA
Hazard Zone: Census Tract: 0272.00
Personnel
Apparatus
Aerial: 00
Paid: 0012
Engine: 003
Command: 01
Volunteer: 0000
Truck: 00 Medical: 01 Other: 00
Tanker: 00 Rescue: 00 Hazmat: 01
General Use: 21 PRIMARY- AND SECONDARY -LEVEL EDUCATIONAL. USE
Specific Use: 214 JUNIOR HIGH SCHOOL (incl. intermediate/middle
Bldg Occupancy: El EDUCATIONAL BLDG THRU 12 GRADE WITH 50+ PERSO
Struct. Status: 2 IN USE WITH FURNISHINGS IN PLACE, BEING USED
Occupied?: 1 YES
CASUALTIES
Fire Service Casualties:
Injuries: 000
Non Fire Service Casualties:
Injuries: 002
Fatalities: 000
Fatalities: 000
-• = ._ = -- = = COMPLETE FOR HAZARDOUS MATERIALS =
Area of Release: 31 LABORATORY
Release Level: A2
Rel Factor(s): 22 NEGLIGENCE/RECKLESS - ADULT
Estimated #t Chemicals Release: 000
TUKWILA FIRE DEPARTMENT
Incident Number: 97-000876--000
Incident Date: 03/13/97
Alarm Time: 1234
Equip. Involved: Type of Equipment Involved (F -2;C-4)
Action(s) Taken: 16 SMOKE OR TOXIC GAS REMOVAL_
42 IDENTIFICATION/ANALYSIS OF HAZARDOUS MATERIAL
33 PROVIDE EMERGENCY MEDICAL SERVICE
43 EVACUATION
Disposition: 8 INCIDENT SCENE RELEASED TO OWNER/MANAGER
Haz Mat ID Sources Used:
37 ON SITE NON-F.S.: LABORATORY PERSONNEL
Fire Service Haz Mat Casualties:
Injuries: 000
Non -Fire Service Haz Mat Casualties:
Injuries: 002
-----CHEMICALS
Fatalities: 000
Fatalities: 000
Chem.Name: FORMALDEHYDE DOT ID:
Hazard Class: DOT Hazard Class (F-4)
Chemical Abstract #:
Physical. State:
Stored: 2 LIQUID (incl. cryogenics)
Released: 2 LIQUID (incl. cryogenics)
QTY Released: 00001 Units: 12 GALLON
Extent of Release: 3 CONFINED TO ROOM OF ORIGIN
Contamination: 8 NO ENVIRONMENTAL_. IMPACT
Container:
Type: Haz-Mat Container Type (F-6)
Cap: 00000 Units: Unit of Measure
INCIDENT REPORT OFFICER IDENTIFICATION
Member making report: LT. MARTIN F. GRISHAM
Officer in charge: LT. MARTIN F. GRISHAM
Shift: C
Employee ID: 1112
Report Date: 03/13/97
5;"(
Member Signatu140
Officer in charge:
TUKWILA FIRE DEPARTMENT INCIDENT REPORT NARRATIVE
Page 1. Date: 03/13/97 Incident: 97-000876--000
Dispatched to a. spill of "formaldahyde" on the second floor of
Showalter Middle School, in the chemistry room. Upon arrival we found
the building NOT evacuated. The teacher (that spilled the product)
was reported as being in the room, cleaning up the small quantity that
spilled on the counter. The majority of the gallon spilled into a 20
gallon fish tank, 3 or 4 fish in the tank are now well preserved!
We evacuated the rooms ajacent to the room where the spill occured. We
also attented to the teacher and one student who reported that she was
not feeling well. Aid reports were done of both of these victims. We
contacted Gary Gordon, a chemist with the Boeing Company. He informed
us not to poor any product down a drain, and to cover the fish tank
until a proper clean up agency could come in and drain the tank and
clean up any residual product. We also isolated the area to deny entry
to anyone until the product was all cleaned up.
We turned the building back over to the local school authorities and
returned to quarters.
People at the school included the principle, the vice principle, the
super.itendent of schools and the teacher in the classroom.
Incident History tor:
Received U3/13/97
Entered 03/13/97
Dispatched 03/13/97
Enroute 03/13/97
Onscene 03/13/97
Closed 03/13/97
411197000833 CH: $TF97000876
12:32:27 BY CRO8 /SPEAR
12:33:56 BY CR08 /SPEAR
12:34:12 bY FD21 /GERRET
12:35:37
12;38:07
14:07:19
Initial Type: SPILL Initial Alarm Level:
Final Type: SPILL (FLAMMABLE LIQUID SPILL (2A))
v: 1
Police TP2300 Fire T15410 Group: T9 Beat:
Pollee hms: Fire kms: Medic kms:
Loc: 4628 $ 144 ST ,TUK SHOWALTER MIDDLE S
Name: EMPLOYEE Addr:
/1233 SPEAR CRO8 ENTRY
/1233 CRO8 $ASNCAS
/1234 GERRET FD21
/1235
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0.37
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FD21
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LEUNAR FD22
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/1249 LEONAR FD22
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/1256 LEUNAR
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FD22
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DIS? E52
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Fri: 2 Dispo: Alrm Le
Phone: 90i-7500
MEET AT FRONT DOOR. FOR CHEMICAL SPILL UN
2ND FLOOR - SCIENCE ROOM . AT LEAST 3 GALS
OF FORMALDAHYDE (UNDER 200).
$TF97000876
#TF6713 LYONS, PHIL
#TF0739 MORALES, MARK
#TF0001 TUKWILA FIRE RADIO
#TF7775 BORDEN, JOHN
ENROUT E52
ASSTER A54 [4628 S
#TF4856
ASSTER E54 [4628 S
#TF2884
4'140001
#TF9428
[4628 S
ASSTER CH52
ONSCNE A54
ONSCNE E54
NEWLOC E52
NEWLOC E54
NEWLOC A54
MISC E52
ENROUT E52
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ASSTER E51
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ONSCNE E52
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ONSCNE CH52
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144 ST ,TUK] #TF9497 BROOKS, MERLE
CZULEGER, MATT
144 ST ,TUK) #T19526 GRiSHAm, mART
KRONEN, MARCO
TUKWILA FIRE RADIO
SUSS, MIKE
144 ST ,TUK) 4TF6959 OLIVAS, NICK
[HAZMAT RIG]
[SHOWALTER CMD]
,A54 GU W/THIS MAN TO STUDENTS & CHECK FUR
ANY PTS
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,BRING THE HAZMAT VEN, CONTAINED IN A FISH
TANK ON 2ND FLOOR, NEED LEVELB SUITS TO G
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,CALL INTO SCHOOL & HAVE REP
ST SIDE TO FIRE
#TF2065 PETERSON, LAVERN
#TF7071 MAEL, CHUCK
#TF0001 TUKWILA FIRE RADIO
#TF1593 DYER, STEVE
,901-7800
,EVAC ROOMS ON EITHER SIDE
LL
,IS A PINT OR QUART ON THE COUNTER,
0 DETERMINE HOW TO PICK THAT UP
COME OUT TOEA
& ACROSS THE
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FD21 NEWLOC E54 [46288 144 ST ,TUKJ
/1338 FD21 UNSCNE E54
/1401 FD21 CLEAR E54
/1407 FD21 CLOSE E52
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