2002 ANNUAL REPORT OF HAZARDOUS MATERIAL INCIDENTS IN OREGON

Transcription

1 2002 ANNUAL REPORT OF HAZARDOUS MATERIAL INCIDENTS IN OREGON AS REPORTED BY OREGON FIRE SERVICE Department of Oregon State Police Office of State Fire Marshal Hazardous Substance Information System 4760 Portland Road NE Salem OR , Ext. 353 Fax

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3 TABLE OF CONTENTS Program Overview... 1 Key Factors... 3 List of Incidents for Calendar Year Number of Incidents Per Month Number of Incidents Per Day of the Week Number of Incidents Reported by County Departments Responding to Incident Units Responding Scene Type Area Type Weather Upon Release Wind Speed Estimated Property Loss Action Taken at Scene Source of Release Material Involved Cause of Incident Hazmat Behavior on Release Environmental Contamination List of Materials Spilled Top Twenty Chemicals Incidents Reported by Hazard Class Total Amount Released by Unit of Measure Material Identification Sources Casualties Chemicals Involved Where Casualties Occurred Historical Charts Request for Hazardous Substance Information i

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5 PROGRAM OVERVIEW Introduction The 1985 Oregon Legislature created the Community Right to Know Program to provide information on hazardous substances within our state. Part of this program is the Hazardous Materials Incident Reporting System (OAR ). Under this system, emergency service personnel responding to an incident of threatened or actual injury to a human, wildlife, domestic animal, or in which damage to the environment, or any property loss occurs resulting from a hazardous substance or waste incident are required to submit a written report of the incident to the Office of State Fire Marshal. This report must be submitted within 10 working days after the incident occurs. The following incidents are exempted from the reporting requirements: 1. Motor fuels which are spilled in quantities of less than 42 gallons from a vehicle, unless it enters a waterway or is determined to endanger the public safety or immediate or surrounding environment, including groundwater; or 2. Sewage overflow; or 3. Structure fires or other emergencies where hazardous substances are involved as exposures, if the quantities exposed are less than 42 gallons. This means that a Hazardous Material Incident Report would not be required for a structure fire or other emergency if consumer quantities of hazardous substances did not directly relate to the cause of the emergency or to injuries or death. If these consumer quantities caused the incident or contributed to an injury or death, a written Hazardous Material Incident Report would be required. The following incidents are subject to the reporting requirements: 4. Except for 1, 2, and 3 above, all incidents including the release or threatened release of a hazardous material shall be reported. This includes, for example, a warranted response, based on the good intent of the caller, to a situation where no hazardous material is released or found. This also applies to a situation whereby the emergency responders take possession of hazardous materials to abate a hazard to the public; I.e., drug lab chemicals. For both of these examples, proper documentation for state and local purposes is essential. Data Collection is Important This report summarizes the 2002 Hazardous Material Incident Reports gathered from emergency responders. The reports submitted were not always fully completed; therefore, the statistics and numbers reported throughout this report may not always equate to the same total. The OSFM encourages those who complete the Hazardous Material Emergency Incident Report forms to complete the form in its entirety. Why is it necessary to submit a State Fire Marshal Hazardous Material Incident Report? First, the report is required by Oregon Revised Statutes and by Administrative Rule. Also, the submission of the report allows OSFM to enter the information into a database, from which reports such as this one can be created and used by any agency for analysis, budgeting, and forecasting purposes. In order to maintain an accurate and verifiable profile of hazardous material incidents in Oregon, it is essential that emergency response agencies submit a written report after an incident. 1

6 Access to the Information Data obtained from the Hazardous Material Incident Reports is available via the internet at Specialized reports can also be created upon written request. You may obtain a Request for Hazardous Substance Information form from our website at The form is referred to on the OSFM website as the Customized Report Request form. You may also call or our office to request that the Request for Hazardous Substance Information form be sent to you. The address to use in making this request is sfm.cr2k@state.or.us, or call , extension 353. Once OSFM receives your completed Request for Hazardous Substance Information, you will generally receive a response within the next three business days. Larger requests may take additional time. Two additional Hazardous Material Incident summary reports are available on the OSFM website. They are: 1. Historical Listing of all Hazmat Incidents. This report lists all hazmat incidents reported to the Office of State Fire Marshal since July The listing is sorted alphabetically by county, then alphabetically by cities in that county, and finally by street number. 2. Quarterly Incident Report. This report contains statewide hazardous material incident statistics and a summary for the last quarter, the quarter prior, and year-to-date totals. A breakdown of the number of incidents that occurred during the quarter for each county is also provided in this report. 2

7 KEY FACTORS Below is a list of key factors in highest occurrence in There were 260 reported hazardous material incidents in Included for comparison is data from 2001, which had 377 reported hazardous material incidents. CATEGORY Area Type Commercial: 90 Residential: 71 Behavior On Release Inert, No Reaction: 96 Contaminated Area: 80 Casualties Injuries: 94 Decontaminated: 79 Cause of Incident Normal Operation: 50 During Delivery: 45 Chemicals Involved Unknown Chemicals: 32 Diesel: 24 County Multnomah: 70 Jackson: 46 Hazardous Materials by Hazard Class 9.0 Misc Haz Materials: Flammable Liquids: 54 Materials Identified By Responsible Party: 90 Other: 51 Materials Involved Fuel: 89 Product: 76 Occurrence: Month April: 33 January: 27 Occurrence: Day of Week Wednesday: 47 Tuesday/Thursday: 41 Scene Type Public Road: 72 Private Structure: 67 Source of Incident Other: 71 Commercial Vehicle: 49 Units Responding Fire: 337 Police: 224 Weather Fair: 179 Rain: 45 Residential: 124 Commercial: 114 Inert, No Reaction: 149 Contaminated Area: 107 Injuries: 57 Decontaminated: 44 Normal Operation: 73 During Delivery: 56 Drug Lab Chemicals: 50 Unknown Chemicals: 48 Multnomah: 121 Jackson: Misc Haz. Materials: Acute Health Hazard: 69 Responsible Party: 131 Other: 80 Product: 123 Fuel: 112 October: 68 March: 39 Wednesday: 78 Thursday: 67 Public Road: 112 Private Structure: 108 Other: 86 Commercial Vehicle: 73 Fire: 453 Police: 359 Fair: 264 Rain: 64 3

8 LIST OF INCIDENTS FOR CALENDAR YEAR 2002 SORTED BY COUNTY, CITY, AND LOCATION COUNTY/CITY ADDRESS DATE INCIDENT ID# CHEMICAL BAKER HUNTINGTON N SNAKE RIVER ROAD TOWARDS RICH- LAND 07/07/02 HM CHROMIC ACID BENTON CORVALLIS 1000 NE CIRCLE BLVD 05/25/02 HM MINERAL ACID CORVALLIS 1550 NW 9TH ST 05/22/ DIESEL CLACKAMAS BEAVERCREEK S HULT RD 05/21/02 HM DRUG LAB CHEMICALS LAKE OSWEGO 1817 CEDAR COURT 04/07/ WASTE OIL MILWAUKIE 4011 SE INTERNATIONAL WAY 07/08/02 HM HYDROGEN OREGON CITY 902 ABERNATHY RD 01/15/02 HM UNKNOWN CHEMICAL TUALATIN SW 65TH 08/30/02 HM FICAM W WILSONVILLE SW 95TH AVE 04/18/ UNKNOWN CHEMICAL WILSONVILLE SW 95TH AVE 04/18/02 HM UNKNOWN CHEMICAL CLATSOP ASTORIA VALLEY CREEK LANE 11/09/ GASOLINE ASTORIA ASTORIA / MEGLER BRIDGE 11/19/ DIESEL FUEL ASTORIA HWY 97 OLNEY/WALLUSKI 11/09/02 HM DIESEL BIRKENFELD TAYLORVILLE RD 04/24/ DIESEL CANNON BEACH 345 ELK CREEK RD 12/24/ GASOLINE SEASIDE 2369 S ROOSEVELT 01/24/ GASOLINE UNLEADED SEASIDE 860 S ROOSEVELT 07/16/ GASOLINE UNLEADED COLUMBIA CLATSKANIE FIELD ALONG LINDBERG RD 03/07/ NO CHEMICAL INVOLVED RAINIER 118 E A STREET 12/02/02 HM SAND RAINIER DELENA RD & HWY 30 08/17/ MOTOR OIL COOS CHARLESTON SEVEN DEVILS RD 06/04/02 HM AMMONIA ANHYDROUS NORTH BEND HAUSER DEPOT RD/68765 WILDWOO 02/25/02 HM CCA PRESERVATIVE NORTH BEND PENINSULA RD (BEHIND) 02/08/02 HM UNKNOWN CHEMICAL NORTH BEND FT OF CALIFORNIA AVE 06/09/02 HM DIESEL FUEL CROOK PRINEVILLE 3050 NE THIRD ST 09/13/ UNKNOWN CHEMICAL DESCHUTES BEND 2600 NW COLLEGE WAY 09/03/02 HM MISC HAZARDOUS MATERIALS LA PINE BURGESS RD 08/24/ PROPANE DOUGLAS AZALEA UPPER COW CREEK ROAD 06/10/02 HM TURTLE POLISH DILLARD HWY 99 S 07/03/ DIESEL GLIDE 400 BLOCK OF GLIDE LOOP DRIVE 04/23/ DIESEL NA INTERSTATE 5, MP103 09/23/02 HM JP-4 JET FUEL ROSEBURG 100 MOSHER ST 01/19/ GASOLINE/DIESEL ROSEBURG INTERSTATE FIVE N 07/29/ FORMALDEHYDE ROSEBURG 1744 SE DIAMOND LAKE BVLD 04/21/ DIESEL #2 ROSEBURG 5196 HWY. 99S 07/30/ PROPANE SUTHERLIN 411 W CENTRAL AVE 01/15/ OIL HOOD RIVER CASCADE LOCKS 1 E FOREST LN 03/18/ NO CHEMICAL INVOLVED HOOD RIVER 408 CASCADE 09/13/02 HM NO CHEMICAL INVOLVED 4

9 COUNTY/CITY ADDRESS DATE INCIDENT ID# CHEMICAL JACKSON ASHLAND I-5 MP 13 SOUTHBOUND 09/18/ DIESEL FUEL ASHLAND I-5 MP#8 SB 01/24/ DIESEL FUEL CENTRAL POINT 1955 SCENIC AVE 03/14/ E-STAT ETCH CENTRAL POINT INTERSTATE /12/ UNKNOWN CHEMICAL EAGLE POINT 975 DAHLIA TERRACE 02/07/02 P RED PHOSPHORUS MEDFORD 1001 HILTON RD 12/11/ ARGON MEDFORD 1135 COURT ST 04/30/ GASOLINE MEDFORD 1202 N RIVERSIDE 10/26/ DIESEL MEDFORD 1299 E MCANDREWS 06/16/ GASOLINE MEDFORD 1486 LA MESA 02/17/ USED MOTOR OIL MEDFORD 1601 DELTA WATERS 11/20/ HYDRAULIC FLUID MEDFORD 1712 GRAND AVE 05/04/ NATURAL GAS MEDFORD 1878 WILLOW GLEN 08/18/ UNKNOWN CHEMICAL MEDFORD 2000 CRATER LAKE HWY 12/18/ DIESEL MEDFORD 2006 SPRINGBROOK RD 09/11/ METHANE MEDFORD 201 WINDSOR AVE 12/30/ NATURAL GAS MEDFORD 2025 LARS WAY 06/14/ PROPANE MEDFORD 2260 BUENA VISTA DR 04/25/02 P RED PHOSPHORUS MEDFORD 2339 BIDDLE ROAD 01/08/ GASOLINE MEDFORD 2340 CRATER LAKE HWY 09/10/ LIQUID NITROGEN MEDFORD 2343 BIDDLE RD 08/18/ DIESEL FUEL MEDFORD 2402 FOX RUN 06/06/ NATURAL GAS MEDFORD 2424 CRATER LAKE HWY 04/08/02 P NAPTHA MEDFORD 251 E BARNETT RD 12/30/ USED MOTOR OIL MEDFORD 3600 BLOCK S PACIFIC HWY 06/25/ MOTOR OIL MEDFORD 3615 CRATER LAKE HWY 02/09/ GASOLINE MEDFORD 3659 CRATER LAKE HWY 01/31/ NATURAL GAS MEDFORD 408 OREGON TERRACE 08/28/ MURIATIC ACID MEDFORD 408 S GRAPE 04/28/ NATURAL GAS MEDFORD 411 E BARNETT RD 12/08/ NATURAL GAS MEDFORD 428 BERRYDALE AVE 04/05/02 P IODINE MEDFORD 428 E BARNETT 01/29/ PROPANE MEDFORD 501 MEDFORD CENTER 08/02/ GASOLINE MEDFORD 510 S CENTRAL 04/24/02 P IODINE MEDFORD 750 MURPHY RD 08/06/ UNKNOWN CHEMICAL MEDFORD 782 GILMAN RD 07/31/ NATURAL GAS MEDFORD 785 STEWART AVE 04/14/ GASOLINE MEDFORD 833 W. JACKSON ST, SPACE 23 06/08/ NATURAL GAS MEDFORD ACROSS FROM 665 MIDWAY 03/04/ TOLUENE DIISOCYANATE MEDFORD E BARNETT RD AT STEWART AVE 05/05/ GASOLINE MEDFORD E VILAS AND CRATER LAKE 04/29/ NATURAL GAS MEDFORD I-5 MP 29 NORTHBOUND 01/09/ ETHYLENE GLYCOL MEDFORD REAR OF 1399 STEWART AVE 04/17/ METHANE PHOENIX 5085 S PACIFIC HWY 09/17/ DIESEL FUEL TALENT WALMART 01/06/02 HM UNKNOWN CHEMICAL TRAIL MILE POST 13, ELK CREEK RD 12/20/02 HM JET FUEL A JOSEPHINE GRANTS PASS 1161 NE WYLIE 07/18/ DIESEL FUEL 5

10 COUNTY/CITY ADDRESS DATE INCIDENT ID# CHEMICAL KLAMATH CHILOQUIN T 33, R 7, SEC 2 04/11/02 HM PEROXIDE SOLUTION KLAMATH FALLS 1324 WILFORD ST 05/29/ NATURAL GAS KLAMATH FALLS 1791 WASHBURN WAY 09/11/ GASOLINE KLAMATH FALLS 1800 LAVERNE AVE 11/08/02 HM STYRENE MONOMER KLAMATH FALLS 234 N 3RD STREET 09/07/ NATURAL GAS KLAMATH FALLS 249 DIVISION ST 05/09/02 HM METH LAB CHEMICALS KLAMATH FALLS 2865 DAGGETT ST 11/02/02 HM CS POWDER KLAMATH FALLS 3600 WASHBURN WY 02/08/ DIESEL KLAMATH FALLS 3726 EMERALD AVE 10/19/ UNKNOWN CHEMICAL KLAMATH FALLS 537 RIVERSIDE DR 09/17/ PROPANE KLAMATH FALLS 5402 GATEWOOD 05/31/ NATURAL GAS KLAMATH FALLS 939 N ELDORADO AVE 09/14/ NATURAL GAS KLAMATH FALLS HWY 140, MP /05/02 HM MOTOR OIL KLAMATH FALLS HWY 97 / ALGOMA RD 12/08/ UNKNOWN CHEMICAL KLAMATH FALLS KINGSLEY FIELD SEWER TREATMENT PLAN 01/25/02 HM CHLORINE NA HWY 58 MP 80 04/04/ PAINT NA HWY 97 MP /07/ DIESEL LANE EUGENE 1025 GREEN ACRES RD 06/23/ GASOLINE EUGENE 1040 GREEN ACRES RD 10/20/ UNKNOWN CHEMICAL EUGENE 1621 GRAND (AMAZON CREEK) 12/05/ MOTOR FLUIDS EUGENE 1621 GRANT ST 12/05/02 HM GASOLINE EUGENE 171 LAWRENCE 11/19/ DIESEL FUEL EUGENE 1801 ECHO HOLLOW 11/03/ PROPANE EUGENE 1860 POTTER 01/23/ HEATING OIL EUGENE 18TH & CHAMBERS 04/10/ MURIATIC ACID EUGENE 2025 WASHINGTON ST 06/28/02 HM CHLORINE EUGENE 2025 WASHINGTON ST 06/28/ CHLORINE EUGENE 2770 WILLAKENZIE RD 07/02/ GASOLINE EUGENE 3440 HAMPTON WAY 11/03/ PROPANE EUGENE 4275 BARGER 05/26/ NATURAL GAS EUGENE 4925 BARGER DR 07/02/ GASOLINE EUGENE 857 E 39TH PL 03/10/02 HM NO CHEMICAL INVOLVED EUGENE BOEING DR 08/13/02 HM JET A AVIATION FUEL EUGENE GREENHILL RD 02/06/02 HM JET A AVIATION FUEL EUGENE BROADWAY & PATTERSON 08/20/ PORTA FRESH EUGENE DELTA WILLAGILLESPIE RD 10/23/02 HM NO CHEMICAL INVOLVED EUGENE PRAIRIE RD S/B AT MAXWELL 12/07/ DIESEL EUGENE ROOSEVELT & BETHEL 03/05/ DIESEL EUGENE RR TRACKS ROOSEVELT & LASSEN 02/21/02 HM FLOUR EUGENE UNION PACIFIC RAILYARD 04/22/ METHANOL LOWELL MP 14 HWY 58 10/24/ DIESEL SPRINGFIELD 2090 B OLYMPIC 07/28/02 HM HYDROCHLORIC ACID SPRINGFIELD 470 S 2ND 09/01/02 HM METHANOL SPRINGFIELD 470 S 2ND STREET 09/01/ METHANOL WESTFIR OFFICE BRIDGE FIRE 09/04/02 HM UNKNOWN CHEMICAL WESTFIR WESTFIR-BRIDGE FIRE 09/05/02 HM CARBON MONOXIDE LINCOLN NEWPORT 600 BLK SW BAY BLVD 11/15/ DIESEL 6

11 COUNTY/CITY ADDRESS DATE INCIDENT ID# CHEMICAL LINN ALBANY 1010 SW PACIFIC BLVD 03/08/ DIESEL ALBANY 1290 SW INDUSTRIAL WAY SW 07/27/ METHYL 2 PROPROPANETHYOL ALBANY 1600 NE OLD SALEM RD 01/31/ SODIUM BISULFATE ALBANY 1895 SE 14TH 09/24/02 HM NO CHEMICAL INVOLVED ALBANY 2000 SE 14 TH AVE SE 12/06/ GASOLINE UNLEADED ALBANY 3610 SE GRAND PRAIRIE RD 04/09/ UREA ALBANY 423 SE JEFFERSON ST 02/06/ DRUG LAB CHEMICALS ALBANY 4803 SW CARIBOU DR 05/16/ NATURAL GAS ALBANY 525 SW 25TH ST 04/03/ NITROGEN LYONS TH - S OF 12TH ST 01/17/ LP GAS METHANOL ODELL SHERRARD & NEAL CREEK 04/03/ LORSBAN MALHEUR NA 6272 ADAMS RD 04/17/ METH LAB CHEMICALS ONTARIO 275 NE 12TH ST 09/29/ MERCAPTAN ONTARIO MP367 I84 12/21/02 HM DIESEL FUEL VALE 3743 MORGAN LN 07/25/ PROPANE MARION DETROIT MP46, HWY 22 12/05/02 HM GASOLINE HUBBARD 3451 J STREET 12/25/ HYDROFLUORIC ACID SALEM 1590 CAPITAL ST NE 07/19/ DRUG LAB CHEMICALS SALEM 2400 LANCASTER DR NE 04/04/ PHENOL SALEM TH ST NE 12/27/ UNKNOWN WHITE POWDER SALEM 3371 PORTLAND RD 01/07/ AMMONIA SALEM 900 COURT STREET NORTHEAST 09/25/ UNKNOWN CHEMICAL SALEM I-5 SOUTHBOUND MP258 03/17/ GASOLINE TURNER MARION RD 07/27/ DIESEL TURNER 3600 BLOCK OF SUNSET HILLS DRIVE 07/10/ UNKNOWN CHEMICAL WOODBURN I-5 SB MP /11/ GASOLINE MULTNOMAH GRESHAM SE /21/02 HM UNKNOWN WHITE POWDER GRESHAM 500 NW FERRIS WAY 07/20/02 HM UNKNOWN CHEMICAL GRESHAM NE 181 AVE & NE AIRPORT WAY 10/01/ GASOLINE PORTLAND SE HOLGATE 02/06/02 HM MURIATIC ACID PORTLAND SE PARDEE 12/17/02 HM DRUG LAB CHEMICALS PORTLAND 1100 NE BROADWAY ST 08/11/ DIESEL PORTLAND SE NICHOLAS CT 02/26/02 HM DRUG LAB CHEMICALS PORTLAND NW ST HELENS RD 05/17/02 HM ASPHALT PORTLAND N BURGUARD RD 05/05/02 HM NO CHEMICAL INVOLVED PORTLAND 1210 NW COUCH 03/24/ SUVA HP62 PORTLAND 122 & SE DIVISION 07/04/02 HM GASOLINE PORTLAND SE SANDY BLVD 06/12/02 HM DRUG LAB CHEMICALS PORTLAND E BURNSIDE 02/19/02 HM DRUG LAB CHEMICALS PORTLAND SE MILL ST 04/05/02 HM RED PHOSPHORUS PORTLAND 166TH & NE CAMERON BLVD 06/05/02 HM UNKNOWN CHEMICAL PORTLAND SE POWELL BLVD 08/07/02 HM DRUG LAB CHEMICALS PORTLAND 2002 SE DIVISION ST 03/11/ AMMONIUM HYDROXIDE PORTLAND 2014 SE NEHALEM ST 02/26/02 HM UNKNOWN CHEMICAL PORTLAND 2212 SE UMATILLA 03/29/02 HM METH LAB CHEMICALS PORTLAND 2615 SE 111TH AVE #6 06/10/02 HM RED PHOSPHORUS PORTLAND 2617 SE /18/02 HM DRUG LAB CHEMICALS 7

12 COUNTY/CITY ADDRESS DATE INCIDENT ID# CHEMICAL PORTLAND 2700 SE TACOMA 11/05/02 HM NO CHEMICAL INVOLVED PORTLAND 2705 SE 125TH 11/19/02 HM DRUG LAB CHEMICALS PORTLAND 2730 SE 170TH 08/28/02 HM UNKNOWN CHEMICAL PORTLAND 3030 SE PINE #23 08/31/02 HM PEPPER MACE PORTLAND 3055 NW YEON 01/17/02 HM DRUG LAB CHEMICALS PORTLAND 310 SW LINCOLN ST 10/14/02 HM DRUG LAB CHEMICALS PORTLAND 315 SW MONTGOMERY 06/03/02 HM ABC FIRE EXTINGUISHER PORTLAND 3301 SE BELMONT 06/11/02 HM UNKNOWN CHEMICAL PORTLAND 3445 NE 82ND AVE 10/26/ PROPANE PORTLAND 3940 SE POWELL BLVD 03/27/ GASOLINE PORTLAND 4323 NE 90TH AVE 09/01/02 HM VAPORALL PORTLAND 4401 NE MLK 07/12/02 HM SODIUM HYDROXIDE PORTLAND 4546 SE MCLOUGHLIN BLVD 05/12/02 HM DRUG LAB CHEMICALS PORTLAND 4600 SE HARNEY 05/08/02 HM NO CHEMICAL INVOLVED PORTLAND 5200 SE MCLOUGHLIN BLVD 04/04/ AMMONIA ANHYDROUS PORTLAND 5314 NE 74TH 01/18/02 HM NO CHEMICAL INVOLVED PORTLAND 5700 NW FRONT AVE 05/21/ CHLORINE GAS PORTLAND 6518 SE 50TH AVE 12/30/02 HM DRUG LAB CHEMICALS PORTLAND 6615 NE GLISAN 08/26/02 HM MISC HAZARDOUS MATERIALS PORTLAND 6615 SE TOLMAN 10/31/02 HM CORN STARCH PORTLAND 6735 N BASIN AVE 09/09/02 HM NO CHEMICAL INVOLVED PORTLAND 6801 NE CORNFOOT 01/14/02 HM UNKNOWN WHITE POWDER PORTLAND 6805 SE 71ST 04/26/02 HM ACETONE PORTLAND 6900 N EDGEWATER 10/16/02 HM UNKNOWN CHEMICAL PORTLAND 720 N HAYDEN MEADOW DR 07/25/02 HM CHLORODIFLUOROMETHANE PORTLAND 7201 N MARINE DR 07/01/02 HM NO CHEMICAL INVOLVED PORTLAND 7501 SE 82ND 12/02/02 HM DRUG LAB CHEMICALS PORTLAND 7766 SE 82ND AVE 11/21/02 HM UNKNOWN CHEMICAL PORTLAND 7970 SW 45 01/31/02 HM DRUG LAB CHEMICALS PORTLAND 8145 SW BARBER BLVD 03/27/02 HM METH LAB CHEMICALS PORTLAND 9615 SE BOISE 04/13/02 HM METH LAB CHEMICALS PORTLAND 9800 SE POWELL BLVD 07/24/02 HM NO CHEMICAL INVOLVED PORTLAND BROADWAY & WIELDER 03/19/02 HM METH LAB CHEMICALS PORTLAND CATHEDRAL PARK / ST. JOHNS BRIDGE 12/03/02 HM FLUORESCEIN PORTLAND I-205 NB MP 25 02/20/ DIESEL PORTLAND N INTERSTATE & WEBSTER 03/01/ NATURAL GAS PORTLAND NE 10TH & WEIDLER 08/07/02 HM DRUG LAB CHEMICALS PORTLAND NE 82 WY & NE AIRPORT WAY 12/11/02 HM DIESEL FUEL PORTLAND NW 23RD & BURNSIDE ST 04/10/ DIESEL PORTLAND PGE PARK 09/01/02 HM PROPANE PORTLAND SE 117TH & HOLGATE 02/09/02 HM DRUG LAB CHEMICALS PORTLAND SE 48TH AVE & WOODSTOCK BV 10/03/02 HM UNKNOWN CHEMICAL PORTLAND SE 72 AVE / SE BYBEE BV 10/19/02 HM DRUG LAB CHEMICALS PORTLAND SE 82 & LUTHER 02/07/02 HM DRUG LAB CHEMICALS PORTLAND SE 82 AVE & INSLEY ST 10/03/02 HM UNKNOWN CHEMICAL PORTLAND SOUTHBOUND I405 FWY AT NW COUCH ST 02/27/ BATTERY ACID PORTLAND WEST END OF ST. JOHNS BRIDGE 04/08/02 HM AMMONIA ANHYDROUS TROUTDALE 1260 NW FRONTAGE RD 10/02/02 HM DIESEL FUEL TROUTDALE 2999 NE JORDAN RD (THOUSAND ACRES) 09/23/ UNKNOWN CHEMICAL 8

13 COUNTY/CITY ADDRESS DATE INCIDENT ID# CHEMICAL UMATILLA PENDLETON 4650 MCKENNON RD 11/12/ AMMONIA ANHYDROUS PENDLETON 900 SOUTHGATE 03/23/ NATURAL GAS STANFIELD 2115 S HWY /23/02 HM COPPER NAPHTHENATE UNION LA GRANDE 2308 ISLAND AVE 04/20/ ETHYLENE GLYCOL LA GRANDE 841 MP 257 WESTBOUND 10/31/02 HM DIESEL LA GRANDE ADAMS AVE & ISLAND AVE INTERSECTION 10/30/ COOLANT NA HWY 84, MP /17/ DIESEL FUEL NA HWY 84, MP 266 EASTBOUND 12/08/02 HM SONALAN HFP NA HWY 84, MP 274, EASTBOUND 02/06/02 HM DIESEL UNION I-84 MP /27/02 HM DIESEL WASCO THE DALLES W 6TH BLOCK 08/26/ DIESEL FUEL WASHINGTON BEAVERTON SW TERMAN RD 12/12/02 HM NO CHEMICAL INVOLVED BEAVERTON 3985 SW 102ND 04/05/02 HM UNKNOWN CHEMICAL CORNELIUS 670 S EMERALD LOOP 06/25/02 HM UNKNOWN CHEMICAL FOREST GROVE 1700 BLK CAMINO DR 08/12/ HYDRAULIC FLUID FOREST GROVE 2130 A ST 01/11/ FUEL OIL FOREST GROVE 2138 A ST 01/11/ DIESEL FUEL NA NW OLD CORNELIUS RD 01/25/02 HM NO CHEMICAL INVOLVED NA 9400 SW CLARK HILL ROAD 09/23/ UNKNOWN CHEMICAL NA 9400 SW CLARK HILL ROAD 09/23/02 HM UNKNOWN CHEMICAL NA CORNELIUS PASS RD 01/25/02 HM DIESEL FUEL SHERWOOD PACIFIC HWY & 207TH AVE 11/22/02 HM DIESEL FUEL TIGARD SW 72ND AVE 08/05/02 HM UNKNOWN CHEMICAL TIGARD ACROSS FROM 8995 SW CENTER ST 01/27/02 HM UNKNOWN CHEMICAL TIGARD ACROSS STREET FROM 8995 CENTER ST 01/27/02 HM UNKNOWN CHEMICAL TUALATIN SW LEVETON DR 09/26/02 HM SULFURIC ACID YAMHILL DAYTON END OF RIED LANE 08/03/ DIESEL DUNDEE 1260 SW MYRTLE 02/15/ NATURAL GAS MCMINNVILLE 4651 RIVERSIDE DR 08/18/ DIESEL NEWBERG 2904 S WYNOOSKI 08/28/02 HM MURIATIC ACID SHERIDAN FEDERAL CORRECTIONAL INSTITUTE 02/25/02 HM UNKNOWN WHITE POWDER YAMHILL 3928 LINCOLN AVE 12/19/ DIESEL FUEL 9

14 NUMBER OF INCIDENTS PER MONTH Count January 27 February 21 March 17 April 33 May 15 June 18 July 23 August 22 September 26 October 17 November 16 December 25 A total of 260 incidents were reported in The highest number of incidents were reported in April, equating to approximately 13% of the incidents. May had the lowest number of reported incidents (approximately 6%). 10

15 NUMBER OF INCIDENTS PER DAY OF THE WEEK Mon Tues Wed Thurs Fri Sat Sun Count In 2002, the day of the week that the highest number of reported incidents occurred on was Wednesday, equating to approximately 18% of the incidents. Saturday had the lowest percentage of occurrences (approximately 11%). In comparison, during the year 2001, the highest number of reported incidents occurred on Wednesday (approximately 21%). During 2001, Sunday had the least number of occurrences (approximately 7%). 11

16 INCIDENTS REPORTED BY COUNTY COUNTIES MULTNOMAH JACKSON LANE KLAMATH WASHINGTON MARION LINN DOUGLAS UNION CLACKAMAS CLATSOP YAMHILL MALHEUR COOS UMATILLA COLUMBIA BENTON DESCHUTES HOOD RIVER CROOK JOSEPHINE WASCO LINCOLN BAKER NUMBER OF INCIDENTS The chart above shows the number of reported incidents that occurred in the various counties. For the third consecutive year, Multnomah and Jackson counties reported the highest number of incidents. 12

17 DEPARTMENTS RESPONDING TO INCIDENTS IN 2002 Dept Responding Count Dept Responding Count HAZMAT TEAM PORTLAND 54 MEDFORD FIRE DEPT 34 HAZMAT TEAM TUALATIN 16 EUGENE FIRE DEPT 15 HAZMAT TEAM EUGENE 11 PORTLAND FIRE BUREAU 11 ALBANY FIRE DEPT 8 HAZMAT TEAM GRESHAM 7 \MULTNOMAH HAZMAT TEAM KLAMATH FALLS 6 SALEM FIRE DEPT 6 JACKSON CO NARC ENFORCE TEAM 5 KLAMATH FALLS FIRE DEPT 5 HAZMAT TEAM COOS BAY 4 HAZMAT TEAM E ORE LAGRANDE 4 FOREST GROVE FIRE DEPT 3 HAZMAT TEAM LINN\BENTON 3 JACKSON CO RFPD #5 3 KLAMATH CO FD #1 3 LAGRANDE FIRE DEPT 3 ONTARIO FD 3 ROSEBURG FIRE DEPT 3 TUALATIN VALLEY FIRE & RESCUE 3 ASTORIA FIRE DEPARTMENT 2 CLATSKANIE RFPD 2 CRESCENT RFPD 2 GRESHAM FIRE DEPT 2 HAZMAT TEAM DOUGLAS CO 2 HAZMAT TEAM E ORE ONTARIO 2 HAZMAT TEAM SOUTHERN OREGON 2 JACKSON CO RFPD #3 2 MCMINNVILLE RFPD (CITY) ALARM #R 2 PENDLETON FIRE DEPT 2 CANNON BEACH RFPD 1 CASCADE LOCKS FIRE DEPT 1 CORVALLIS FIRE DEPARTMENT 1 CROOK CO RFPD #1 1 DEXTER RFPD 1 DOUGLAS CO RFPD #2 1 DUNDEE FIRE DEPT 1 EUGENE FIRE & EMS 1 GLIDE RFPD 1 GRANTS PASS FIRE DEPT 1 HAZMAT TEAM ASTORIA 1 HAZMAT TEAM E ORE HERMISTON 1 HAZMAT TEAM REDMOND 1 HUBBARD RFPD 1 KLAMATH CO RFPD #1 1 LAPINE RFPD 1 LYONS RFPD 1 MID-COLUMBIA FIRE&RESCUE 1 NEWPORT FIRE DEPT 1 ODELL RFPD 1 SEASIDE FIRE & RESCUE 1 SEASIDE FIRE DEPT 1 SPRINGFIELD FIRE DEPT 1 STAYTON RFPD (MARION) 1 SUTHERLIN FIRE DEPT 1 TURNER RFPD 1 WESTPORT-WAUNA RFPD 1 WINSTON-DILLARD RFPD 1 WOODBURN FIRE DEPT 1 YAMHILL FIRE PROT DIST 1 The chart above shows the number of incidents responded to by the various emergency service departments/agencies. 13

18 UNITS RESPONDING Fire Police State Team Ambulance Local Team Pub Works Other State Agency Federal DEQ RailRoad Of the 950 units (vehicles) reported to have responded to incidents, more fire service units responded than any other type of unit, equating to approximately 36% of the incidents. The second highest number of units were from Police (approximately 24%). Some of the agencies listed under Other include: clean-up companies, gas companies, governmental agencies, and private businesses. Astoria Hazmat Team 11 14

19 SCENE TYPE Public Road Private Structure Private Land Public Structure Waterway Public Land Other Private Road Forest Some incidents involved more than one scene type. The number of incidents that occurred on public roads equated to approximately 27% of the reported incidents. Approximately 25% occurred at private structures. Approximately 23% of the incidents occurred on private land. For the tenth consecutive year, forests and private roads were the lowest involved scene types. AREA TYPE Commercial Residential Industrial Rural Agricultural Other Forest Commercial Residential Industrial Rural Agricultural Other Count Forest The above chart shows that commercial areas were identified as the highest involved area of incidents reported, equating to approximately 37%. The second highest area was identified as residential (29%). Forest remains the lowest involved area again this year (approximately 4%). 15

20 Sunny 10% Rain 17% Fog 1% Snow/Ice 4% Fair 68% WEATHER UPON RELEASE Fair Rain Sunny Fog Snow/Ice For incidents where the type of weather condition was identified, fair weather was again the most frequently reported condition, which was the weather condition reported for 179 incidents. The next highest weather condition was rain, which was the weather condition during 64 of the reported incidents. INCIDENTS REPORTING WIND SPEED WIND SPEED Count NUMBER OF INCIDENTS Of the incidents reported in 2002, 67% were reported to have had a wind speed of 0-5 miles per hour at the time the incident occurred; while 22% had a wind speed of 6-10 miles per hour. 16

21 ESTIMATED PROPERTY LOSS 6,000, ,000, ,000, ,000, ,000, ,000, Transportation Fixed Property Total Loss 1,575, ,646, ,222, Monetary losses due to hazardous material incidents are divided into two categories: 1) Transportation, which includes vehicle and cargo, and 2) Fixed Property. The total estimated loss includes the monetary value of the hazardous substance spilled. ACTION TAKEN AT SCENE Secure Area Identify Hazmat Evaluate Containment Hot Zone Determined Remove Hazard Activate OERS Traffic Control Crowd Control Decontaminate Clean-Up Evacuation Public Info Release On Site EMS Transport PT Extinguishment More than one action may have been taken at the scene of an incident. The most frequent actions taken at incident scenes were to secure the area (15%) and identify the hazardous material (14%). 17

22 SOURCE OF RELEASE Ship 0 Aircraft 1 Train 4 Pipeline 19 Drug Lab 37 Car Fixed Facility Commercial Vehicle Other Number of Incidents Approximately 27% of the reported incidents involved the source category of Other. Sources identified in the Other category include, but are not limited to: unknown, farm trucks, home oil storage tanks, mail, gas pumps, motor homes, propane tanks, barrels, and abandoned containers. Approximately 19% of the reported incidents involved commercial vehicles. Another 17% involved fixed facilities. Some incidents may have involved more than one source of release. SOURCE OF RELEASE IN THREE CATEGORIES Other 47% Transportation 36% Transportation Fixed Other Fixed 17% This chart groups the Source of a Release into three categories: Other, Transportation, and Fixed Facility. A total of 95 incidents reported transportation as the source of release. A total of 45 incidents reported fixed facility as the source of release, and a total of 127 incidents reported something other than transportation or fixed facility as the source of the release. 18

23 MATERIAL INVOLVED Product 31% Fuel 36% Cargo 10% Waste Material 23% Fuel was reported as the material involved in 89 incidents. Product was the second most common material reported, with 76 reported incidents. Waste Material was reported in 57 incidents. Cargo was reported in 25 incidents. Some incident reports did not specify the type of material involved. CAUSE OF INCIDENT Normal Operation During Delivery 27 Abandoned/Parked Material Not Released During Storage In Transit Motor Vehicle Accident Unauthorized Release 19 Excavation 12 9 During Fire During Repair During Manufacture Derailment Rail Car Connect 1 0 Docked This chart shows the number of incidents reported per listed cause. The highest reported cause was Normal Operation, which accounted for 19% of the incidents. The next highest was During Delivery/Shipment (17%). Some incidents had more than one cause. 19

24 Count HAZMAT BEHAVIOR ON RELEASE Contributed to Explosion 0 Caused Explosion Contributed to Fire 3 3 Caused Fire 4 Entered Waterway 27 Other Behavior 39 Became Airborne 45 Contaminated Area 80 Inert/No Reaction More than one behavior may have been reported for any one incident. The most frequent behavior on release was Inert/No Reaction (approximately 33%). ENVIRONMENTAL CONTAMINATION Ground Air Water Ground Air Water Count Of the Incident reports submitted in 2002, the ground was contaminated in approximately 53% of the reported incidents. The next highest environmental impact was to the air, followed by water contamination. 20

25 List of Materials Spilled In 2002 Hazmat Incidents MATERIAL SPILLED & FREQUENCY MATERIAL SPILLED & FREQUENCY MATERIAL SPILLED & FREQUENCY 2 METHYL 2 1 FLOUR 1 OIL 1 ABC FIRE EXTINGUISHER 1 FLUORESCEIN 1 PAINT 1 ACETONE 3 FORMALDEHYDE 1 PEPPER MACE 1 ACID 1 FUEL OIL 1 PEROXIDE SOLUTION 1 AMMONIA 1 GASOLINE 20 PHENOL 1 AMMONIA ANHYDROUS 4 GASOLINE UNLEADED 3 PHENOL MOLTEN 1 AMMONIUM HYDROXIDE 1 GASOLINE/DIESEL 1 PORTA FRESH 1 ARGON 1 HEATING OIL 1 PROPANE 10 ASPHALT 1 HYDRAULIC FLUID 2 QUICK-N-SLICK 1 BATTERY ACID 1 HYDROCHLORIC ACID 1 RED DEVIL LYE 2 BLEACH 1 HYDROFLUORIC ACID 1 RED PHOSPHORUS 6 CARBON MONOXIDE 1 HYDROGEN 1 REFRIGERANT 134A 1 CAUSTIC 1 IODINE 4 SAND 1 CCA PRESERVATIVE 1 JET A AVIATION FUEL 2 SODIUM BISULFATE 1 CHLORINE 3 JET FUEL A 1 SODIUM HYDROXIDE 1 CHLORINE GAS 1 JP-4 JET FUEL 1 SODIUM HYDROXIDE SOLN 1 CHLORODIFLUOROMETHANE 1 LIQUID NITROGEN 1 SONALAN HFP 1 CHROMIC ACID 1 LORSBAN 1 SPECTRUM RX COOLANT 1 LP GAS METHANOL 1 STYRENE MONOMER 1 COPPER NAPHTHENATE 1 MERCAPTAN 1 SULFURIC ACID 1 CORN STARCH 1 METH LAB CHEMICALS 6 SUVA HP62 1 CS POWDER 1 METHANE 2 TOLUENE DIISOCYANATE 1 DEISEL FUEL #2 1 METHANOL 3 TRANSMISSION FLUID 1 DIESEL 24 MINERAL ACID 1 TRIPLE 16 ( ) 1 FERTILIZER DIESEL #2 1 MISC HAZARDOUS MATERIALS 2 TURTLE POLISH 1 DIESEL FUEL 17 MOTOR FLUIDS 1 UNKNOWN 1 DIESEL FUEL #1 1 MOTOR OIL 4 UNKNOWN CHEMICAL 32 DRUG LAB CHEMICALS 20 MURIATIC ACID 7 UNKNOWN WHITE POWDER 4 EPHEDRINE 1 NAPTHA 1 UREA 1 E-STAT ETCH 1 NATURAL GAS 19 USED MOTOR OIL 2 ETHER 1 NITROGEN 1 VAPORALL 1 ETHYLENE GLYCOL 2 NO CHEMICAL INVOLVED 15 WASTE OIL 1 FICAM W 1 O2 DIFFECIENT AREA/NITROGEN 1 There were 98 different chemicals reported to have been released in

26 TOP TWENTY CHEMICALS INVOLVED IN HAZMAT INCIDENTS RED PHOSPHORUS METH LAB CHEMICALS MURIATIC ACID PROPANE NO CHEMICAL INVOLVED DIESEL FUEL NATURAL GAS GASOLINE DRUG LAB CHEMICALS DIESEL UNKNOWN CHEMICAL MOTOR OIL IODINE AMMONIA ANHYDROUS METHANOL GASOLINE UNLEADED CHLORINE ACETONE UNKNOWN WHITE POWDER In the majority of incidents, the substance involved was an unknown chemical. The second most common chemical involved in hazardous material incidents was diesel. Drug lab chemicals and gasoline were the third most common chemicals. Hazmat Team Training 22

27 Incidents Reported by Hazard Class Misc.Haz. Materials Flammable Liq. (73F<FP<141F) Flammable Gases Acute Health Hazard Flammable Liq.(FP<0F) Corrosives Combustible Materials Poisonous Materials NonFlammable Gases Flammable Solids Poison Gases Flammable Liq.(0F<FP<73F) Oxidizers Chronic Health Hazard Miscellaneous Hazardous Materials were the most common hazard class for chemicals reported in 2002 incidents. The second most common hazard class was Flammable Liquid (73F<141F). Deconcamination Training Hazard Categorization Training 23

28 TOTAL AMOUNT RELEASED BY UNIT OF MEASURE 272, , , , , ,755 0 Cubic Feet Released Pounds Released Gallons Released Responders to hazardous material incidents provide an estimate of the total amount released for all substances involved. The substances are reported according to their physical state: solids in pounds, liquids in gallons, and gases in cubic feet. The chart above shows the quantities involved. MATERIAL IDENTIFICATION SOURCES Responsible Party Other On Scene Analysis Off Scene Analysis Placards Shipping Papers Textbook Hazcom Chemtrec The course of emergency response is often determined by correct identification of the material involved in an incident. The graph above shows the sources used to identify the hazardous material. The responsible party was the highest used source in identifying the material involved (35%). Some of the sources in the Other category are: label/container, odor, MSDS, common knowledge, air monitor, Hazcat, and meter. 24

29 CASUALTIES Injuries Death Decontaminated On Scene Treated On Scene Hospitalized Other Civilian Fire Total The above chart shows the number of people who were injured, died, were decontaminated on scene, were treated on scene, or who were hospitalized in the Hazardous Material Incidents reported in In 2002, the OSFM collected all casualty data, whether the casualty was a result of the hazard, or whether the casualty caused the hazardous material incident. The casualties reported were not necessarily a result of a chemical. Linn Benton Hazmat Team 5 Casualty Training 25

30 2002 CHEMICALS INVOLVED WHERE CASUALTIES OCCURRED This table shows the number of casualties that occurred for each chemical. More than one chemical may have been involved in any one incident. Not all of the casualties are directly caused by the hazardous chemicals. In some cases, the casualty was the cause of the incident rather than the chemical being the cause of the casualty. Chemical Injuries Deaths Decon On Scene Treated On Scene Hospitalized AMMONIA ANHYDROUS CARBON MONOXIDE CHLORINE GAS COPPER NAPHTHENATE CS POWDER DIESEL DIESEL FUEL DRUG LAB CHEMICALS E-STAT ETCH ETHER FICAM W FORMALDEHYDE GASOLINE HYDROFLUORIC ACID HYDROGEN IODINE LP GAS METHANOL MISC HAZARDOUS MATERIALS MURIATIC ACID NITROGEN NO CHEMICAL INVOLVED O2 DIFFECIENT AREA/NITROGEN PAINT PHENOL PROPANE QUICK-N-SLICK RED PHOSPHORUS SONALAN HFP SPECTRUM RX STYRENE MONOMER UNKNOWN UNKNOWN CHEMICAL UNKNOWN WHITE POWDER

31 NUMBER HISTORICAL CHARTS HISTORICAL NUMBER OF INCIDENTS YEAR HISTORICAL CASUALTIES Injuries Death Decon On Scene Treated On Scene Hospitalized

32 HISTORICAL SCENE TYPE Forest Other Private Land Private Road Private Structure Public Land Public Road Public Structure Waterway Year Year Year Year Historical Cause of Incident Abandoned/Parked Derailed Docked During Delivery/Shipment During Fire/Explosion During Manufacturing During Repair During Storage Excavation In Transit Not Released Vehicle Accident Normal Operation Rail Car Connect Unauthorized Release

33 HISTORICAL SOURCE OF RELEASE Aircraft Car Commercial Vehicle Drug Lab Fixed Facility Other Pipeline Ship Train Aircraft Car Commercial Vehicle Drug Lab Fixed Facility Other Pipeline Ship Train As seen from the comparison chart above, the source of release is generally higher for commercial vehicles, drug labs, and sources which fall into the Other category. The Other category includes, but is not limited to: farm trucks, home oil storage tanks, mail, gas pumps, motor homes, propane tanks, barrels, and abandoned containers. LaGrande Hazmat Team 12 Derailed Train 29 Portland Hazmat Team 6 Ammonia Truck Overturned

34 Request for Hazardous Substance Information NOTE: ALL REQUESTER INFORMATION MUST BE PROVIDED BEFORE THE REQUEST CAN BE PROCESSED Mailing Address: Office of State Fire Marshal Phone: (503) Portland Rd. NE Fax: (503) Salem OR Requester & Title: 2. Date Requested: 3. Organization: 4. Phone Number: 5. Address: 6. Fax Number: 7. Requester Mailing Address: 8. Requester County & Street Address: 9. Describe what information you are requesting. Include the Name and Address of the Site(s) you are requesting information for. On the second page of this form, check the data elements you want included in your report, if applicable. If more space is needed than is provided, add additional pages. 10. Describe what the information will be used for. 11. How would you like to receive the information? 12. If you are requesting 4, 5 or 6 please check format 1. Verbal 4. Transfer Access Text 2. Printed Copy 5. Diskette Excel D-Base 3. Fax 6. CD, How Many Other / Specify format OSFM USE ONLY Type of Organization Requesting Request Type Educational Organization General Medical HSIS CD ER Survey Emergency Management Hospital HSIS CD PUB Incident Environmental Consultant General Government MSDS Inc & Surv Environmental Group Law Enforcement H&M ER HMT TRI Fire Service Private Business H&M PUB EHS Financial Institution Public Pesticide 112R Other / Specify Secured HazClass PSM Purpose Other / Specify Tech Asst Education / Library Response Person Receiving Request: Company Look-up Planning Person Providing Request: Presentation / Meeting Exercise Person Verifying Regulatory ESA Date Request Provided: Other / Specify TTA Query Name: 30 Special Request Approval: Type of S.I. H.C. Spec. Loc Emer Night # On going One Time

35 INSTRUCTIONS FOR FILLING OUT THE REQUESTER SECTION OF THIS FORM NOTE: ALL REQUESTER INFORMATION MUST BE PROVIDED BEFORE THE REQUEST CAN BE PROCESSED IF AN AREA OF THE REQUEST FORM DOES NOT APPLY, ENTER NONE OR N/A 1. Requester: Enter the name of the person requesting the information. 2. Date Requested: Enter the date the information is being requested. 3. Organization: Enter the name of the organization the requester is affiliated with. 4. Phone Number: Enter the Phone Number of the person requesting the Information. 5. Address: Enter the address of the person requesting the information. 6. Fax Number: Enter the fax number of the person requesting the information. 7. Requester Mailing Address: Enter the mailing address of the person requesting the information. 8. Requester Street Address: Enter the street address of the person requesting the information. If the street address is the same as the mailing address enter SAME. 9. Describe what information you are requesting: Enter a detailed description of the information you are requesting. Provide enough detail to give a clear understanding of what information you want. Be sure to include the Name and Address of the facility you are requesting the information for. 10. Describe what the information will be used for: Enter a description of what this information will be used for. 11. How would you like to receive the Information? Check the box that indicates how you would like to receive the information. If requesting fax or , be sure to provide that information in number 5 or 6 as applicable. 12. If you are requesting 4, 5 or 6 please check format: If requesting an electronic version of the information, check the box indicating the format in which you want to receive it. If the format you want is not identified by a check box, write the format in the area identified as Other / Specify format. SURVEY & INCIDENT DATABASE FIELD SELECTIONS: SURVEY SURVEY CONT 1. Are Hazardous Substances Present at Facility 35. Storage Location-Restricted 2. EHS Substances that Meet TPQ 36. Facility ID Number 3. Subject to Sec 112R of CAA 37. Geo Loc Codes 4. Subject to PSM Requirements 5. SIC Codes for Facility 6. Business Activity 7. Manager s Name 8. Send to Attention of 9. Address 10. Business Name INCIDENT 11. Department / Division A. District of Incident 12. Site Address B. County of Incident 13. Mailing Address C. Dept. Responding 14. Business Phone D. Date of Incident Day of the Week 15. Number of Employees E. Call Time (time alarm received) 16. Emergency Contact Person F. In Route Time 17. Emergency Contact Day Number F. Arrive Time 18. Emergency Contact Night Number-Restricted H. Depart Scene Time 19. Responsible Fire Dept I. Time Back in quarters 20. Substance Name J. In Service Time 21. Hazardous Ingredient K. Incident Location 22. Is or Contains a 112r substance L. Responsible Party Information 23. Is or Contains an EHS M. Scene Type 24. Is or Contains a PSM substance N. Area Type 25. Physical Sate O. Weather Type 26. Unit of Measure P. Agencies Responding 27. Max Amount. Code Q. Action Taken 28. Amount In R. Source of Incident 29. Amount Out S. Material Involved (Fuel, Cargo, Product, or Waste Material) 30. Storage Code T. Cause of Incident 31. Hazard Class U. Hazmat Behavior on Release 32. UN/NA Number V. Chemical Name and Information (e.g. # of containers, etc.) 33. EPA Pesticide Reg. Number W. Source Used to Identify Materials Involved 34. CAS Number X. Estimated Property Loss Y. Casualties 31