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0137 BAXTER ROAD - HAZMAT
' a�Aor tz ,2 4goty)nCS Ib — o(oo a 1. e a • e r if otoo - MASSACHUSETTS FIRE INCIDENT REPORT O >»DEPARTMENT Revised9.2..2....... Hyannis Fire Department Report Form • ide If Date DayAlarm rriva n ervice 000341 Fire 004/13/96 Saturday 04:22 04:22 06:51 SIZ,AZMON FOUND � ACTION TAKEN 4 MUTUAL AID Remove Hazard ' ' FIXED PROPERTY USE (OCCUPANCY) ^» IGNITION FACTOR C Uncovered Parkin Area 9 6 5 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 137 BAXTER ROAD 02601 000040 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. BRYANT, MICHEAL 508 790-9745 O/S OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 BRYANT, LESLIE PRINCETON, ME. 04668 508 790-9745. G 13 METHOD OF ALARM CO. DIST. PERSONNEL ...... ENG RESP. ••......... AERIALS RESP. 3 RESP. 19 0 >6 SHIFT HAZ MAT PRESENT? TANK. RESP. JOTHER RESP. No Alarm received NO. SUBSTANCE 0 0 1 ]SPEC. EQUIP. USED? O 20 FIRE SERVICE 0 0 H OTHER O <' O �,;, O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LASS TOTAL INS. CLAIM PD � —o' . 0 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 JIF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION GCOMPLEX AREA OF <EQUIP INVOLVED IN IGN. ORIGIN FORM OF HEAT IGNITION MATERIAL FORM " TYPE XX © IGNITED X. METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE OEXTINGUISHMENT EXTENT OF DAMAGE Flame ........ Smoke Mrm DETECTOR PERFORMANCE SPRINKLER PERFORMANCE COop r77""79 Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date FARRENKOPF, C. CAPTAIN 4/1 3/9 6 Comments for this incident have been printed on an additional comments page. a Comments for Incident: 96 000341 Exposure: 00 Date: 4/13/96 WHILE OPERATING AT STRUCTURE FIRE 137 BAXTER ROAD,WE FOUND A STRONG SMELL OF GASOLINE OUTSIDE THE IDWELLING,NEAR TWO PARKED VEHICLES. NQUIRING WITH MS.LEMAY AND HER COUSIN MICHEAL BRYANT ABOUT THIS SMELL OF GASOLINE MICHEAL TOLD US HE HAD A LEAKING GAS TANK, IT WAS QUITE OBVIOUS. MR. BRYANT SAID THIS LEAK WAS ABOUT TWO(2) DAYS ClD??????? VEHICLE WAS REMOVED FROM SCENE BY BUCKLERS TOWING,DUTY WRECKER. GASOLINE SPILL WAS COVERED WITH JAN-SOLV. VEHICLE: PICK-UP TRUCK 1986 REG: ME. 3249S OPERATOR:MICHEAL BRYANT. OWNER:LESLIE E. BRYANT PRINCETON, ME. 04668. WEATHER CONDITION:COUDY,COOL,WIND OUT OF THE SOUTHEAST ABOUT 4 MPH,T 420 F. FARRENKOPF, C. CAPT. 01/13/96.