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HomeMy WebLinkAbout0867 IYANNOUGH ROAD/RTE132 - HAZMAT -1 qan VITW;6Tt3z I '"a LCI loo i /i/ I S M EAR No.2463LGN UPC 12134 smead.com • Made In USA i �,�<5�,,tc .� ��Z�c 1 °FINER Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMAQR • 200 Main Street• Hyannis, MA 02601 o +'�� TOXIC ANDHAZARDOUS MATERIALS INSPECTION REPORT Business Name: .r t C �An Date: �W Location/Mailing Address: Contact Name/Phone: - ,,j,ry Invento Total A A5 MSDS: 6 License#: 20� `1 Tier II : NJ h Labelina: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: ➢ o Emergency/Containment Equipment: 1310 1pjob�6d Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) indshield wash Motor oils Vomiscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar V Swimming pool chlorine Paints,varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) .. VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1269 THE COMMONWEALTH OF MASSACHUSETTS $s0.00 Town of Barnstable Board of Health This is to Certify that Fairfield by Marriott ................................................................................................................................. 8671yannough Road, Hyannis, MA ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. .................................................................................................................................................................... Restrictions: .................................................................................................................................................................... This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF, D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health TOWn of Barnstableoft Inspectional Services ABLE- . . . r�a'fie:;"ur7,.�.Public Health Division f• ri 1 •ARMASM = Thomas McKean, Director c a MA89. • ,�.a» a` 200 Main Street, Hyannis,MA 02601 Fo rAax r , c Office: 508-862-4644 - Fax: 508-790-6304-, APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY lst—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 � � d CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ (jFl CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ l3 *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? X YES—NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Tomas Tolentino • 5. NAME OF ESTABLISHMENT: K Hyannis Hospitality, LLC, DBA Fairfield by Marriott 6. ADDRESS OF ESTABLISHMENT: 867 lyannough Road, Hyannis, MA 02601 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 508-771-6100 9. EMAIL ADDRESS: ttolentino@waterfordhotelgroup.com 10. SOLEOWNER: YES NOIF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME JCSK Holdings LLC 860-760-9110 PRESIDENT James Wakim TREASURER Scott Lynch CLERK Jane Cam,opa 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT pf*qj,,_ DATE Q:\Application FonmMaz Mat App Revised 09-10-18.docx GC 0100 �`�©MMo�ow / ',ve 3 c�t� pax for c� Cull optME Tp� 9 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BA MATSBLE. ` 200 Main Street• Hyannis, MA 02601 MASS. p 039• rED MP�a TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �(Tit n Date: Location/Mailing Address: 67 U Contact Name/Phone: 01-7 ( — Inventory Total Amount: SDS: S� - License#: �6q Tier II : N40 Labelina: e conc�u►sa �� mill Plan: Oil/Water Separator: Poor Drai s: es Q" Emerg rYZrtNumbers: Storage Areas/Tanks: P061 WaMT Emergency/Containment Equipment: b -i Of Waste Generator ID: A f4 Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: M/P� Other Waste Disposal Methods: mac( 0l,(0 LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease; lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides - Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine RO Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers 10 (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: rn—mti 1 Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1269 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Fairfield Inn and Suites 8671yannough Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. ---------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health r i ~, Town of Barnstable �. Inspectional Services BARNS LE THE T pQ Oy, ennastne_•xa�h L•covrt•nnx u .uPSTC;alt!.s•SS'F.F'rll?•'A:rt BRPai�:t:E n]9-7014 o„ Public Health Division Thomas McKean Director • HARNSTABLE, • - MASS $. ) 16.19.,�14 200 Main Street, Hyannis,MA 02601 ' ✓-0 Office: 508-862-4644 Fax: 508-790-6304 -c CD APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE , HAZARDOUS MATERIALS ti IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, E HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS MY 1 st—J[JNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is �y`T isnot received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. /` — (J7 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS, INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: oYh ct� d��a� e n=a 5. NAME OF ESTABLISHMENT: ��� �a e 1 b. Nwr+'v�-'- try(4 n n,f 6. ADDRESS OF ESTABLISHMENT: Y)n t;i� t,j 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: t �'q ��'� �' �� '� r ✓' © � qe^a` Can., 10. SOLEOWNER: YES k NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME K )+u nn1 S- li-o �� f�-C+ 1 y I-L< l' l� k/r p ' �N:) N',y;r , PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: I� - SIGNATURE OF A?rLICANT )ATE Q\Application FormsViaz Mat App Revised 09-10-18.docx Number Fee 1269 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Fairfield Inn and Suites 8671yannough Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health y Tow of Unstable Regu'atoervices Richard V. Scah,Director �� Public Health Division BARNSTABLE enansla HILLS- enR coruR•nm CAB 1 Thomas McKean, Director NS 0 5 M13 i 39 o 4 °"`"S-f -- -- - - ----- am - 3D�- . --- ----- - 'OrFn a 2001V1 Street,,Hyarints;lVIA 02G01--- - - - Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 l vs CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?A YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Totha5 'fo)eh wnz, 5. NAME OF ESTABLISHMENT: 1 u�� V e l Z �1� & suj�c�' C�(It �e� N",b ij- 6. ADDRESS OF ESTABLISHMENT: ?C7 tyA n A o"O h j j 1 y k n h i s Na R W G o I 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: $ " -7-7 I 6)o O 9. EMAIL ADDRESS: r �@nn b W��Lrr� �� I y��aP•`� 10. SOLEOWNER: YESVNO IF NO,NAME OF PARTNER: c5�k ��� ��.�f'� LLC, 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: 34 Mom, AQ 1'A r��e� CORPORATION NAME S'(Ai W- )-0 10 PRESIDENT C', Cfir )f :7 TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE J- Q:.Application Forms\HAZMAT APP 2017 REVISED.docx Number Fee 1269 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that Fairfield Inn and Suites 8671yannough Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. --------------------------------- --------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health p�o �c�� 1( 98 ' of B stable �ewgaatory'ervices Richard V. Scali, Director IMME Public Health IDivision BARNSTABLE RY I•V I Vd lie Sintl1E•CEry EI.ILLk.COrUIi•HYnA'Y.IS H WS•C51 HFR51@;i EaVILLE ITif• P4a YiiRe:E BABNUMBLE, Thomas McKean, Director 1639-201.4575 200 Main Street, Hyannis,MA 02601 1 O ffice: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 � ' CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2R4—01—7 2. IS THIS A PERMIT RENEWAL?X YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. P 4. FULL NAME OF APPLICANT: A%�v-jutS �\o SLLC- 5. NAME OF ESTABLISHMENT:`.^ ►`rp; 6. ADDRESS OF ESTABLISHMENT: (2p r l�if4itj 12100 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: SC6 �`�� fO100 9. EMAIL ADDRESS: 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TELE `HONE#OF: CORPORATION NAMEi -1y:p ,)ti5 PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE (J,p \`1 Q:V:pplication Fonns\HAZMAT APP 2017 REVISED.docx _T °FtH�E tok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMS�LE.g"' 200 Main Street• Hyannis, MA 02601 .a,q.a.0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 MAC �} c1 Business Name: �"� cl'� �wti•, v Date: Location/Mailing Address: N A V V\\5 Contact Name Phone: c c 7 1 0o- v ask �ov�c.lVjL�v\ — v�al�k. sv `/ Inventory Total Amount: (b= MSDS: 1 e 5 License#: Tier II : N Pik '�3e�a� Labelina: b K Spill Plan: os Oil/Water Separator: Floor Drains: J25 - 'Aw-w Emergency Numbers: Storage Areas/Tanks: n-11 M-o +I 6W 0vt iw" kse- Emer enc /Containment ui ment: auwl fAv ek a e- Qe-, onl a4Cw-,;0"X Waste Generator ID: MIA Waste Product: a Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. ✓1 g , Antifreeze Dry cleaning fluids Automatic transmission fluid N-30 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers V%4-ckem.�t X 5 Hydraulic fluid (including brake fluid) Windshield wash �1.5 Motor oils 9, Miscellaneous Corrosives 8 �``a} LQL� Gasoline,jet fuel, aviation gas Cesspool cleaners Jro< Diesel fuel, kerosene, #2 heating oil IVJb Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Qowd Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(c sote) Asphalt&roofing tar Go 16 Swimming pool c ineper' g�`OG Paints, varnishes, stains, dyes Lye or caustic soda �"L""5 57-S �� b'A Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes b Other chlorinated hydrocarbons N 0 L 0 aundry soil&stain removers 0tio (including carbon tetrachloride) 1 1 (including bleach) op Any other products with "poison labels" ha,0lb ��j�1� e��i� (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION 4 RECOMMENDATIONS: 0 Cva w.. eo v�l C"oowl— e-c1y 12 o a W t k(n p co 10 . I / CCt, ()b3( 1 Nk-q-0\«XoVS J�a���C�0.�S ��c-ev�sy� 1S Inspector: �V1e 1 S\2 vac , Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS L Number Fee �. 1269 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health a This is to Certify that Fairfield Inn and Suites 8671yannough Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 100 gallons of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2017 unless sooner suspended or revoked. -------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health MASSACHUSETTS FIRE INCIDENT REPORT DEPARTMENT Revised 1 ID .0.;1:.;9.:22:...<:.:.. Hyannis Fire Department Report Form Y ......z%" > If E Date Alarm jArriva In Service ident # ::>>::>::::>:»::>:::ii:»>:::: Da 000203 Fire 003 /4 /97 ITuesday15 :24 15 :26 16:26 SITUATION FOUND ACTION TAKEN � MUTUAL AID B Extrication »'3 5 ><< Remove Hazard FIXED PROPERTY USE (OCCUPANCY) l:>: IGNITION FACTOR CC PavedPublic Street ~`.'9 6 2 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 867 IYANOUGH ROAD 02601 20 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. FOX, LOWELL 508 790-6200 O/S F 12 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE TOWN OF BARNSTABLE 367 MAIN STREET 508 790-6200 G 1.3 METHOD OF ALARM CO. DIST. © PERSONNEL ENG RESP. AERIALS RESP. 2 RESP. a 0: 1 SHIFT HAZ MAT PRESENT? TANK. RESP. OTHER RESP. B � 3 Telephone (Direct) 140. SUBSTANCE 0 0 1 J,SPEC. EQUIP. USED? O2 SERVICE 0 0 OTHER O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS • TOTAL INS. 0 CLAIM PD 0 >' 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. 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 []I Ij Id EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE ISPRINKLER PERFORMANCE OP O Material generating FORM ]TYPE ® most smoke WEATHER AVENUE OF SMOKE TRAVEL R CONDITIONS Officer in Charge: Date FARRENKOPF, C. CAPTAIN 3 / 4 / 9 7 • Comments for this incident have been printed on an additional comments page. Comments for Incident: 97 000203 Exposure: 00 Date: 3/4/97 RECEIWED CALLS FOR A MOTOR VEHICLE ACCIDENT[ROLL-OVER THE OPERATOR TRAPPED]IN FRONT OF 867 IYANOUGH ROAD, DAYS INN. ORRIVING ON SCENE,TWO VEHICLE ACCIDENT,TOWN OWNED CHEV S-10 BLAZER[ENGINEERING DEPARTMENT]VEHICLE ON ITS ROOF,OCCUPANT TRAPPED INSIDE. OCCUPANTS OF OTHER VEHICLE WERE"NOT"INJURIED. WE USED THE JAWS TO EXTRICATED MR. FOX FROM HIS OVER-TURNED VEHICLE AND TRANSPORTED HIM TO CCH VIA RESCUE 825. THERE WAS A CONSIDERABLE AMOUNT OF ENGINE OIL SPILT ON THE ROADWAY. SPILL WAS CLEANED-UP WITH SPEEDY-DRY AND SAND. BOTH VEHICLE WERE REMOVED BY BARNSTABLE TOWING. RESCUE 821, 825, CARS 804, 802. WEATHER CONDITION:CLOUDY, COOL,WIND OUT OF THE SOUTHEAST ABOUT 5 MPH,T 380 F. FARRENKOPF, C. CAPT. 03/04/97. SACHUSETTS FIRE INCIDENT REPORT r n--)T tIlk, »>: DEPARTMENT Revised `O 01922 Hyannis Fire Department Report Form If Ex .. Date Alarm Arrival In Service I ent # .....001004 009/24/94 Day ISaturday14.44 14.49 15:25 Fire7 :': SITUATION FOUND ACTION TAKEN MUTUAL AID B Spill, Leak w/ No Ign %4 1 Remove Hazard FIXED PROPERTY USE (OCCUPANCY) » IGNITION FACTOR C Uncovered Parkin Area ` >9 6 5 NOT A FIRE >>0 0 .. .................... OCORRECT ADDRESS ZIP CODE CENSUS TRACT D ROUTE 132 1 02601 000020 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. PAMELA ANN COVELL 508 759-4845 N/A G12OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE PAMELA ANN COVELL 16 CHANDLER ST.PLYMOUT@' 508 759-4845 G 13 METHOD OF ALARM CO. DIST. Q PERSONNEL ENG RESP. ........... AERIALS RESP. 2 IRESP. 0. SHIFT HAZ MAT PRESENT? Y TANK. RESP. OTHER RESP.. D 0 0 Telephone (Direct) NO. AL SUBSTANCE 12 0 2 1202 1 > SPEC. EQUIP. USED? JAN-SOLVE SPEEDI-DRY O ,20 FIRE F. AT T 1 SERVICE 0 >:::> 0 ;> OTHER O <':<. 0 O > F 1 0 O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD YEAR MAKE MODEL COLOR LICENSE NO. VIN# 30 40 _F EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION OCOMPLEX AREA OF ....... EQUIP INVOLVED IN IGN. ORIGIN ......... :....::::::•:::. FORM OF HEAT IGNITION '': MATERIAL FORM ....... TYPE IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories t CONSTRUCTION TYPE OEXTINGUISHMENT " EXTENT OF DAMAGE Flame ......... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE P j Li Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date JOSEPH P.CABRAL JR. CAPTAIN 9/2 4/9 4 Comments for this incident have been printed on an additional comments page. f CoMments for Incident: 94 001004 Exposure: 00 Date: 9/24/94 RECEIVED A CALL FROM THE CHRISTMAS TREE SHOP REPORTING A CAR FIRE IN THE PARKING LOT.RESPONCE ENGINE 826 ONLY WITH FIREFIGHTERS WASIERSKI AND COLTON. MJPON ARRIVAL FOUND THE VECHICLE OWNER WAITING IN THE PARKING LOT MS.PAMELA ANN COVELL.SHE POINTED OUT A PLYMOUTH VOYAGER COLOR RED IN THE PARKING LOT THAT SHE THOUGHT WAS ON FIRE. WE INVESTAGATED AND FOUND THERE WAS NO FIRE,HOWEVER THE ENGINE HAD A GASOLINE LEAK COMING FROM THE CARBURETOR AND APPARENTLY THE ENGINE WAS DIESELING WHEN SHE ATTEMPTED TO SHUT THE ENGINE OFF. ACTION TAKEN BY FIRE DEPARTRMENT DISCONNECTED THE BATTERY AND TREATED THE GASOLINE SPILL WITH JAN-SOLVE AND SPEEDI DRY. THE OWNER NEEDED TO HAVE THE VECHICLE TOWED TO PLYMOUTH MA.SHE HAS AAA SO DAVIS TOWING REMOVED THE VECHICLE FROM THE PARKING LOT. THE SPILL WAS SWEPT UP BY THE ENGINE COMPANY AND BAGGED AND PLACED IN THE HAZ-MAT BARREL AT THE STATION UPON RETURN TO QTRS. INFORMATION ON THE VECHICLE IS AS FOLLOWS:THE OWNER IS PAMELA ANN COVELL,16 CHANDLER ST.PLYMOUTH MA. TELEPHONE (508) 759-4845. A 1987 PLYMOUTH VOYAGER COLOR RED. MA.REG 628-VIV. VIN # 2P4FH51 G5HR215107.THE INSURANCE IS WITH THE MIDDLESEX INSURANCE COMPANY. ENGINE 826 CLEARED THE CALL AND RETURNED TO QTRS. 1525 HRS. CAPTAIN JOSEPH P.CABRAL JR. 9/24/94. • MASSACHUSETTS FIRE INCIDENT REPORT < >DEPARTMENT Revised A 1.0 F 9.22:.:.:. Hyannis Fire: Department Report Form If Ex4 jDate Alarm lArrivalIn Service I ide 000 29 Fire 005/7/96 Day Tuesday 12:15 12:20 112:53 I IO FOUND ACTION TAKEN ;;:::...:...;::;:: MUTUAL AID B Spill, Leak w/ No Ign s; 4 1 Remove Hazard ..4..... FIXED PROPERTY USE (OCCUPANCY) ">' IGNITION FACTOR C Uncovered Parkin Area 9.6 5 Part Failure, Leak, Break 5 1 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D CAPE COD MALL 02601 20 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. UNKNOWN I N/A 012 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE JENNIFER HUNT 5 JODY LN. FORESTDALE M 508 477-4704 G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. «2 © RESP. Q .....0:.: "1 SHIFT HAZ MAT PRESENT? Y TANK. RESP. -.=:.:.: JOTHER RESP. i;D 0 0': Telephone (Direct) N0. SUBSTANCE 12 0 2 1202 1 SPEC. EQUIP. USED? JAN-SOLVE & STAR DUST O 20 FIRE .... SERVICE O <`> 0 ?> OTHER E..� 4 � 1 INJURIES F03 O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LASS TOTAL INS. CLAIM PD 0?>»<< 0 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX 7 1AREA OF ;;:EQUIP INVOLVED IN IGN. :.: ORIGIN FORM OF HEAT IGNITION TERIAL FORM TYPE © TED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE ® EXTINGUISHMENT Q []1 EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE Nr= P I I EM Material generating FORM TYPE no Material smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date JOSEPH P.CABRAL JR. CAPTAIN 5/7/9 6 • Comments for this incident have been printed on an additional comments page. Corinments for Incident: 96 000429 Exposure: 00 Date: 5/7/96 `RECEIVED A CALL FROM MALL SECURITY REPORTING ON THE ROUTE 132 SIDE PARKING AREA BETWEEN SEARS AND THE IEAST MALL ENTRANCE THERE IS A CAR LEAKING GASOLINE. RESPONCE ENGINE 822 ONLY WITH FIREFIGHTERS WASIERSKI AND COLTON. UPON ARRIVAL MET THE SECURITY OFFICER TOM FULLER AND FOUND A GREY HONDA ACCORD LX LEAKING GASOLINE. THE CAUSE OF THE LEAK APPEARS TO BE A CRACK OR BREAK IN THE RUBBER GASOLINE LINE THAT GOES FROM THE FILL NECK INTO THE GAS TANK. WE HAD THE MALL SECURITY PUT OUT A PAGE IN THE MALL FOR THE OWNER OF THE CAR TO REPORT OUTSIDE TO THE PARKING LOT ASAP.WE WAITED 10 MINUTES THERE WAS NO RESPONCE TO THE PAGE. I THEN HAD THE FIREALARM OFFICE CALL THE POLICE TO REQUEST THE DUTY WRECKER TO OUR LOCATION TO TOW THE CAR AWAY. ACTION TAKEN BY FIRE DEPT.APPLIED JAN-SOLVE TO THE SMALL AREA OF THE GAS SPILL AND THEN APPLIED STAR-DUST TO THE AREA AND WORKED IT IN WITH A BROOM. ROTARY AUTO BODY REMOVED THE CAR IN VOLVED IN THIS SPILL A 1983 HONDA ACCORD LX COLOR GREY MA.REG. 977-APY EXPIRES 1996. THE VIN #IS SZ5332DCO83418.THE OWNER IS A JENNIFER HUNT OF 5 JODY LANE IN FORESTDALE SECTION OF SANDWICH.TELEPHONE(508)477-4704. BARNSTABLE POLICE OFFICER BRIAN GUINEY WAS ALSO ON LOCATION AND THIS CAR WILL BE ADDED TO THEIR TOW SHEET. ENGINE 822 CLEARED THE CALL AND RETURNED TO QTRS.AT 1253 HRS. CAPTAIN JOSEPH P.CABRAL JR'_ 5/7/96. r MASSACHUSETTS FIRE INCIDENT REPORT 17 O ._.... »>DEPARTMENT Revised ,� 1 ......2........... Hyannis Fire Department Report Form f Ex Date Alarm Arrival In Service 1 0 •0063 Fire 001 / 17/95 Day Tuesda 20 :34 20:38 20:58 SITUATION FOUND •• •.;:.; ACTION TAKEN MUTUAL AID B M V A j<jjj4 9 `' Remove Hazard 4 FIXED PROPERTY USE (OCCUPANCY) ": IGNITION FACTOR C Paved Public Street 9 6 2 ' NOFIRE »> 0 0 ..................... OCORRECT ADDRESS ZIP CODE CENSUS TRACT D RTE 132/CAPE COD MALL 02601 000020 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. N/A OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 N/A G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. 2 « © RESP. El El 0. 4 SHIFT HAZ MAT PRESENT? TANK. RESP. OTHER RESP. .:.........: A 0. 2 RADIO 827 No. AL SUBSTANCE 0 0 1 > SPEC. EQUIP. USED? O 20 FIRE T OTHER SERVICE 0 >;. 0 < 0 0; 0 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 NO. IN IGNITION OCOMPLEX 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 OEXTINGUISHMENT '. EXTENT OF DAMAGE Flame ......... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE op r7777"771 O YPE Material generating FORM T no mostsmoke WEATHER AVENUE OF SMOKE TRAVEL R CONDITIONS Officer in Charge: Date f ERIC FARRENKOPF CAPTAIN 1 / 1 7/9 5 • Comments for this incident have been printed on an additional comments page. ,r Comments for Incident: 95 000063 Exposure: 00 Date: 1 /17/95 •RECEIVED A CALL FROM RESCUE 827 TO ASSIT THEM AT THE MOTOR VEHICLE ACCIDENT AT RTE 132 AND THE ENTERANCE TO THE CAPE COD MALL. ( R-95-160) RESPONSE:ENGINE 822 CAPT E. FARRENKOPF F/Fs MCCORMACK, SCRIBI. UPON ARRIVAL HAD A VEHICLE THAT HAD HIT THE TRAFFIC LIGHT IN THE MIDDLE OF THE INTERSECTION. DISCONNECTED THE BATTERY WAITED UNTIL THE TOW TRUCK REMOVED THE VEHICLE AND WASHED DOWN THE AREA ENGINE 822 TO QTS 2058 ERIC FARRENKOPF CAPTAIN 01/17/95 MASSACHUSETTS FIRE INCIDENT REPORT DEPARTMENT Revised OOA 10 F D I D# ....'' ...... Form 0 9 2 Hyannis Fire Department Report am x Date Alarm Arrival In Service ident # ;00 0 1 2/2 8/9 4 Day 1wednesday1 7:1 4 1 7: 1 8 1 8: 1 4 SITUATIO ® ACTION TAKEN � MUTUAL AID B Spili, / 4 1 " Remove Hazard 4 FIXE PROP USE (OCCUPANCY) » IGNITION FACTOR C Roa , n , Not Class. 9 ? NO IGNITION ..................... CORRECT DDRESS ZIP CODE CENSUS TRACT O RTE 132 IYANOUGH RD. 02601 000020 O 1 1 OCCUPANT NAME (LAST, FIRST, MI) HONE ROOM or APT. 17 (508) ANN WADE430-1366 G12OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE SAME 913 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. © 2 © RESP. E O SHIFT HAZ MAT PRESENT? TANK. RESP 0OTHER RESP. Telephone (Direct) N0. ALARMS SUBSTANCE 0 0 1 : SPEC. EQUIP. USED? O 20 FIRE OTHER SERVICE [ F 0 O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS • TOTAL INS. CLAIM PD 0 0 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION OCOMPLEX AREA OF EQUIP INVOLVED IN IGN. K ORIGIN FORM OF HEAT IGNITION ;MATERIAL FORM TYPE © < IGNITED ................... :::. METHOD OF 17=1 LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE O EXTINGUISHMENT 0r77771 EXTENT OF DAMAGE Flame ........ Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE OP 0 Material generating FORM TYPE no Material smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date ROGER CADRIN LIEUTENANT 1 2/2 8/9 4 • Comments for this incident have been printed on an additional comments page. 9 Ntw Comments for Incident: 94 001365 Exposure: 00 Date: 12/28/94 INVESTIGATED A FUEL SPILL AT THE REAR OF THE CAPE COD MALL BY THE FOOD COURT ENTRANCE,WE ARIVED TO FIND A DODGE COLT DL LEAKING FUEL IN THE PARKING LOT. WE COVERED THE SPILL WITH SPEEDI DRY AND WITH PERMISSION FROM THE OWNER HAD THE CAR TOWED AWAY TO A REPAIR SHOP. THE SPILL WAS APROX 2 GALLONS IN SIZE WITH NO IGNITION INVOLVED. WHEN THE CAR WAS REMOVED FROM THE SCENE WE REMOVED THE FUEL WITH THE SPEEDI DRY AND SECURED THE SCENE. CAR OWNER IS ANN WADE 323 RTE 137 HARWICH, MA. 508-430-1366 1988 DODGE COLT DL MASS REG 986-YMN MASSACHUSETTS FIRE INCIDENT REPORT M r Revised < > DEPARTMENT A 1 �: FDID# Form 1...9..2...2......... Hyannis Fire De artment Report If Ex. Date Alarm ArrivalIn Service In0600.0 ........4 Fire 005 / 6 / 97 Day ITuesda J11 : 14 11 : 18 11 :53 APaved T OUND ACTION TAKEN MUTUAL AID ak w/ No Ign Remove Hazard PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Public Street ```'9 6 2 ; no fire 0 0 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D RTE 132 & PHINNEYS LA 0 2 6 0 1 10 O1 1 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. F 12 OWNER NAME (LAS FIRST, MI) ADDRESS TELEPHONE G 13 METHOD OF ALARM CO. DIST. O PER 7SONNEL ENG RESP, AERIALS RESP. Ej] �.. ': RESP. ;:3 7 SHIFT HAZ MAT PRESENT? TANK. RESP. OTHER RESP. B � 2 BPD LINE NO. SUBSTANCE 0 0 O : SPEC. EQUIP. USED? O24 SERVICE 0 0 OTHER O <<> J O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD • O O 0 34 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX AREA OF EQUIP INVOLVED IN IGN. ORIGIN © FORM OF HEAT IGNITION MATERIAL FORM TYPE IGNITED METHOD OF 177771 LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE O EXTINGUISHMENT Ll EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE N P Material generating FORM TYPE no most snoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date DEANL. MELANSON LIEUTENANT 5 / 6 / 97 . Comments for this incident have been printed on an additional comments page. Comments for Incident: 97 000424 Exposure: 00 Date: 5/6/97 FIRE ALAP.,M REC'D A CALL FROM THE BPD REQUESTING AN ENGINE AND A RESCUE TO AN MVA WITH IJURY AND SPILL AT THE INTERSECTION OF RTE 132 AND PHINNEYS LANE. iI RESPONDED IN E-826 WITH FF'S HUSKA AND CLOUGH. R-828 ALSO RESPONDED. UPON OUR ARRIVAL WE WERE MET Y BPR OFFICERS AND FF LAWRENCE FROM SANDWCIH FIRE WHO CAME UPON THE SCENE BEFORE US. FF LAWRENCE IDED US AT THE SCENE WITH THE REMOVAL OF MR SIMON FROM HIS CAR,SEE BELOW. R-828 CHECKED BOTH DRIVERS AND BOTH REFUSED TRANSPORT TO CCH OR ON SCENE TREATMENT(REFER TO R9701069)E-826-S CREW DISCONNECTED A BATTERY AND USED ROAD DIRT AND SPEEDY DRY TO ABSORB ANTIFREEZE AND TRANSMISSION OIL. C-800 WITH FF COSMO BROUGHT MORE SPEEDY DRY TO THE SCENE ROTARY AUTOBODY&TOWING REMOVED THE DIRT& SPEEDY DRY WITH THE VEHICLES. ONE OF THE DRIVERS IN THE MVA(MR. MARK SIMON OF 141 BRIDAL PATH IN MARSTONS MILLS)WAS HANDICAP AND UNABLE TO EXIT HIS WHEEL CHAIR VAN.THE CREWS OF 826&828 AND FF LAWRENCE WERE ABLE TO REMOVE HIM AND HIS WHEELCHAIR FROM THE VEHICLE. MR SIMON WAS PLACED IN BPD CAR E-9 AND HIS BATTERY OPERATED CHAIR WAS PLACED IN C-800 THESE UNITS BROUGHT MR..SIMON & HIS CHAIR TO HIS HOME. I CONTACTED THE C.O.M.M. FD VIA PORTABLE PHONE FROM THE SCENE AND ARRANGED FOR THEM TO MEET E-9& C-800 AT 141 BRIDAL PATH TO ASSIST. R-828 CLEARED THE SCEN AFTER MR SIMON WAS IN E-9 AND E-826 CLEARED AFTER THE VEHICLES WERE REMOVED. LT. DEAN �L. MELANSON 6-MAY-97 i r • MASSACHUSETTS FIRE INCIDENT REPORT .1 ':< DEPARTMENT Revise J 2........... Hyannis Fire Department Report Form kSATION t .........Wire f Date Da Alarm Arrival n Service ::;..: 067 007/19/96 Y IFriday19:08 119:13 19:37 FOUND .......... ACTION TAKEN ;; ;:«: MUTUAL AID B Spill, Leak w/ No Ign >4 1 >': Remove Hazard LELA FIXED PROPERTY USE (OCCUPANCY) >:> IGNITION FACTOR CCPaved Private Street, Way >``''9 6 3 I n Factor Undetermined ><0 C0 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 1040 IYANNOUGH RD. 02601 10 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 STATE HIGHWAY G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. 3 ® RESP. 0 SHIFT HAZ MAT PRESENT? TANK. RESP. JOTHER RESP. C 0... Telephone (Tie-line) No. SUBSTANCE 0 0 1 SPEC. EQUIP. USED? O FIRE 20 ..... SERVICE z O€ ?< O OTHER O » O '>'.»% O O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LASS TOTAL INS. CLAIM PD 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. 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 © EXTINGUISHMENT Ij L1 EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE ......... Li 0 E Material generating FORM TYP ,,NV most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date JOHN E. GRANT CAPTAIN 7/1 9/9 6 • Comments for this incident have been printed on an additional comments page. Comments for Incident: 96 000674 Exposure: 00 Date: 7/19/96 gECIEVED A CALL FOR A FOUR CAR ACCIDENT AND ONE OF THE CARS WERE LEAKING. UPON OUR ARRIVAL WE FOUND ANTIFREEZE LEAKING,WE USED SAND TO CLEAN UP THE SPILL. CAPTAIN JOHN E. GRANT 7/19/96 ti MASSACHUSETTS FIRE INCIDENT REPORT 0, Leak D ?•% -••••• " DEPARTMENT Revised Form • 22: Hyannis Fire Department Report <: If Ex Date Alarm Arrival In Service VND 01.. . .. Fire 002/20/95 Day JIVIonday11 :07 11 :13 11 :33 .,:.:q• �•� .. ACTION TAKEN :;:;; MUTUAL AID Bw/ No Ign ":4 1 Remove HazardERTY USE (OCCUPANCY) '< IGNITION FACTOR C Uncovered Parkin Area 9 6 5 I n Factor Undetermined 0 0 ..................... OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 1225 IYANOUGH RD. 02601 000010 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. CAPE CODDER HOTEL OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 FLATLEY BRAINTREE MA. CO. DIST. PERSONNEL ENG RESP. ........... AERIALS RESP. Q 13 METHOD OF ALARM3 RESP. El 0 SHIFT HAZ MAT PRESENT? Y TANK. RESP OTHER RESP. ;C 0 0 Telephone (Tie-line) NO. AL SUBSTANCE 12 0 2 1202 1 > SPEC. EQUIP. USED? JAN-SOLV & 5 GAL. CAN STAF O 20 JFIREIcE SERV O €: O » OTHER O >? O > > O F O MOBILE PROPERTY TYPE VEHICLE STOLEN. ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD 0 `"«« 0 0 30 YEAR MAKE 'MODEL COLOR LICENSE NO. VIN# , 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION OCOMPLEX AREA OF EQUIP INVOLVED IN IGN. K ORIGIN FORM OF HEAT IGNITION :;MATERIAL FORM ' TYPE © IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE O EXTINGUISHMENT # Lj EXTENT OF DAMAGE Flame ... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE N U.op LLLJ Material generating FORM TYPE no mostsmoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date ROBERT K.PICKERING LIEUTENANT 2/2 0/9 5 Comments for this incident have been printed on an additional comments page. Corrri J;T. ents for Incident: 95 000183 Exposure: 00 Date: 2/20/95 T!-IS RECEIVED A CALL FROM THE BARNSTABLE POLICE,THEY REPORTED A CAR IN THE REAR LOT LEAKING GAS. E&G.822 WENT STILL ALARM. �ON ARRIVAL WE FOUND THE 1985 FORD HAD LEAKED APPROX.ONE HALF GAL. AS THE LEVEL OF GAS IN THE TANK LOWERED THE LEAK STOPPED. THE AUTO WAS REMOVED VIA.A TOW TRUCK AND THE SPILL WAS TREATED WITH JAN-SOLV AND CLEANED UP WITH STARDUST. THE CONTAMINATED STARDUST WAS DISPOSED IN THE DISPOSIAL BARREL AT THE F.D. ENG. 822 TO QTRS. AT 11;33 HRS. 1985 FORD STA./WAGON MASS. REG, 600XCM KENNETH THAYER,OWNER 19 KING ST. COHASSET,MA. 02025 V IN. 2FABP44F6FX208250 R.K.PICKERING/LIEUT. MASSACHUSETTS FIRE INCIDENT REPORT Revised ® 10 FDID# >€>`0"j"9`2;2;„; " DEPARTHMEaN�nis Fire De artment Report Form If Date Alarm ArrivalIn Service Inci. 0' 6 8 8 Fire 100 7/2 2/9 6 Day Imonday � 1 7:2 2 117 :2 7 118:0 0 FOUND :::,..........::::: ACTION TAKEN ::;;::: ;:: MUTUAL AID rill' i "` w/ No Ign > 4 1 Remove Hazard ROPERTY USE (OCCUPANCY) >:> IGNITION FACTOR '`.'9 6 5 '0 0 :::`: ncovered Parkin Area NOT AFIRE ADDRESS ZIP CODE CENSUS TRACT D 654 IYANOUGH ROAD 1 02601 20 O 1 1 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. LUECK SHELLEY 508 291-7430 APT A OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 LUECK SHELLY 4 WASHINGTON AVE BUZZ E 508 291-7430 CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. G 13 METHOD OF ALARM 2 (a RESP. : 0 SHIFT HAZ MAT PRESENT? TANK. RESP. :.......... JOTHER RESP. .. .......... B a 0 TEL-2323 N0. AT.ZRMS SUBSTANCE 0 0 1 : SPEC. EQUIP. USED? O 20 FIRE IN ES SERVICE 0 « 0 OTHER p ? 0??':: p O M03ILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LASS TOTAL INS. CLAIM PD 30 YEAR MAKE MODEL, COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. 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 © EXTINGUISHMENT .......... Ll EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE P ... CO Material generating FORM TYPE no most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date ERIC FARRENKOPF CAPTAIN 7/2 2/9 6 • Comments for this incident have been printed on an additional comments page. Comments for Incident: 96 000688 Exposure: 00 Date: 7/22/96 • RECEIVED A CALL FOR A VEHICLE LEAKING GASOLINE IN THE PARKING LOT OF THE WDONALDS ON FITE 132. RESPONSE:ENGINE 822 CAPT.E.FARRENKOPF,F/Fs SZURLEY,OBERLANDER. UPON ARRIVAL HAD A 1979 CHEVROLET LEAKING GASOLINE.CHECKED THE VEHICLE AND FOUND THAT THERE WAS A HOLE IN THE TANK NEAR THE SEAM.PLACED A CATCH BUCKET UNDER THE TANK AND ATTEMPTED TO STOP THE FLOW WITH PLUG AND DIKE. SPOKE WITH THE VEHICLE OWNER AND SHE STATED THAT SHE HAD JUST FILLED THE TANK BEFORE COMING TO McDONALDS.WHEN SHE ARRIVED IN THE PARKING LOT SHE GOT OUT OF THE CAR AND SMELT GASOLINE.LOOKING DOWN SHE SAW THE GASOLINE RUNNING FROM UNDER THE CAR. THE VEHICLE WAS TOWED FROM THE PARKING LOT BY BUCKLERS TOWING AND THE AREA OF THE SPILL WAS WASHED DOWN WITH JAN-SOL. ENGINE 822 TO QTS 1800 ERIC FARRENKOPF CAPTAIN 07/22/96 1979 CHEVROLET IMPALA MA. REG # 483XYJ VIN 1L6969J311814 COLOR:BROWN SHELLEY LUECK PO. BOX 706 EAST WAREHAM, MA. RES: 4 WASHINGTON AVE APT A BUZZARDS BAY, MA. (508)-291-7430 r MASSACHUSETTS FIRE INCIDENT REPORT O 10 ; . ...... » DEPARTMENT Revised 1922 Report Form Hyannis Fire Department Ij\f! If Ex Date Alarm Arrival In Service '!000154 Fire 002/ 6/94 Day Sunda L-jj 14:52 15:00 16:09 S N FOUND JACTION TAKEN ;::; ;;:; MUTUAL AID Will, Leak w/ No Ign »4 1 Remove Hazard FIXED PROPERTY USE (OCCUPANCY) 3: IGNITION FACTOR C Paved Public Street 9 6 2 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D IYANOUGH ROAD 1 02601 000010 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. AUTO ACCIDENT O/S E, 12 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. RESP. O 4 SHIFT HAZ MAT PRESENT? TANK. RESP. JOTHER RESP. .:.........: A 0 1 Radio f 0. AL SUBSTANCE O 0 SPEC. EQUIP. USED? O 20 FIRE SERVICE O > ?> 0 >« OTHER 0 0 > > 0 FF. L F.... TT . L O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. 0 CLAIM PD 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX AREA OF > EQUIP INVOLVED IN IGN. K ORIGIN FORM OF HEAT IGNITION MATERIAL FORM TYPE IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE OEXTINSUISHMENT EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE CN P CO Material generating FORM TYPE no Material smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date FARRENKOPF, C. CAPTAIN 2/ 6/ 9 4 Comments for this incident have been printed on an additional comments page. L`Comments for Incident: 94 000154 Exposure: 00 Date: 2/6/94 gARNSTABLE POLICE CALLED TO REPORT A MOTOR VEHICLE ACCIDENT ROUTE 132 AND PHINNEY'S LANE, RESCUE 828 TO RESPOND. ORRIVING ON SCENE,TWO CAR ACCIDENT,FOUR(4) PATIENTS SEEN AN TREATED,TWO(2)X-PORT. RESCUE REQUESTED ENGINE 822 TO SCENE FOR MINOR SPILL AND DISCONNECTION ON BATTERIES. ARRIVING ON SCENE,WE HELP WITH SCENE CLEAN-UP,DISCONNECTED BATTERIES,AND COVERED MINOR ANTI-FREEZE SPILL WI u H SAND. FF.SZUR'L EY, FF. PINA. WEATHER CONDITION:CLEAR, COOL,WIND OUT OF THE SOUTHWEST ABOUT 2 MPH,T 490 F. FARRENKOPF, C. CAPT. 02/06/94. • l MASSACHUSETTS FIRE INCIDENT REPORT i :.;::;.;::.::;::...... > >DEPARTMENT Revised } AA 10 1 9 2 2 Hyannis Fire Department Report Form If Ex Date Alarm Arrival In Service In en 000271 Fire 003/9/94 Day Wednesday 14:40 115:0 0 15:23 UATION FOUND ACTION TAKEN :;_ MUTUAL AID B Spill, Leak w/ No Ign "4 1 Remove Hazard FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Lumberyard, BuildingMats ... 51 '. OCORRECT ADDRESS ZIP CODE CENSUS TRACT D IYANOUGH ROAD 02601 000020 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. GROSSMANS LUMBER 508 775-0201 O/S OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 GROSSMANS LUMBER IYANOUGH ROAD 508 775-0201 G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. ........... AERIALS RESP. 2 >; © RESP. El 0. SHIFT HAZ MAT PRESENT? TANK. RESP. OTHER RESP. .:.......... A 0 1 : Telephone (Direct) NO. AL SUBSTANCE 0 0 SPEC. EQUIP. USED? O 20 FIRE OTHER SERVICE 0 >: 0 0 0 0 F 0 O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD • 0 '<' 0 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. I YEAR MAKE MODEL SERIAL NO. IN IGNITION OCOMPLEX AREA OF : EQUIP INVOLVED IN IGN. K ORIGIN FORM OF HEAT IGNITION ...........` MATERIAL FORM TYPE © :; IGNITED METHOD OF r= LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE OEXTINGUISHMENT L:j EXTENT OF DAMAGE Flame a Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE OP 0 Material generating FORM TYPE nomost .smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date FARRENKOPF, C. CAPTAIN 3/9/9 4 Comments for this incident have been printed on an additional comments page. d ' Comments for Incident: 94 000271 Exposure: 00 Date: 3/9/94 RECEIVED AN ANONYMOUS CALL FROM A MALE REPORTING A TEN TO FIFTEEN GALLON OIL SPILL BEHIND GROSSMANS LUMBER NEAR THE ROOF SHINGLE AREA ONVESTI G� ATING I FOUND A MINOR SPILL OF WHAT APPEARED TO BE DIESEL FUEL. THIS SMALL SPILL WAS RUNNING INTO A SNOW'MELTED PUDDLE COVERING AN AREA ABOUT 4 X 4. THERE WAS SHEEN ON TOP ONLY. WITH TH4=MANAGER(MR.BRIAN COYNE)WE LOOKED AT THIS SPILL AND DETERMINED IT NEEDED TO BE CLEANED-UP. MR.COYNE PURCHASED A BAG OF SPEEDY-DRY AND WITH A FEW ABSORBENT PADS LOANED BY THIS DEPARTMENT THEY CLEANED-UP AS MUCH AS POSSIBLE. MR.COYNE TOLD ME THAT GROSSMANS HANDLES THIER OWN MINOR HAZARDOUS MATERIALS INCIDENTS THROUGH A PRIVATE AGENCY,OUT OF THIER BRAINTREE YARD. MR.COYNE HAS MADE ARRANGEMENTS TO DEAL THROUGH THEM. WEATHER CONDITION:SNOWING, COLD,WIND OUT OF THE EAST/NORTHEAST ABOUT 10 MPH,T 34-F. FARRENKOPF, C. CAPT. 03/09/94. MASSACHUSETTS FIRE INCIDENT REPORT `i A 1 O F S .... . . :......#%# DEPARTMENT Revised Form 0..1...9..2.2.......... Hyannis Fire Department Report If Date Alarm rriva In Service I 00:04.86 Fire 005/23/96 Day Thursday ED 17:06 17 :13 17:19 AT N OUND ACTION TAKEN ::;: ......771 MUTUAL AID S ' ak w/ No Ign «'4 1 Remove Hazard D PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Paved Public Street 9 6 2 I n Factor Undetermined >»0 0 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D IYANOUGH RD. 02601 20 O ZZ OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. PUBLIC STREET N/ A OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 TOWN OF BARNSTABLE 367 MAIN ST. 508 790-6200 CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. G 13 METHOD OF ALARM 2 © RESP. 0 7 >> SHIFT HAZ MAT PRESENT? Y TANK. RESP. JOTHER RESP. p 0 BARNSTABLE POLICE NO. SUBSTANCE 0 0 1 SPEC. EQUIP. USED? O 20 IFIRE ��� OTHER i SERVICE I O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD YEAR MAKE MODEL COLOR LICENSE NO. VIN# 30 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. 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 OEXTINGUISHMENT EXTENT OF DAMAGE Flame ......... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE N P Ij Ll Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date JOSEPH P.CABRAL JR. CAPTAIN 5/2 3/9 6 Comments for this incident have been printed on an additional comments page. Comments for Incident: 96 000486 Exposure: 00 Date: 5/23/96 REj:EIVE0 A CALL FROM THE POLICE REPORTING A SLIGHT OIL SPILL ON ROUTE 132 IN THE AREA OF WENDY-S.RESPONCE - EXNE 822 ONLY WITH FIREFIGHTERS JONES AND COSMO. '*- UPON ARRIVAL FOUND A SLIGHT SPILL IN THE SOUTH EAST TRAVEL LANE AS YOU APPROACH THE ROTARY CIRCLE PASSING LANE). APPLIED A THIN COAT OF SPEEDI-DRY AND WORKED IT IN WITH A PUSH BROOM,THERE WAS NOT ENOUGH TO PICK UP, LEFT THE SPEEDI DRY DOWN TO PREVENT ANY ACCIDENTS. ENGINE 822 CLEARED THE CALL AND RETURNED TO QTRS.AT 1719 HRS. THE CAUSE OF THIS SPILL IS UNKNOWN. CAPTAIN JOSEPH P.CABRAL JR. 5/23/96. FDID Incident No. Exposure #. Day of week Arrival Time `01 !�22 J A980502 1 6/5/98 Friday 16:33 16:39 17:23 Ib } r Address a �,. ju e� y mm !" f I annou h Road/ Route 132 #867 �CT t E Type of Situation Found Type of Action Taken Mutual Aid 41 Spill/leak W/o I nition 41 4 Remove Hazard Fixed Property Use Ignition Factor "paved Public Street." 9 6.2 00 No Fire FoundRW OccupantName �� OccupantTelephone � t 'w Mcnall , James 5 Owrter: Owner AddressF. i Qwner le phone, James Mcnall Sandwich Method Of Alarm Shift No Of Alarms # of Personnel Responded hone 1 © 0 Hazardous. 1 Tele Materials Engines Tankers Aerial Other Vehicles Present 00.1 O00 000 000 Yes, Fire Service Other Injuries Injuries 0 0 0 Fatalities 0 0 0 Injuries 0 0 0 Fatalities 0'0 0: Rescues Mobile Pro ert Use ` Is Car Stolen I f �� nsurance Com �4i�F �'` � '" ✓ � A,r, � � x c�'t �.. ���� y Mobile Property Make Year �� Model` Color License (+lumber 77 RUIN d �d t p Complex Area Of Origin Estimated,'' Equipment Involved In Ignition Form Of Heat Of Ignition . 0 If Equipment Was Involved In Ignition Material Ignited Year Make Model Equipment Serial Number 0 Method of Extinguishment Level Of Fire Ori in Number Of Stories 0 Construction Type Detector Performance Sprinkler Performance 0 0 Extent Of Damage Flame F I Smoke —� Material Generating Most Smoke Type Of Material Generatin Most Smoke 0 7 Avenue Of Smoke Travel Weather Conditions Commanding Officer 0 Lt Kristofferson Comment Page for Incident No. A980502 Address L I IYANNOUGH ROAD/ROUTE 132 Date of Report 6/05/98 Commanding Officer JU Kristofferson WE RECEIVED A CALL FOR A LEAKING GAS TANK ON RT 28. WE RESPONDED WITH E-826 WITH FF SIMKINS AND FF DARDIA. UPON OUR ARRIVAL WE FIND A 1984 TORONADO MA REG-1 99XNV--VI N-1 G3A257Y2 EE336696 OWNED BY JAMES MCNALLY-THE CAR WAS JUST FILLED AND THE GAS ATTENDANT TOLD THE DRIVER THAT THE TANK WAS LEAKING AND TO GET THE CAR AWAY FROM THE GAS STATION AND CALLED 811-THE CAR WAS PARKED ON THE SIDE OF THE ROAD LEAKING GAS PROFUSELY. WE SET UP A DIKE WITH SPEEDY DRY AND PLACED A CATCH BASIN.WE SPRAYED THE AREA WITH JANSOL AND USED PLUG AND DIKE TO MINIMIZE THE FLOW.WE ALSO HAD A DRY CHEM EXTINGUISHED AT THE READY. CAPEWAY TOWING PUT THE CAR ON A RAMP TRUCK AND REMOVED THE HAZARD.WE COVERED THE AREA WITH SPEEDY DRY AND SPRAYED THE AREA WITH JANSOL. WE THEN WHEN THE THE GETTY STATION AND JANSOL AND SPEEDY DRIED THAT AREA. E-826 RET IN SERVICE 181-T E KRISTOFFERSON i MASSACHUSETTS FIRE INCIDENT REPORT <; DEPARTMENT Revised 1 # .. ....... .. Re ort Form «'01922 H annis Fire De artment P If E Date Alarm Arriva In Service de 001102 Fire 0010/ 16/96 Day Wednesda � 19: 13 19 :25 19:54 SyptTON FOUND .;...........::: ACTION TAKEN MUTUAL AID I, Leak w/ No Ign <4 1 Remove Hazard FIXED PROPERTY USE (OCCUPANCY) »<: IGNITION FACTOR C Paved Public Street <9 6 2 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D IYANOUGH & MARY DUNN 02601 40 O TELEPHONE ROOM or APT. MOTOR VEHICLE ACCID. O/S 11 OCCUPANT NAME (LAST, FIRST, MI) G12OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE UNKNOWN CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. G 13 METHOD OF ALARM 1 © IRESP. 0. '7 SHIFT HAZ MAT PRESENT? TANK. RESP. OTHER RESP. FT LB Telephone (Tie-line) NO. SUBSTANCE 0 0 1 SPEC. EQUIP. USED? O 20 FIRE RESCUES SERVICE 0 0>»> OTHER O 0 0 O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. 0 CLAIM PD 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX JAREA OF EQUIP INVOLVED IN IGN. ORIGIN FORM OF HEAT IGNITION MATERIAL FORM TYPE © IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE OEXTINGUISHMENT - EXTENT OF DAMAGE Flame ........ Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE Ij [j =jr7= OP 0 Material generating FORM TYPE no Material smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date FARRENKOPF, C. CAPTAIN 1 0/ 1 6/9 6 Comments for this incident have been printed on an additional comments page. Comments for Incident: 96 001 102 Exposure: 00 Date: 10/16/96 :o RESPONDED TO A MOTOR VEHICLE ACCIDENT WITH R-821, R-828,AND YARMOUTH R-54, CORNER OF MARY DUNN AND IYANOUGH ROADS. •BARNSTABLE POLICE CALLED'SACK REPORTING ONE PATIENT, PRORITY THREE(3)TRAFFIC NECK AND BACK PAIN. ARRIVING ON SCENE,TWO VEHICLE ACCIDENT WE FOUND TWO OPERATORS BOTH SITTING IN THIER VEHICLES. ONE VEHICLE HAD OIL LEAKING,FROM UNDER THE ENGINE AREA CREATING A SPILL OF ABOUT THREE QUARTS. WITH STAR BURST AND SAND WE COVER THIS SPILL IN AN ATTEMPT TO PREVENT A HAZARD OR ACCIDENT. BARNSTABLE COUNTY WRECKER SERVICE REMOVED ONE VEHICLE FROM THE SCENE. THE OTHER VEHICLE WITH REAR END DAMAGE WAS DRIVEN AWAY BY IT OPERATOR. SPILL MATERIALS[STAR BURSTS AND SAND]WAS CLEANED UP BY BARNSTABLE COUNTY WRECKER SERVICE. 821'S CREW:FF. CLOUGH, LT. PICKERING. WEATHER CONDITION:CLEAR,COOL,WIND OUT OF THE NORTHWEST ABOUT 3 MPH,T 570 F. FARRENKOPF, C. CAPT. 10/16/96. • i i I MASSACHUSETTS FIRE INCIDENT REPORT (p� DEPARTMENT Revised iv >01 2 Hyannis Fire Department Report For"' n f Ex Date Da Alarm Arriva In Service 001103 Fire 0010/17/96 Y IThursday07: 15 07 :25 07:47 SITUATION FOUND r777 ......;,; ACTION TAKEN .;;;:: MUTUAL AID B Spill, Leak w/ No Ign 4 1 Remove Hazard FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Uncovered Parkin Area 9 6 5 NOf�E OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 379 IYANOUGH RD. 02601 40 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. NO OCCUPANT F 12 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. © . 1 4 > RESP. � 0 SHIFT HAZ MAT PRESENT? TANK. RESP. _ - OTHER RESP. ED I 0 Telephone (Direct) NO. SUBSTANCE 0 0 1 SPEC. EQUIP. USED? O 20 FIRE SERVICE r< O ><`: 0 OTHER O > > OMCBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS rr TOTAL INS. CLAIM PD 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOE77 MAKE MODEL SERIAL NO. IN IGNITION O COMPLEXJ AREA OF »?::EQUIP INVOLVED IN IGN. ORIGIN FORM OF HEAT IGNITION MATERIAL FORM TYPE © IGNITED OMETHOD OF r= LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE EXTINGUISHMENT EXTENT OF DAMAGE Flame ....... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE N O Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date Lj ROGER CADRIN LIEUTENANT 1 0/ 1 7/9 6 • Comments for this incident have been printed on an additional comments page. Comments for Incident: 96 001 103 Exposure: 00 Date: 10/17/96 INV�STI SATED A REPORT OF AN OPEN GASOLINE CONTAINER TO THE REAR OF THE FLEET BANK. jWRIVED TO FIND THAT SOME OF THE FUEL FROM THE TEN GAL PLASTIC CAN HAD BEEN DUMPED OUT ON THE PARKING LOT WITH THE CAN SITTING OPEN IN THE PARKING LOT NEXT TO THE NEW HOPE CHURCH. WE COVERED THE CONTAINER AND REMOVED IT,ALSO USEING JANSOLV AND HOSE LINE WE REMOVED THE SPILL HAZARD. WE CHECKED THE AREA AND FOUND NO OTHER HAZARDS APP RET TO OTS 07:47 MASSACHUSETTS FIRE INCIDENT REPORT DEPARTMENT Revise A yt! r f FDID '9'22`"`` H annis Fire De artment Report Form C.. Inciden If Date jAlarm rriva In ervice pp 7 Fire: 001 / 19/97 Day Sunda 18:50 18 :51 19:05 S;T,%. WD <.»:. ACTION TAKEN $ MUTUAL AID all Not Class 6 9 Investi ation only `'L..3. XED ERTY USE (OCCUPANCY) IGNITION FACTOR CCthe Pro Not Class minedX. .i5 p 9 I n Factor Undetermined. 0"0 . OCORRECT ADDRESS 530 IYANOUGH RD. ZIP CODE CENSUS TRACT D O11 OCCUPANT NAME (LAST, FIRST, MI) TELEP HONE 02601 20 ROOM or APT. RT. 132 SHELL OF OWNER 775_9238 NH (LAST, FIRST, MI) ADDRESS TELEPHONE OF12 Mh;SHELL OIL CO. G 13 METHOD OF ALARM CO. DIST. PERSONNEL M ENG RESP. AERIALS RESP. 1 2 © RESP. 0: SHIFT HAZ MAT PRESENT? TANK. RESP. ;::::::::::. OTHER RESP. C Q` Telephone (Direct) I40. SUBSTANCE 0 0 1 ' SPEC. EQUIP. USED? O 20 FIRE _.. SERVICE OTHER p 0 OMOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LASS �-^^- TOTAL INS-T CLAIM PD 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. yFA_:Z MAKE MODEL SERIAL NO. IN IGNITION O COMPLEY ARE A OF EQUIP INVOLVED IN IGN. ORIGIN © FORM OF HEAT IGNITION MATERIAL FORM ' TYPE IGNITED METHOD OF IEVEL OF ORIGIN Number of Q Stories EXTINGUISHMENT CONSTRUCTION TYPE M a a EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PFCE N ERORMAN op ... CO ® Material generating FORM TYPE most smoke WEATHERAVENUE OF SMOKE TRAVEL R CONDITIONS Officer in Charge: Date JOHN E. GRANT CAPTAIN 1 / 1 9/9 7 Comments for this incident have been printed on an additional comments page. Comments for Incident: 97 000047 Exposure: 00 Date: 1/19/97 RECIEVED A CALL FROM THE SHELL STATION ON RT. 132 REPORTING A SMALL GASOLINE SPILL APPROX.2-3 GALLONS. UPON OUR ARRIVAL THE SPILL WAS COVERED AND IT WAS A SMALL AREA. CAPTAIN JOHN E. GRANT 1/19/97 • MASSACHUSETTS FIRE INCIDENT REPORT J OA lO- FDID# : ''DEPARTMENT Revised Form 92 Hyannis Fire Department Report Ex Date Alarm Arrival In Service Incident # 2 e 0012/2/97 Day ITuesday114 :05 114 :10 1 14 :32 SIT FO ACTION TAKEN MUTUAL AID B Spi I Lea ok n LILJ Remove Hazard ED FIX ERTY USE (OCCUPANCY) -..`::> IGNITION FACTOR C Uncovered Parkin Area 9 6 5 NO IGNITION 0 0 OCORRECT ADDRESS ZIP CODE CENSUS TRACT 790 IYANOUGH RD. 0 2 6 0 1 10 O 1 1 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. CAPE TOWN PLAZA E, 12 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE JOANNIDES PHILIP 1074 PHINNEYS LN. 508 790-0236 913 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. .......... AERIALS RESP. -14 © IRESP.20. SHIFT HAZ MAT PRESENT? TANK. RESP JOTHER RESP. :::.......... C 0 0: Telephone (Direct) N0. AL SUBSTANCE O U 1 ::: SPEC. EQUIP. USED? O 2 O FIRE rIIES SERVICE 0 :: > O:::::>:: OTHER 0:::: 0 >:: F O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. ]CLAIM PD 0 0 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 30 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION OCOMPLEX 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 OEXTINGUISHMENT - -- EXTENT OF DAMAGE Flame ......... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE 0 Material generating FORM TYPE no Material smoke WEATHER AVENUE OF SMOKE TRAVEL R CONDITIONS Officer in Charge: Date ROGER CADRIN CAPTAIN 1 2/2/9 7 . Comments for this incident have been printed on an additional comments page. Comments for Incident: 97 001 152 Exposure: 00 Date: 12/2/97 ,ARRIVED TO FIND THIS CAR PARKED IN THE LOT IN FRONT OF PIECE GOODS LEAKING GASOLINE FROM THE FUEL TANK.WE CONTAINED THE LEAK AND LOCATED THE CAR OWNER,WE THEN HAD THE CAR TOWED TO A REPAIR SHOP. HE CAR WAS A 1968 OLDS CUTLASS REG MASS 779-OFD WE REMOVED THE FUEL SPILL OF APROX 1 1/2 GALLONS USEING STAR DUST AND JAN-SOLV. AFTER REMOVING THE CAR AND THE HAZARD E-826 RET TO QTS • MASSACHUSETTS FIRE INCIDENT REPORT n:` .* TlT «>; .;>::>.'»...... » DEPARTMENT Revised '`01922 Hyannis Fire Department Report Form t3n If Ex Date Alarm Arrival In Service # Day001127 Fire 001 /24/97 Monda 2 ; 12 :29 12 :34 13 : 12 ON FOUND ACTION TAKEN MUTUAL AID Outside Spill, Leak w Fire 1 7 Remove Hazard FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Mercantile Pro Insu Info ''5 0 0 NO FIRE <0 0 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 379 IYANOUGH RD. REAR 02601 40 O 11 'OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. CHURCH OF. NEW BOURN OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 KENTS CARPET 379 IYANOUGH RD. 508 778-0393 G 13 METHOD OF ALARM CO. DIST. © PERSONNEL ENG RESP. ........... JAERIALS RESP. RESP. ........... >2 0 SHIFT HAZ MAT PRESENT. TANK. RESP. JOTHER RESP. C 2 Radio NO. A SUBSTANCE 0 0 1 : SPEC. EQUIP. USED? O 20 PIRE SERVICE 0 >»>: F. O :`:: OTHER O O F FLU o O MOBILE PROPERTY TYPE 0 8 VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. Mobile Property N/A DOLLAR. LOSS TOTAL INS. CLAIM PD "b 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION K COMPLEX "8'O" AREA OF EQUIP INVOLVED IN IGN. Warehouse, Stora a Complex - oRIGIN Area Of Ori in No E ui ment Involved 98 FORM OF HEAT IGNITION MATERIAL FORM < TYPE © NO IGNITION `'0 »>> IGNITED NO IGNITI `0 0 0 0`ON ... Type of Mat Undetermined OMETHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE EXTINGUISHMENT 9 Not classified at ::::<:;:;`:;: Grade to 9 feet abc>:>::::: 1 story Unprotected Non-Comb EXTENT OF DAMAGE Flame ........ Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE op Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date ROGER CADRIN CAPTAIN 1 1 /2 4/9 7 • Comments for this incident have been printed on an additional comments page. Comments for Incident: 97 001127 Exposure: 00 Date: 11/24/97 IN,W S IIGATED A REPORT OF A SUBSTANCE FOUND BY PIRE PREVENTION TO TH REAR OF KENTS CARPET IYANOUGH RD. A 5 UAL WNTAINER OF AN UNKONWN SUBSTANCE WAS FOUND AND HAD SPILLED AGAINST THE BLD KNOWN AS FIRST 6URCH OF THE NEW BORN. USEING SCBA WE COVERD THE CONTAINER AND ATTEMPTED TO IDENTIFY THE SUBSTANCE.THERE WAS A SMALL AMOUNT SPILLED ON THE GROUND AND AGAINST THE BLD.THE LIQUID HAD AFOUL ODER AND HAD NO ID LABLE ON THE CONTAINER. IT WAS A MIXTURE OF OIL AND OTHER CHEMICLES,THERE WAS APROX ONE GAL LEFT IN THE CONTAINER. WE SPOKE WITH THE MANAGER OF KENTS CARPET MR.JIM CROWLEY AND REQUESTED HIM TO CONTACT THE PROPERTY OWNER,ALONG WITH THE TOWN OF BARNSTABLE BOARD OF HEALTH WE INSTRUCTED HIM TO HIRE A CLEAN UP CO.TO REMOVE THE HAZARD FROM THE PROPERTY ASAP. THERE WAS A STRONG ODER PROBLEM IN THE CHURCH STALL OF THE COMPLEX HOWEVER IT WAS UNOCCUPIED AT THE TIME. WE COVERD THE SPILL WITH SPEEDY DRY TO PREVENT SPREAD AND COVERD CONTAINER. NO ONE WAS REPORTED INJURED FROM THE SPILL AND PROPERTY DAMAGE WAS CONTAINED TO THE REAR OF THE CHURCH. I MASSACHUSETTS FIRE INCIDENT REPORT I• ► DEPARTMENT Revise `10 IEfl <``01 9 2 2 H annis Fire Department Report Form Inc' M ;::.::> If Date Da Alarm Arriva In Service 844 Fire 008/24/96 y Saturda � 14:39 14:48 15:47 N FOUND ACTION TAKEN MUTUAL AID ill w/ No Ign 4 1 Remove Hazard PROPERTY USE (OCCUPANCY) -...... s< IGNITION FACTOR _.. 9 6 1 .. ...., dNW mited-access Highway I n Factor Undetermined ' p p OCORRECT ADDRESS ZIP CODE CENSUS TRACT D RTE. 132 & HINCKLEY R 02601 20 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. N/A F 12 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE COMM OF MASS. G 13 METHOD OF ALARM 1. DIST. PERSONNEL ENG RESP. AERIALS RESP. 1 © RESP. 3 1 SHIFT HAZ MAT PRESENT? TANK. RESP. ;:,-..: OTHER RESP. B 0 0 Telephone (Tie-line) NO. SUBSTANCE 1 1 4 2 1142 1 SPEC. EQUIP. USED? JAN-SOLV COVERED W/ SAND O 20 FIRE SERVICE 0 O <> OTHER 0 0 <' ) O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LASS TOTAL INS. CLAIM PD 0 0 0 30 YEAR MAKE MODEL COLOR LICENSE N0. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX AREA OF EQUIP INVOLVED IN IGN. ORIGIN FORM OF HEAT IGNITION MATERIAL FORM TYPE © IGNITED OMETHOD OF 1EVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE EXTINGUISHMENT a a 0 EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE N :>:>:>::>::> OP0 Ij 0 L. Material generating FORM TYPE no Material smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS IOfficer in Charge: Date ROBERT K.PICKERING LIEUTENANT 8/ 2 4/9 6 Comments for this incident have been printed on an additional comments page. x. I Comments for Incident: 96 000844 Exposure: 00 Date: 8/24/96 THIS DEPT.RECIEVED A CALL FROM THE BARNS.POLICE, RE-AUTO ACC.OUR RESCUE REQUESTED THE ENG.FOR A SP L OPANTI-FREEZE. ON ARRIVAL WE DETERMINED THAT THE SPILL IMPACKTED THE STORM DRAIN AND THE HIGHWAY. HEALTH AGENT RRIVED AND WILL FILE A REPORT. WE COVERED THE SPILL W/JAN-SOLV AND SAND. ALL SET ENG.816 TO QTRS. 1547. R.K.PICKERING/LIEUT. • I MASSACHUSETTS FIRE INCIDENT REPORT 1O FDID ....... DEPARTMENT RevisedForm .....:::::. 2 Hyannis Fire Department Report • 0ii `r If Date _ Alarm riva In ervice nc t 0.86 . Fire 008/30/96 Day Frida 14: 15 14 :22 14:41 Fdft ACTION TAKEN �'�:":''.."'.: :: MUTUAL AID B Spill, Leak w/ No Ign ;><4 1 :` Remove Hazard L.....4 FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Paved Public Street :::9 6 2 NOT AFIRE 00 O,CORRECT ADDRESS ZIP CODE CENSUS TRACT D IYANOUGH / AIRPORT RD 02601 20 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. N/A F 12 OWNER NAME (LAST, FIRST, MI) ADDRESS . TELEPHONE COMM. OF MASS. G 13 METHOD OF ALARM CO- DIST. PERSONNELrr� ENG RESP. AERIALS RESP. 2 © RESP. ::.:::0: 4 SHIFT HAZ MAT PRESENT? TANK. RESP. OTHER RESP. RADIO 828 NO. SUBSTANCE 0 0 11 SPEC. EQUIP. USED? O 2 O FIRE SERVICE 0 >?>< 0< X. OTHER O >< O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LASS ` TOTAL INS. CLAIM PD 0 « 0 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O CpMpi.-:D( (''" AREA OF EQUIP INVOLVED IN IGN. L ORIGIN FORM OF HEAT IGNITION MATERIAL FORM TYPE © :.;:IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE O EXTINGUISHMENT '" 1:1 Ij — 0 EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE Lj N O P Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date ERIC FARRENKOPF CAPTAIN 8/3 0/9 6 Comments for this incident have been printed on an additional comments page. Comments for Incident: 96 000865 Exposure: 00 Date: 8/30/96 r RECEIVED A CALL FROM RESCUE 828 ON LOCATION OF AN MVA(R-2378)FOR AN ANTIFREEZE SPILL/WASHDOWN. *RESPONSE:ENGINE 822 CAPT E. FARRENKOPF, F/Fs REX, HENNESSY. UPON ARRIVAL HAD A TWO CAR MVA WITH A SPILL OF ANTIFREEZE. RESCUE 828 HAD DISCONNECTED THE BATTERIES BEFORE OUR ARRIVAL- WASHED THE AREA DOWN WITH JAN-SOL AND WATER.VEHICLES REMOVED BY BUCKLERS TOWING. ENGINE 822, RESCUE 828 TO OTS 1441 ERIC FARRENKOPF CAPTAIN 8/30/96 r MASSACHUSETTS FIRE INCIDENT REPORT DEPARTMENT Revised 10 1...9..2..2........... Hyannis Fire Department Report Form If Date Alarm ArrivalIn Service de 000201 Fire 003 / 4 /97 Day ITuesday � 12 :20 12 :23 114 :54 Si N FOUND ACTION TAKEN MUTUAL AID 1, Leak w/ No Ign 4 1 Remove Hazard FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C De artment Store < 5 8 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 1070 IYANOUGH ROAD 02601 10 OOCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. 11 TOY'S "R" US 508 778-5653 SHOW G12OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE FESTIVAL MALL 1070 IYANOUGH ROAD 508 778-5653 G 13 METHOD OF ALARM CO. DIST. © PERSONNEL ENG RESP. AERIALS RESP. RESP. 1 SHIFT HAZ MAT PRESENT? TANK. RESP. OTHER RESP. B 0 1 Telephone (Direct) N0. SUBSTANCE 0 0 E773 SPEC. EQUIP. USED? O 20 FIRE SERVICE Oi>_; 0 :>:: OTHER 0 > O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LASS • TOTAL INS. CLAIM PD 0 0 0 30 YEAR MAKE. MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. 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 [A I -- EXTENT OF DAMAGE Flame 0 Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE N P O Material generating FORM TYPE no Material smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS LLJ Officer in Charge: Date FARREINKOPF, C.. CAPTAIN 3 / 4 / 9 7 0 Comments for this incident have been printed on an additional comments page. "i. i Comments for Incident: 97 000201 Exposure: 00 Date: 3/4/97 E)ARC*OF HEALTH RECEIVED CALLS FROM CUSTOMERS AT TOYS"R"US 1070 IYANOUGH ROAD REPORTING A STRANGE ODOR THROUGHOUT THE PROPERTY. CALLERS REPORTED A BURNING SENATION OF THE EYES AND FEELING SICK TO s THIER STOMACH. DONNA MIORANDI FROM THE BOARD OF HEALTH ARRIVIED ON SCENE,SPOKE WITH THE MANAGER MR.THOMAS NEARY, DETERMINED WHAT SEE SAW AND SMELT A HEALTH HAZARD,STARTED CLOSING THE PROPERTY,AND NOTIFIED THE FIRE DEPARTMENT. ARRIVING ON SCENE,SIDE ONE,OCCUPIED TOY STORE,TWO STORY BRICK, SPRINKLED,WE WERE MET BY THE MANAGER AND MS. MIORANDI WHO EXPLAINED THE SITUATION TO US. MR. NEARY[MANAGER]TOLD US THAT FLOOR CLEANING PERSONNEL WERE WORKING ON THE PROPERTY LAST NIGHT,STRIPPING FLOORS AND WAXING. INVESTIGATING THEY SHOWED US NUMEROUS PLACES WHERE THIS CLEANING/STRIPPER WAS LEACHING OUT FROM UNDER THE COUNTERS.AND PUDDLED IN OTHER AREA'S. THE ODOR THIS PRODUCT WAS EMITTING WAS IRRITATING TO THE EYES, THROAT, AND SKIN [IF TOUCHED]. STORE WAS COMPLETELY EVACUATED INCLUDING EMPLOYEES. WE USED TWO[2]COMMERICAL BLOWERS IN AN ATTEMPT TO DRY-UP AND REMOVE THESE VAPORS. ALL DOORS AND VENTS WERE OPEN. AFTER A PERIOD OF TIME WE WERE ABLE TO CONTACT THIS CLEANING COMPANY. THE MANAGER WAS GOING TO SEND A FEW EMPLOYEES TO THAT LOCATION FOR CLEAN-UP. WE HORIZONTALLY VENTED THIS PROPERTY FOR A PERIOD OF TIME. .. THIS WAS A HEALTH HAZARD AND REPORTS ARE BEING MADE BY BOARD OF HEALTH MS. DONNA MIORAND. SEE REPORTS BY HEALTH DEPARTMENT. CHEMICAL MATERIALS SAFETY DATA SHEET WERE SENT TO BOTH BOARD OF HEALTH AND FIRE DEPARTMENT BY MR. ONALD CROOK, M. D. STETSON COMPANY/ABOM CHEMICAL INDUSTRIES , 92 YORK AVENUE, RANDOLPH MA. 02368. MR.THOMAS NEARY WAS TOLD BY MS. MIORANDI TO NOTIFY THIER OFFICE WHEN CLEAN-UP WAS COMPLETED. MANAGER TOYS"R" US MR. THOMAS NEARY. BOARD OF HEALTH:MS. DONNA WORANDI. FIRE PREVENTION:LIEUTENANT HUBLER. ENGINE 826, LADDER 829. WEATHER CONDITION:SNOWING, COOL,WIND OUT OF THE EAST ABOUT 4 MPH, T 47'F. FARRENKOPF, C. CAPT. 03/04/97. " ASSACHUSETTS FIRE INCIDENT REPORT DEPARTMENT Revised •OA 10 D >.0...1.:9.2.2,........ Hyannis Fire Department Report Form :»»»:><<z:>«:«:: If Date AlarmjArrivaiIn Service ci # 001309 Fire 0012/18/96 Day Wednesday 113:16 13 :37 1 14.46 ATION FOUND ACTION TAKEN ;:;;;; . MUTUAL AID EXTRICATION/WASH DOWN »>3 5 Rescue Only ` FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Paved Public Street ```'`9 fi 2 NO FIRE 0 0 OCORRECT ADDRESS -` ZIP CODE CENSUS TRACT D IYANOUGH ROAD/BIG A 02601 40 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. N/A F, 12 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE N/A CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. G 13 METHOD OF ALARM 1 © RESP. 1 $ E111 0 4 ' ' SHIFT HAZ MAT PRESENT? Y TANK. RESP. OTHER RESP. B 4... RADIO 827 NO. Wq SUBSTANCE 12 0 2 1202 :1 SPEC. EQUIP. USED? O 20 FIRE RES=S SERVICE ? O!` O ?> OTHER 0< 0 E O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD 0`« ; 0 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION K COMPLEX AREA OF EQUIP INVOLVED IN IGN. O X. ORIGIN FORM OF HEAT IGNITION MATERIAL FORM TYPE IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories COMr" NSTRUCTION TYPE OEXTINGUISHMENT ...... EXTENT OF DAMAGE Flame ......... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE op E Material generating FORM TYP ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date H BRUNELLE DEPUTY CHIE 1 2/1 8/9 6 Comments for this incident have been printed on an additional comments page. CornIments for Incident: 96 001309 Exposure: 00 Date: 12/18/96 RECEIVED A RADIO CALL FROM CAPT.C FARRENKOPF REQUESTING RESCUE 821 AND ENGINE 822 TO THE SCENE OF AN •MVA IYANOUGH ROAD/RTE 28 IN FRONT OF BIG A AUTO PARTS. ( R-3372) UPON ARRIVAL HAD A TWO VEHICLE ACCIDENT WITH ONE PERSON(PRIORITY ONE)TRAPPED IN A PICKUP TRUCK RESCUE 821 EXTRICATED THE PT FROM THE PICKUP WITH JAWS,CUTTERS,RAMS ETC WHILE ENGINE 822,S CREW PULLED A 1 3/4 HANDLINE AND FOAMED THE AREA UNDER THE TRUCK WHICH HAD A SMALL GASOLINE LEAK. VEHICLES WERE TOWED BY CAPE WAY TOWING AND THE AREA WAS WASHED DOWN WITH WATER. DEPUTY BRUNELLE HAD F/A CONTACT THE BARNSTABLE BOARD OF HEALTH DUE TO SOME GASOLINE AND ANTIFREEZE ENTERING A CATCH BASIN. BARNSTABLE BOARD OF HEALTH INSPECTOR THOMAS MCKEON ARRIVED TO INVESTIGATE. ENGINE 822 AND RESCUE 821 TO QTS 14:46 ERIC FARRENKOPF CAPTAIN 12/18/96 USED APPROX 15 GALLONS OF AFFF • • ' Massachusetts Fire Incident Report Hyannis Fire Department Date of Time Of Arrival Time In �. FDID Incident No. Exposure #. Incident Day of week Call Time Service 01922 A980814 0� 8/22/98 Saturda 7❑ 11 :04 11 :10 11 :39 t' Address Zip Census Tract 258 Ilyannough Road/ Route 28 # 1=5 29 H annis 20 Type of Situation Found Type of Action Taken �, Mutual Aid 41 Spill/leak W/o I nitio 41 4 Remove Hazard Fixed Property Use' Ignition Factor "public Service Station." 5 7 1 00 No Fire Found p� Occupant Name Occupant Telephone M Gas Station F508-790.3174 Owner Name Owner Address Owner Telephone Mgp Gas Station 258 Yarmouth Road 508-790-3174 •Method Of Alarm Shift No Of Alarms # of Personnel Responded Hazardou 1 Telephone 1 © 0 Materials En Ines Tankers Aerial Other Vehicles Present 001 000 000 000 Yes �.- Fire Service Other Injuries uries 0 0 0 Fatalities 0 0 0 Injuries li F 0 0 0 ataties 0 0 0 Rescues 0 0 0 0 0 • Mobile Property Use ❑ Is Car Stolen Insurance Company 0 Mobile Property Make Year Model Color License Number VIN 0 Complex Area Of Origin 0 Estimated Equipment Involved In Ignition Form Of Heat Of Ignition Loss • If Equipment Was Involved In Ignition Material Ignited Year Make Model Equipment Serial Number Method of Extinguishment Level Of Fire Ori ig n Number Of Stories �. Construction Type Detector Performance Sprinkler Performance Extent Of Damage Flame Smoke Material Generating Most Smoke Type Of Material Generating Most Smoke 0 Avenue Of Smoke Travel Weather Conditions Commanding Officer Capt C. Farrenkopf I Comment Page for Incident No. A980814 Address 258 11YANNOUGH ROAD/ROUTE 28 t� 1-525 Date of Report 8/22/98 Commanding Officer Capt C. Farrenkopf RECEIVED A CALL FROM A PAUL MORRISON AT 258 IYANOUGH ROAD,MPG GAS STATION,REPORTING A GASOLINE SPILL OF ABOUT FIVE[5)GALLONS. CALLER STATED THAT WHILE FILLING A VEHICLE EARLIER THE HANDLE FAILED TO SHUT OFF????? PAUL JUST THOUGHT IT WAS AN ACCIDENT. LATER HE WAS FILLING ANOTHER VEHICLE AND AGAIN IT FAILED TO SHUT-OFF SPILLING ABOUT 5 GALLONS. PAUL TOLD FIRE ALARM THE PUMP WERE OFF! ARRIVING ON SCENE,SIDE FOUR OF THE PROPERTY,WE WERE MET BY PAUL WHO AGAIN EXPLAINED THIS SPILL TO US. .. r INVESTIGATING WE FOUND A SMALL SPILL[ABOUT ONE[1}GALLON]CONTAINED TO THE CEMENT AREA AND SPILL GROOVES: WITH JAN-SOLV AND SPEEDY DRY WE CONTAINED AND REMOVED THE HAZARD. WE DRAINED THE NOZZLE AND PLACED THIS MATERIAL BACK IN THE MAIN TANK. PUMP WAS PLACED OUT OF SERVICE BOTH SIDES. MANAGER NOTIFIED MR. JIM LEVINE PAGER 1-800-719-7619. THIS STATION IS FULL SERVICE. STAON ATTENDANT: MR. PAUL MORRISON 17 ROSARY LANE, HYANNIS, MA. 02601. MANAGER: MR. JIM LEVINE 1-800-719-7619. FF. SCRIBI, FF. DARDIA. 40 WEATHER CONDITION:CLEAR,WARM,WIND OUT OF THE NORTHEAST ABOUT 5 MPH,80°F. FARRENKOPF, C. CAPT. 08/22/98. V. f. l : r Massachusetts Fire Incident Report Hyannis Fire Department � Time In Date of Time Of Arrival FDID Incident No. Exposure #. Incident Day of week Call Time Service `041922 18/ 23/98 da 1❑ 00:07 00:10 00:46 Address Zi P Census Tract 287 1 annou h Road/ Route 28 # 1-525 H a n n i s I F-201 T of Situation Found Ty pip of Action Taken Mutual Aid Type P ' 41 Spill/leak W/o I nitio 41 9 Action Not F— Fixed Property Use, Ignition Factor "uncovered Parkin Area." 9 6 5 00 No Fire Found 0� Occupant Name Occupant Telephone Rikdi#son Inn 508-771 -4700 Owner Name Owner Address Owner Telephone Bornstein Method Of Alarm Shift No Of Alarms # of Personnel Responded H Materials zardou 1 Tele hone 1 A 1 1 Materials Engines Tankers Aerial Other Vehicles Present 1 � 1 0� 0� 001 Fire Service Other Injuries • %',T juries 0� Fatalities 0I Injuries 0� Fatalities 00 Rescues 00 Mobile Property Use ❑ Is Car Stolen Insurance Company 0 Mobile Property Make Year Model Color License Number VIN 0 0 Complex Area Of Origin Estimated Equipment Involved In Ignition Form Of Meat Of Ignition Loss 0 0 If Equipment Was Involved In Ignition Material Ignited Year Make Model Equipment Serial Number 0 Method of Extinguishment Level Of Fire Ori in n Number Of Stories �—Construction Type Detector Performance Sprinkler Performance Extent Of Damage FlameE Smoke •` Material Generating Most Smoke T e Of Material GeneratingMost Smoke 0 Avenue Of Smoke Travel Weather Conditions Commanding Officer Capt E. Farrenkopf y Comment Page for Incident No. A980817 Address 287 11YANNOUGH ROAD/ROUTE 28 # 1-525 Date of Report 8/23/98 Commanding Officer Capt E. Farrenkopf RECEIVED A CALL FROM THE RADISSON INN SECURITY GUARD THAT THE DUMPSTER IN THE REAR PARKING LOT HAD LEAKED HYDRAULIC FLUID. RESPONSE:CAR 812 UPON ARRIVAL METiIVITH RADISSON SECURITY AND FOUND THAT A TRASH COMPACTOR HAD LEAKED APPROX TWO GALLONS OF HYDRAULIC FLUID ONTO THE PARKING LOT AREA PNABLE TO DETERMINE WHY THE FLUID LEAKED BUT IT APPEARED TO HAVE LEAKED IN THE AREA OF THE HOSE LINE CONNECTIONS.DETERMINED THAT NO HYDRAULIC FLUID WAS LEAKING AT THIS TIME. .• . HAD THE SECURITY OFFICER SHUT THE ELECTRICAL POWER OFF TO THE COMPACTOR AND COVERED THE SPILL AREA WITH TWO BAGS OF SPEEDI-DRI.SPOKE WITH THE CHIEF ENGINEER OF THE RADISSON(DON WHITE)AND HE ADVISED ME THAT THE DUMPSTER IS OWNED BY AMERICAN REFUSE OF HYANNIS. DETERMINED THAT THE SPEEDI-DRI SHOULD REMAIN ON THE SPILL TO ABSORB IT OVER NIGHT AND I ADVISED BOTH • MR.WHITE AND THE RADISSON NIGHT AUDITOR(JOHN HILL)TO CONTACT AMERICAN REFUSE IN THE MORNING TO REPAIR THE COMPACTOR AND TO CLEAN UP THE SPILL AREA. I ALSO ADVISED THE SECURITY GUARD TO KEEP AN EYE ON THE AREA AND TO CALL IF THERE WERE FURTHER PROBLEMS CAR 812 TO QTRS 00:46 ERIC FARRENKOPF CAPTAIN 8/23/98 , t. • Massachusetts Fire Incident Report ' Hyannis Fire Department Date of Time Of Arrival Time In FDID Incident No. Exposure #. Incident Day of week Call Time Service 01922 18/ 22/98 J.,$aturday7❑ 11 :39 11 :39 12:09 v i` Address zip Census Tract I annou h Road/ Route 28 # 1-5 H annls 20 Type of Situation Found Type of Action Taken UPIV Mutual Aid 41 Spill/leak W/o I nitio 41 # Remove Hazard Fixed Property Use Ignition Factor "paved Public Street." 9 6 2 00 No Fire Found 0� Occupant Name Occupant Telephone Tom Lear 508-477-2255 Owner Nam , , Owner Address Owner Telephone Michael Lear Mas hee, Ma. 508-790-2554 Method Of Alarm Shift No Of Alarms # of Personnel Responded Hazariais 4 Radio 4 B 1 3 Tou Materia Engines Tankers Aerial Other Vehicles Presen b01 000 000 000 Yes Fire Service Other Injuries Injuries 0 0 0 Fatalities 0 0 0 Injuries 0 0 0 Fatalities 0 0 0 Rescues 0 0 0 t, Mobile Property Use Is Car Stolen Insurance Company Mobile Property Make Year Model Color License Number VIN 0 0 0 Complex Area Of Origin 0F Estimated Equipment Involved In Ignition Form Of Heat Of Ignition Loss ❑ 0 s If Equipment Was Involved In Ignition Material Ignited Year Make Model Equipment Serial Number Method of Extinguishment Level Of Fire On' ig n Number Of Stories Construction Type Detector Performance Sprinkler Performance V.F0 0 1, Extent Of Damage Flame I Smoke • Material Generating Most Smoke T e Of Material Generating Most Smoke Avenue Of Smoke Travel Weather Conditions Commanding Officer Capt C. Farrenkopf Comment Page for Incident No. FA98081,5 Addressl 11YANNOUGH ROAD/ ROUTE 28 Date of Report 8/22/98 Commanding Officer Capt C. Farrenkopf WHILE RETURNING FROM ALARM#980814 WE STUMBLED ONTO AN AUTO ACCIDENT AT ENGINE HOUSE AND IYANOUGH ROADS. A TWO VEHICLE ACCIDENT INVOLVING A PICK-UP AND CAR. ARRIVING ON SCENE PUFFER-BELLY SIDE OF THE ROADXE FOUND AN OBVIOUS ANTI-FREEZE. INVESTIGATING"NO P.I"WE ALSO FOUND A MINOR GASOLINE SPILL FROM A PLASTIC CONTAINER KNOCKED OUT OF THE PICK-UP. WITH JAN.SOLV AND SAND WE REMOVED THESE HAZARDS,ANTI-FREEZE AND GASOLINE. GAS SPILL AMOUNTED TO ABOUT TWO CUPS. ACCIDENT WAS CLEANED UP BY BUCKLERS TOWING. PICK-UP DRIVEN AWAY BY MR.TOM LEARY. OTHER VEHICLE TOWED&TO BUICK GARAGE BY BUCKLERS. ACCIDENT INVESTIGATED BY OFFICER DUNN, PHOTO'S BY COUNTY. FF.SCPIQI,FF. DARDIA. WEATHER CONDITION:CLEAR,WARM,WIND OUT OF THE NORTHEAST ABOUT 5 MPH,T 800 F. • FARRENKOPF, C. CAPT. 08/22/98. r 01 922 IVORY L u I Wednesda 4 FUR VAN 1 — 3 � w Acdress � �� -�� ��� I annou h Road/ Route 132 #86714 7� Hyannis � 1 0 Type of Situation Found ��Type of Action Taken r � �a Mutual Aid Fixed Property Use � � z P Y � ��. Ignition Factory *� a�/e( 11�}IIC .StT@en � x ya F � e� y n Fcc an Teter 6 Ems Motor Vehicle Accident g Maur a��` VON Ok x �P� s , ed�� lf�q�rpm � Was lii of to�rlrynrtIon RIN Matec�aftgn►te f �` �� �� �`��'�`��a �� �� � � E J Y�al',�sss��', aka � � r��O,del�: �" re':.°����` � `�� y� Urp a t �er►8`�iVUtTf g�" , mx MOM MORE, Lomment Page for Incident No. A981023 Address IYANNOUGH ROAD/ROUTE 132 Date of Report 10/21 /98 Commanding r Office Cat C. Farrenko f p p BARNSTABLE POLICE CALLED REQUESTING RESCUE AT A MOTOR VEHICLE ACCIDENT ROUTE 28[IYANOUGH ROAD] NEAR MITCHELUS. RESCUE 828 ARRIVED ON SCENE,A TWO VEHICLE ACCIDENT WITH INJURIES AND A FLUID LEAK. RESCUE 828 REQUESTED AN ENGINE COMPANY FOR DISCONNECT AN FLUID LEAKAGE. ARRIVING ON SCENE WITH ENGINE 826 WE FOUND WHAT APPEARED TO BE AN ANTI-FREEZE LEAK. INVESTIGATING WE DETERMINED THIS TO BE ANTI-FREEZE,WHICH WAS COVERED BY ROAD DIRT AND DISCONNECT THE BATTERY. RESCUE HAD ALREADY TRANSPORTED ONE TO CCH. BOTH VEHICLE REMOVED AFTER PHOTO'S BY C.I.O.BY ROTARY AUTO BODY. FF.SZURLEY, CAPT.E.FARRENKOPF. WEATHER CONDITION: PARTLY CLOUDY,COOL,WIND OUT OF THE NORTHWEST ABOUT 2 MPH,T 540 F. FARRENKOPF, C. CAPT. 10/21/98. 01922 A981018 0 of 0 0/20/9 Tuesday IN16 53 16 57 17 59 Gi -P. i annou h Road/ Route 28 # 1 Hyannis 2 0 T e of Situation Founder, � �Type of Action Taken r z x a u 7 t a 41 pr�S t[I%I �CW/o1� �onf1 MCI � Remcve� azard � v ^ "Ss Fixed Pro ert Use � � a s a a F a Ignition Factor . �� � � OM N/a ��r�esent- �"- ���� y M rtr}°kI���P rho ma ca erne �� g v rnoke E a ' Ave ire QhS o rave �� <f �� Bathe otl{fir©ns onrti f #rcer l .iI i :. Comment Page for Incident No. A981018 Address IYANNOUGH ROAD/ROUTE 28 # 1-525 Date of Report 10/20/98 Commanding Officer Icapt E. Farrenkopf RECEIVED A CALL FROM THE BARNSTABLE POLICE FOR AN MVA WITH NO PI BUT THERE IS A GASOLINE LEAK FROM ONE OF THE VEHICLES RESPONSE:ENGINE 826 CAPT E.FARRENKOPF F/Fs DARDIA,PINA. UPON ARRIVAL HAD A TWO VEHICLE REAR END COLLISION WITH THE FRONT VEHICLE LEAKING GASOLINE FROM IT TANK. PLACED A CATCH BUCKET UNDER THE LEAK AND COVERED THE AREA WITH JAN-SOL.A NEAR BY CONTRACTOR HAD PLACED ABSORBENT HAZ-MAT PADS DOWN ON THE SPILL AREA AND I USED THEM TO ABSORB THE JAN-SOLED GAS MIXTURE ALONG WITH SOME SPEEDI-DRI. BOTH VEHICLES WERE STUCK TOGETHER AT THEIR BUMPERS AND I USED AFFF TO COVER THE AREA WHILE THE TOW TRUCK DISLODGED THE VEHICLES. WAS DOWN THE FOAMED AREA WITH WATER AND REMOVED THE SPEEDI-DRI AND PADS BACK TO THE STATION. ENGINE 826 TO OTRS 17:59 ERIC FARRENKOPF CAPTAIN 10/20/98 Massachusetts Fire Incident Repor b Hyannis Fire Department f �tA i�'�� • Date of Time Of Mriva!` Tire I .O� FDID Incident No. Exposure #. Incident Day of week Tip ervic� '�� ,� � Call 01922 1 A200726 ! 7/23/2000 1 S d 1 15:32 j, 7 195Y�g4'3 Address Zip ecsus Tract ' annough Road/ Route 132 #867-1487. Hyannis OE OE Type of Situation Found Type of Action Taken Mutual Aid 41 Spill/leak W/o Ignition 41 3 Investigation Only 3 Fixed Property Use Ignition Factor "public Service Station." A 5 7 1 00 No Fire Found Occupant Name Occupant Telephone Gulf Service Station 790-1336 Owner Name Owner Address Owner Telephone Cumberland Farms Method Of Alarm Shift No Of Alarms # of Personnel Responded � Hazardous 1 Telephone 1� L�J Materials Engines Tankers Aerial Other Vehicles Present 001 0� po p� No Fire Service Other Injuries • Injuries 0� Fatalities 0� Injuries 0I Fatalities 0I Rescues F 00 Mobile Property Use Is Car Stolen Insurance Company Mobile Property Make Year Model Color License Number VIN 0 � 0 Complex Area Of Origin Estimated Loss Equipment Involvec In Ignition Form Of Heat Of Ignition ❑ 0 If Equipment Was Involved In Ignition Material Ignited Year Make Model Equipment Serial Number 0 Method of Extinguishment Level Of Fire Ori ig n Number Of Stories Construction Type Detector Performance Sprinkler Performance Extent Of Damage Flame o Smoke Material Generating Most Smoke Type Of Material Generating Most Smoke Avenue Of Smoke Travel Weather Conditions Commanding Officer C.1,aar.. Lt. Kristofferson Report By ILL Kristofferson 6;e- i * Comment Page for • I ncident No. A200726 Address IYANNOUGH ROAD/ROUTE 132 Date of Report 7/23/2000 Commanding Officer Lt. Kristofferson Alton Chase from The Gulf station-1171 lyanough Rd reports a past gas spill. He states that several days ago someone drove off with the nozzle still in the car and they had a minor gas leak. They put speedy dry over the leak and turned the pump down. Today Mr Chase was repairing the hose and the gas that was in the hose leaked on the ground, it was about 1/4 gallon and he put speedy dry over the area. He called his corporate headquarters and they said to call the fire department. E-822 responded with FF Kleamenakis, FF Hennessy, and Lt Kristofferson Upon our arrival we found a small area of speedy dry that wasn't a hazard. We advised him that next time call us at first when the car drives away and there is fuel on the ground and a potential hazard. Lt E Kristofferson 7/23/00 • I TOWN O'F BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH O satisfactory 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY Lla2a (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 1 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT-outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: o I DISPOSAU/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer APublic ),On-site OPrivate 3. Indoor Floor Drains YES N0� O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YESXNO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. r L Person (s) Interviewe Inspector Date i F, TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: _ NAME OF BUSINESS:Itz�� idd,161 i�vA/' Board of Health MAILING ADDRESS: oVI.7 iY_ /1,E7„ dag,a/ Town of Barnstable TELEPHONE NUMBER: 77/— alea P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: 7 l�T� TELEPHONE: /06 / LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallonsliquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers _ Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asp alt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform., formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business