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0012 WILLOW STREET - HAZMAT
At . . ....... „ ”" MASSACHUSETTS FIRE INCIDENT REPORT > DEPARTMENT Revised D 1..9..2..2....._... Hyannis Fire Department Report Form If E Date Alarm ArrivalIn Service 000423 Fire 005 / 5 / § 7 Y]Monday114 : 3 3 114 :4 2 1 15 :09 SITUATION FOUND JACTION TAKEN ,, MUTUAL AID B Spill, Leak w/ No Ign Remove Hazard FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Paved Public Street 9 6 2 NOT AFIRE 0 0 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D WILLOW STREET 02601 20 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. F 12 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE G 1 3 METHOD OF ALARM CO. DIST. O PERSONNEL ENG RESP. AERIALS RESP. 1 RESP. 0: 4 SHIFT HAZ MAT PRESENT? N TANK. RESP. OTHER RESP. A 0 RESCUE 828 NO. M SUBSTANCE 0 0 1 SPEC. EQUIP. USED? O 2 SERVICE 0 OTHER IO O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL N0. IN IGNITION O COMPLEX AREA OF EQUIP INVOLVED IN IGN. ORIGIN © FORM OF HEAT IGNITION MATERIAL FORM TYPE IGNITED .:: METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE O EXTINGUISHMENT EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE N P O Material generating FORM TYPE no most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date JOSEPH P.CABRAL JR. CAPTAIN 5 / 5 / 9 7 Comments for this incident have been printed on an additional comments page. i . Com.nlents for Incident: 97 000423 Exposure: 00 Date: 5/5/97 RECEIVED THE RADIO CALL FROM RESCUE 828 CAPTAIN C.FARRENKOPF REQUESTING AN ENGINE COMPANY TO THE .CCIDENT SCENE ON WILLOW ST.ACROSS FROM THE SHELL STATION. RESPONCE ENGINE 822 WITH FIREFIGHTERS LOUGH A 4PON ARRIVAL RESCUE 828 HAD LEFT TO GO TO THE HOSPITAL. I MET THE TOW TRUCK DRIVER FROM ROTARY AUTO BODY.THERE WAS NEED TO DISCONNECT THE BATTERY IN THE GREEN FORD F150 PICKUP AND THEN WORK A SPILL OF MOTOR OIL AND ANTI-FREEZE. WE CUT THE BATTERY CABLES AND CLEAN UP THE SPILL USING SPEEDI DRY FROM THE TOW COMPANY.THE TOW COMPANY ALSO REMOVED THE SOILED SPEEDI DRY.AFTER THE TRUCK WAS UP ON THE CAR CARRIER WE THEN PUT DOWN A FRESH SKIM COAT ON THE ROAD SURFACE. ENGINE 822 CLEARED THE CALL AND RETURNED TO QTRS. AT. 1509 HRS. CAPTAIN JOSEPH P.CABRAL JR. 5/5/97.