21900 HWY 99 STE AxT 7
EVENTION
'2 000 FIRE PR"
rving Brier, mumurtus, and 12425 Meridian Ave S INSPECTION REPORT
Se
SNOHOMISH CO. Mountlake Terrace Everett, WA 98208 glEDMONDS
BRIER
FJTL ELM
Phone (425) 551-1200. OLMOUNTLAKE TERRACE
[I UNINCORPORATED
DIST R www.FireDistrict].org Fax (425) 551-1272
LOCATION: 21900 Highway 99 Suite A 98026
-Vaeant-
BUSINESS NAME: C 9-\ ( �4�T PHONE:
MAILING
ADDRESS:
FREQUENCY ION & SHIFT*�
I S ITO - C
SCHEDULED Aug 2017
DATE DUE
LIFIR � Q
BUSINESS OWNER: HOME PHONE1, 1; —072,� 0 - 01-�?-q
—'s
EMERGENCY-1: HOME PHONE- "CURRENT
20 YES NO
KEY ACCESS-2: HOME PHONE: CITY
EMAIL: BUSINESS
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED: (J
NAME OF INSPECTOR: C I e%T-f-L. �04,-j c -s�s) v- t-,s 6a#k-!j -7 - 72-77 - 1 -1
FIRE SYSTEMS: FE 9
Date Last Serviced:
JI:
FIRE PREVENTION
Serving Brier, Edmon&, and 12425 Meridian Ave S INSPECTION REPORT
SNOHOMfSki 0 EDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
Fl . E Phone (425) 551-1200 0 MOUNTLAKE TERRACE
T%Tarr [I UNINCORPORATED
www.FireDistrictl.org
LOCATION: 2190.0 Highway 99 Suite;K98026
Fax (425) 551-1272
BUSINESS NAME:"'�,,t, PHONE:
MAILING CO 5
ADDRESS:
BUSINESS OWNER:
EMERGENCY-1:
KEY ACCESS-2:
. EMAIL:
HOMEPHONE:
HOME PHONE:
HOME PHONE: 20
FREQUENCY TION & SHIFT
I STA20-C
SCHEDULED Aug 2017
DATE DUE
UFIR 0 0
CURRENT
CITY NO
BUSINESS
LICENSE K 1:1
PERSON CONTACTED: ftl , 0- ll�A C-',X :z I INITIAL INSPECTION DATE
NAME OF INSPECTOR: CfK-q"D.- E, (4 VorLj -4
FIRE SYSTEMS: FE 4/13
Date Last Serviced:
-i
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oh e t
AUtdmatkFk6 Solrihkle'tt fid' n'te'R,'.
ecuritySbILAIllons"
t4.'�tatd�St.'BL-Ilinghiini:WA
. ......
oii�:(AOO) 7�4-4940, Fox, (300)fi47-;-9540--,.-
Business Name:- TOP FOOD #45
Date:
Address: 21900 HWY 99
City: EDMONDS_
Building Use:_ e, W-*-� C- C Ca
Systems Inspected:
Wet System(s) 2 CITY Protected areas �O I% V%!�h
Dry System(s) 1 Q Protected areas
e-VNVjPk4
Preaction/Deluge System(s) r CITY Protected areas
Inspection/Testing Frequency: [--rAnnual ]Quarterly Semi-annual
n OrmatiOn:
1. System has a hydraulic plate installed and visible?
Yes Vf
No
N/A
2. System Main Drain Size
2"
INCHES
3. System Main Drain Test
Static
go psi
75
Residual
Psi
4. Forward flow test conducted to maximum means provided?
Yes[ ]
No
N/A [ ]
5. Forward flow test achieved required system demand?
Yes[ ]
No
N/A [ ]
6. All flow switches tested satisfactory?
Yes Vf
No[
N/A [
7. Time for flow switch to register alarm at fire panel?
501f-k 75
q(vgs Sec
8. All Supervisory and tamper switches operated satisfactory?
Yes [A/
No
N/A [
9. Outside bell operated satisfactory?
Yes[
No[
N/A [/I
10. Heater in fire sprinkler room operates?
Yes[
No[
N/A
11. Antifreeze solution tested for freeze point?
Yes[
No[ I
N/A V�
A) Degrees Freeze point tested
Degrees
F
B) Concentration of solution
Solution
%
C) Solution Type
Type
Unknown
12. Record of last 5-year inspection and maintenance?
Year
Unknown
13. Gauges 5 years or older have been calibrated or replaced?
Yes L/f
No[ ]
N/A [
14. System(s) monitored by a central monitoring company
Yes Vf
No[ ]
N/A [
A) Monitoring com pa ny. received all monitored signals?
Yes Vf
No[ ]
N/A [
15. As -Built fire sprinkler plans provided onsite
Yes [ ]
NoA
N/A [
16. Number of supervised control valves onsite
ClTY
17. Number of flow switches onsite
QTY
Pip"e'096di ion..
18. Exposed Piping appears free of mechanical damage?
lYes_/]
No[
N/A
19. Exposed piping appears to be free of leaks ?
Yes
No[ ]
N/A
20. Exposed piping appears to be free of corrosion?
Yes
No[ ]
N/A
21. Exposed piping free of external loading or foreign
material hanging from it?
Yes V]
No[ ]
N/A
22. Exposed hangers appear to be securely attached?
Yes[
No[ ]
N/A
23. Exposed seismic bracing appears securely attached?
Yes [/1
No[
N/A
Y-44'
24. Control valves are properly sealed, locked or supervised?
Yes V]
No[ ]
N/A
25. Control valves fully exercised?
Yes
No[ ]
N/A
26. Control valves appear to shut down completely?
Yes
No [ ]
N/A
27. Control valves lubricated where necessary?
Yes [/f
No [ ]
N/A
28. Control valves have proper signage?
Yes. [If
No [ ]
N/A
Sp
29. Proper number of spare sprinkler heads are provided?
Yes [/f
No [
N/A
30. Proper spare sprinkler wrench provided ?
Yes V
No [
N/A
31. Fire sprinklers appear free of corrosion/loading?
Yes[ ]
No
N/A
32. Fire sprinklers appear free of paint/foreign material.?
Yes[ ]
No
N/A
33. Fire sprinklers appear free of tape, foil, paint guard, bulb cap,
etc.?
Yes[ ]
No
N/A
34. Fire sprinklers appear free from physical damage?
Yes
No
N/A
35. Fire sprinklers appear to be installed in proper orientation?
Yes
No
N/A
36. Fire sprinklers free from obstructions to spray patterns?
Yes [71
No
N/A
37. Are sprinkler heads free from hanging objects?
Yes7l
No [ I
N/A
38. Standard response sprinkler heads 50 years and older sample
tested for functionality or replaced?
Yes[ ] No [ ]
Tested or Replaced
N/A
Yr
39. Quick response sprinkler heads 20 years and older sample
tested for functionality or replaced?
Yes[ No
Tested or Replaced
N/A
Yr
40. Extra high temp. (325 deg. & higher) soldier link type sprinkler heads
5 years and older sample tested for functionality or replaced?
Yes[ ] No[ ]
Tested or Replaced
N/A V1,
Yr
41. Dry type sprinkler heads 10 years and older sample tested for
functionality?
Yes[ I No J/]
Tested or Replaced
N/A I
Yr
F 1 -r- e � D 0-04— ehfOnhettiod.l.
42. Fire department connection free from physical damage?
Yes
No [ ]
N/A
43. Fire department connection free from visual and physical
obstructions for easy access?
Yes
No [ ]
N/A
44. Fire department cap(s) are properly installed
Yes
No [ ]
N/A
45. Fire department connection swing check valve appears free
ofleaks?
Yes
No [ ]
N/A
46. Fire department connection appears free from foreign
material?
Yes
No [ ]
N/A
47. Fire department swivels/caps rotate freely?
Yes
No [ ]
N/A
48. Fire department connection appears to have proper drainage
Yes V]
No [ ]
N/A
with automatic drain valve?
49. Fire department connection gaskets are in good shape?
Yes r] No[
N/A [
50. Fire department has appropriate signage where needed?
Yes Vf No[
N/A [
51. Fire department connection internally inspected within the
last 5 years?
Yes[ No[ N/A [
Year Unknown
-Sytteffi,lh P Yes
Pry f6fr6itiorf(i
52. Record of 5-year internal inspection and maintenance on dry
valve and trim
Year Unknown
53. System trip tests conducted?
Yes K] No
N/A
54. Most recent full trip test conducted
Year eLo I -L- Unknown
55. System air pressure prior to trip test
Psi
56. System air pressure trip point
Psi
57. System trip point time
Sec
58. Time for water to reach inspectors test during full trip test
Sec
N/A
59. Quick opening device appeared to work properly?
Yes No [ ]
N/A
60. Low points drained after trip test conducted?
Yes No [ ]
N/A[
61. Number of known low point drains
QTY
62. Approximate time for system to gain operating air pressure
_34,_ M in
63. System,air compressor drained of tank moisture?
Yes[ No [ ]
N/A
64. System air compressor indicates proper oil levels?
Yes[ No [
N/A
65. All dry system components were restored/returned to
normal operating positions?
Yes [/I No [
N/A
N"
uring nspecti6n testing 0
-
-----------
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ona Commen s,
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Inspeadis infdtrnAtidn
LIL
Inspectors Name: wc
Inspectors Signature:
WA Fire Sprinkler CC# 9,315- 0 q 12, — E Ct?
Owner/Representative (if present)
Date: 1711 Li
Date:
AUTOMATIC FIRE SPRINKLER CONFIDENCE REPORT
SECURITY SOLUTIONS
FIRE SUPPRESSION DIVISION
PHONE (360) 734-4940 FAX (360) 647-9540
Business Name: TOP FOOD # 45
Address: 21900 HIGHWAY 99
System No. or Location: COMPLETE BUILDING
GENERAL
1. Valves have been exercised to verify operation.
2. Valves are properly sealed or supervised.
3. Sprinklers free of damage, corrosion or loading.
4. Sprinklers are less than 50 years old.
5. Spare sprinklers and wrench are available.
6. Pumper connection and clappers are unobstructed.
7. Swivels are free to move and lubricated.
8. All Flow and supervisory switches tested. N/A
9. System inspected and lubricated where necessary.
10. Signs are provided on controlling valves.
11. System left in service.
City: EDMONDS
Date: 5. 161,13
FLOWS 3
TAMPER 3
LOW AIR 1
ELECT BELL-1
MOTOR GONG
WET PIPE SYSTEMS
1. Flow test conducted
Static Pressure [ 9�� ]psi Residual Pressure [;� ]psi Main Drain Size: 2"
2. Pressure regulati ng valves tes ted. N/A [ � I
------------------------------------------------------------------------------------------------------------
DRY PIPE/DELUGE SYSTEMS .101-3
1. Trip test conducted (3yr) Wet trip: 2012/SHORT,201t-
System tripped in 1&01 seconds. Trip point air pressure [,Zr, ]psi.
Water appeared at inspector's test in W,4] seconds.
2. Flow test conducted.
Static air pressure [3 Y ]psi. Static pressure
]psi. Residual pressure
]psi.
3. System drained and returned to normal operation.
4. Compressor refills system in maximum 30 minutes.
5. Heat activated devices tested. N/A [ 0
------------------------------------------------------------------------------------------------------------
PROBLEMS
FOUND: -7 y
k
Signature of Tester: A
Company: Bellingham Lo,
Telephone: 360-734-4940
CATION
Yes No
Yes No
Yes No
Yes No N
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes 4 No[]
Yes[] No[]
----------------
Yesj� No I
Yes No
Yes No
Yes No
Yes No
----------------
< )1-0wr
S C 0, R I'T
Y.
8 0,L U ..T
S
Fire Alarm Confidence Report
Security Solutions
1619 N. State St, Bellingham, WA.
Phone (360) 734-4940 Fai (360),6417-9540
B usiness Name: Z�j
Date:
Address: a\106
City:
Building Use:
Inspection/Testing Frequency:
[\�Annual ]Quarterly Semi-annual
Fire Panei InformaitOn
1. Fire panel monitored?
Yes No N/A
2. Fire panel monitoring company:
�4 (-j r-\
3. Fire panel account number:
&WO-l',W�
4. Fire panel manufacturer:—
(� Dc'-' 0
5. Fire panel model number:-
'02-111 G
BatterV Information
6. Fire panel battery
Qty
N/A
A) Voltage
Volts
B) Amp Hours
A/H
C) Installed
Date
7. Fire panel battery test
A) Static battery voltage:
2 3
4
5 6
B) Residual battery voltage:
1
2 3
4
5 6
8. Auxiliary power supply battery Qty
N/A
A) Voltage
k 2-- volts
B) Amp Hours
'L A/H
C) Installed
0 0'2� - Date
9. Auxiliary power supply battery
A) Static battery voltage:
test
2 3
4
5 6
B) Residual battery voltage:
1
2 3
4
5 6
10. Charging circuit voltage
Fire Panel Volts
Auxiliary Volts
S e': bo'ce test
yst 'm vi s
System Devices
Total Number of
Devices
Total number of
devices tested
Acceptable Test Results
Spot Smoke Detectors
VI N/A
No
Yes
Beam Smoke Detectors
[v,-] N/A
No
Yes
Duct Smoke Detectors
[VI N/A
No
Yes
Heat Detectors
vj N/A
No
Yes
Manual Pull Stations
N/A
No
Yes
Horn Audible Device
N/A
No
Yes
Bell Audible Device
N/A
No
Yes
Voice Speaker Device
N/A
No
Yes
Visual Alarm Device
%ef N/A
No
Yes
Sprinker Flow Switches
] N/A
No
[ V-I'Yes
Sprinkler Supervisory
Switches
] N/A
No
[ V_<Y e s
Fire Pump Power
N/A
No
[ Yes
Fire Pump Running
\,�N/A
No
Yes
Fire Pump Auto Position
-%4 N/A
No
Yes
Automatic Door
Unlocks
Vf N/A
[ ] No
Yes
Electric locking device
\/f N/A
[ ] No
Yes
Annunciator(s)
] N/A
No
Yes
Elevator Recall
k/I N/A
No
Yes
Phone Jacks
N/A
No
Yes
Radio Signal
N/A
No
Yes
System Operatioh
1. Trouble signal operates when AC power is diconnected?
N/A
No
Yes
2. System operates satisfactorily when on stand -by -power?
N/A
No
V] Yes
3. All signalling devices operate on stand-by power?
N/A
No
\/ ] Yes
4. All circuits checked for electrical supervision?
N/A
No
[V ] Yes
5. Known auxiliary equipment operate on alarm? (Fans, Doors,
Dampers)
V] N/A
No
] Yes
6. Remote annunciator panel(s) function properly?
] N/A
No
[VITYes
7. Elevator recall functions properly?
\,,rN /A
No
Yes
8. Do locking devices release upon fire alarm status?
\,,rN/A
No
Yes
9. Did Central station monitoring company received all signals?
] N/A
No
V1 Yes
10. Are operating instructions posted at the panel?
] N/A
[ \/1 No
Yes
11. Is a key available to the fire alarm panel?
] N/A
[ ] No
Yes
12. Were all applicable areas accessible for testing?
] N/A
[ ] No
k4Yes
13. Number of initiating circuits.
Qty
14. Number of signal circuits.
Qty
15. Copy of fire alarm installation plans available at time of test?
[ ] N/A
[vj No
I Yes
16. Were sequence of operation plans provided at time of test?
[ ] N/A
VfN o
I Yes
17. Was the fire alarm system left back in service?
[ ] N/A
No
[7] Yes
18. Sensitivity test performed?
TI qA/A
No
i Yes
behiciencles dis-c'ov-ered'dUring inspectioNtesting �Yesi
NbW..,
Corrections made at time oflnspectioii/te�t �Yes
No N/A
Additional Comments'/notes
Yes No[
6 a)
Inspectors information
Inspectors Name: 1w1Cw\ 90)eA
% & P
Inspectors Signature: L/%(k
Certification/Liscense#
Owne r/Re presentative (if present)
Date: L2
Date:
AUTOMATIC FIRE SPRINKLER CONFIDENCE REPORT
SECURITY SOLUTIONS
FIRE SUPPRESSION DIVISION
PHONE (360) 734-4940 FAX (360) 647-9540
Business Name: TOP FOOD # 45
Address: 21900 HIGHWAY 99
System No. or Location: COMPLETE BUILDING
GENERAL
1. Valves have been exercised to verify operation.
2. Valves are properly sealed or supervised.
3. Sprinklers free of damage, corrosion or loading.
4. Sprinklers are less than 50 years old.
5. Spare sprinklers and wrench are available.
6. Pumper connection and clappers are unobstructed.
7. Swivels are free to move and lubricated.
8. All Flow and supervisory switches tested. N/A
9. System inspected and lubricated where necessary.
10. Signs are provided on controlling valves.
11. System left in service.
City: EDMONDS
I I I
Date:
FLOWS 3
TAMPER 3
LOW AIR 1
ELECT BELL 1—
MOTOR GONG
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes'V No
Yes N No[]
WET PIPE SYSTEMS
1. Flow test conducted Yes N No
Static Pressure [!?0 ]psi Residual Pressure
5 ]psi Main Drain Size: 2"
2. Pressure regulating valves tested. N/A 1)0
------------------------------------------------------------------------------------------------------------
DRY PIPE/DELUGE SYSTEMS.ZO/,�
1. Trip test conducted (3yr) Wet trip: -2009/SHORT 2011
System tripped in [ ?i I seconds. Trip point air pressure [�20 ]psi.
Water appeared at inspector's test in [-7&7] seconds.
2. Flow test conducted.
Static air pressure j3ZI ]psi. Static pressure [-7C) ]psi. Residual pressure ]psi.
3. System drained and returned to normal operation.
4. Compressor refills system in maximum 30 minutes.
5. Heat activated devices tested. N/A [ A]
------------------------------------------------------------------------------------------------------------
PROBLEMS
FOUND: teez>m ngajg� e7p-e
CERTIFICATION
Signature of Tester:
Company: Bellin ham LocM Safe, Mc`1 Fire Suppression Division
Telephone: 360-734-4940
Yes[] No[]
Yes [)d No [ ]
Yes No[]
Yes No[ I
Yes No[]
Yes[] No[]
------------
AUTOMATIC FIRE SPRINKLER CONFIDENCE REPORT
SECURITY SOLUTIONS
FIRE SUPPRESSION DIVISION
PHONE (360) 734-4940 FAX (360) 647-9540
Business Name: TOP FOOD # 45
Address: 21900 HIGHWAY 99
System No. or Location: COMPLETE BUILDING
GENERAL
1. Valves have been exercised to verify operation.
2. Valves are properly sealed or supervised.
3. Sprinklers free of damage, corrosion or loading.
4. Sprinklers are less than 50 years old.
5. Spare sprinklers and wrench are available.
6. Pumper connection and clappers are unobstructed.
7. Swivels are free to move and lubricated.
8. All Flow and supervisory switches tested. N/A
9. System inspected and lubricated where necessary.
10. Signs are provided on controlling valves.
11. System left in service.
City: EDMONDS
Date: 5" J.�
FLOWS 3
TAMPER 3
LOW AIR 1
ELECT BELL I —
MOTOR GONG
------------------------------------------------------------------------------------------------------------
WET PIPE SYSTEMS
1. Flow test conducted
Static Pressure r7S ]psi Residual Pressure [,,7 ]psi Main Drain Size: 2"
2. Pressure regula ting valves tested. N/A �<
------------------------------------------------------------------------------------------------------------
DRY PIPE/DELUGE SYSTEMS
1. Trip test conducted (3yr) Wet trip: 2009JA
System tripped in L�S ] seconds. Trip point air pressure [2,0 ]psi.
Water appeared at inspector's test in W/4 seconds.
2. Flow test conducted.
Static air pressurej3L/ ]psi. Static pressure 1,0�' ]psi. Residual pressure [,ZS ]psi.
L I--'
3. System drained and returned to normal operation.
4. Compressor refills system in maximum 30 minutes.
5. Heat activated devices tested. N/A
-- -------------------------------------------------------------------------
D D f-% D T 1CA 4 C
Signature of Tester: f5�R%
—�5
Company: Bellin ham
Telephone: 360-734-4940
01
r--13
CERTIFICATION
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes �(; No [ ]
Yes[] No[]
----------------
YesA No[]
Yes [� No [ ]
Yes No
Yes No
Yes[] No[]
---------------
Fire Incident Report
Edmonds Fire Department
Incident #: EF07003448 Case $: $EF07003870 Incident Date: 10/2/2007
Exposure: 0 -Jurisdictional Station: 16 Location Type: Street address
Address:'. �2_1§'OQ 99 ' HWY,
city: Edmonds State: WA Zip: 98020
Incident Type: Refrigeration leak
Shift: C Alarms: 1 Grid: EF157S
Aid Type: None
Alarm Time: (20:16:43) 10/2/2007
Arrival Time: (20:23:17) 10/2/2007
Last Unit Cleared.Time: (21:18:30) 10/2/2007
Actions Taken: Shut down system
Refer to proper authority
HazMat Released: None
Property Value: 0 Contents Value: 0
Property Loss: 0 Contents Loss: 0
Fire Service Deaths: 0 Civilian Deaths: 0
Fire Service Injuries: 0 Civilian Injuries: 0
Detector:
Officer In Charge: ROBERT NICHOLS Assignment: HazMat
Mixed Property Use: Not mixed use
Property Use: Food and beverage sales, grocery store
f
Fire Incident Report
Edmonds Fire Department
Incident Number: EF07003448 Exposure: 0 Incident Date: 10/2/2007
Person('s) Involved
Role: Patient
Name: Top Foods Phone Number:
Address: 21900 99 HWY Edmonds, WA 98020
Apparatus and Personnel
Apparatus ID Personnel ID('s)
B16 EF0991
E16 EF1126 EF1343 EF2376
L20 EF1540 EF1602 EF2328
Fire Incident Report
Edmonds Fire Department
Incident Number: EF07003448 Exposure: 0 Incident Date: 10/2/2007
Narrative
L20 responded along with E16 and B16 to 21900 Hwy. 99, Top Foods, for a HazMat response
of refrigeration liquid spraying our of a unit in the seafood department at 2016 hours. B16, E16
and L20 arrived at 2023 hours and B16 initiated 220 Command. B16 confirmed that the store
had been evacuated and sent E16 crew inside with SCBA's to recon the problem and to identify
the product. L20 crew coned off an area of the parking lot and isolated the area. L20 Officer
assisted Command. E16 shut off the product and identified it as R-22 refrigerant. The
refrigeration repair contractor arrived and stated that the product would not be harmful in the
quantities spilled and that he would begin repairs. B16 terminated command at 2108 and
returned L20 to service.
Lt BRIAN MCALLISTER
I/VeORMS
Fire Incident Report
Edmonds Fire Department
Incident Number: EF07003448 Exposure: 0 Incident Date: 10/2/2007
Narrative
E16 on responded to 21900 Hwy 99 Top Foods for a refigeration leak. E16 was advised by B16
that a store employee was using a hatchet to defrost the refigeration unit in the fish
department when he struck a tube causing the leak. E16 investigated to find that a stream of
compressed gas, (1122 or Chlorodifluoromethane) was being released into the air. E16 while on
SCBA removed the bottom panel of the display and turned the compressed gas off. E16 met
with store maintenance and conveyed that the system was shut down and advised where the
leak was. Store maintenance indicated that the issue was not a problem and that he would
beable to fix the leak. B16/E16 turn scene over to manager and maintenance for clean up. E16
also advised manager to caution off the area until condition is fixed and cleaned up. The unit
was a Tyler refridgeration unit, model # LCM8, manufactured 6/92
Lt ROBERT NICHOLS
,Fire Incident Report
Edmonds Fire Department
Incident Number: EF07003448 Exposure: 0 Incident Date: 10/2/2007
Narrative
B16 responded with E16 and L20 to a reported hazardous leak inside Top Foods Grocery. B16
arrived and established 220 Command on the A side of the building and met the manager out
front. The manager stated the store was evacuated and that one of her people hit a refrigerant
line in the seafood department while breaking up ice with a hatchet, and that refrigerant was
spraying into the air. No employees or customers complained of any medical symptoms.
Command directed E16 crew to put on full PPE/SCBA and recon the area. E16, with Haz-Mat
tech Soucy on the crew reported back that they found a line that was leaking that they secured
at a shut off valve. E16 reported back that the product was labled R722 refrigerant. Product
guide was looked up in the DOT guide book which stated that it was a gas heavier than air and
to mitigate the leak and block drains and that hte product should be ventilated and not
breathed until mitigated. After the leak was secured the service person for the refrigerated
systems at Top Foods arrived and stated that this was not a hazardous condition and that he
would fix it from here and that the store could be re -opened. I advised tht our DOT book
indicated that there still could be a minor hazard with any product that may be on the floor.
The service person advised that he would -evalute further but that the leak was stoped and that
it was well ventilated and that he was trained to work with the product and would do so. The
store manager and service person were advised that clean-up was their responsibility and that
the liability for allowing people back in the store -was -thiers. The Service person and
maintenance person stated that they were taping off a large area around where the leak took
place, prior to opening. B16 broke down command and all units returned in service.
BC DOUGLAS DAHL
Fire Incident Report
Edmonds Fire Department
Incident Number: EF07003448 Exposure: 0 Incident Date: 10/2/2007
Narrative
Contacted Snohomish County DOH Inspector Randy Durant (425) 339-5210 at 1000 on 10/3.
Passed refrigerator unit make/model and comments from repair person regarding quantity of
R22 released. Inspector Durant will investigate for public health.
FM JOHN WESTFALL
Fire Incident Report
Edmonds Fire Department
incident Number: EF06003142 Exposure: 0 Incident Date: 9/18/2006
Jurisdictional Station: 20 Location Type: Street address
Address: Qgza���—
city: Edmonds State: WA Zip: 98026
incident Type: Extinguishing system activation
Shift: C Alarms: 1 Grid: EF157S
Aid Type: None
Alarm Time: 06:52:33 9/18/2006
Arrival Time: 06:59:35 9/18/2006
Last Unit Cleared Time: 07:18:37 9/18/2006
Actions Taken: Investigate
Shut down system
HazMat Released: None
Property Value: 0 Contents Value: 0
Property Loss: 0 Contents Loss: 0
Fire Service Deaths: 0 Civilian Deaths: 0
Fire Service Injuries: 0 Civilian Injuries: 0
Detector:
Officer In Charge: STEVEN NESS Assignment: Other
Mixed Property Use: Not mixed use
Property Use: Food and beverage sales, grocery store
Iv- 4
wcbL7 OC
'T nx
Fire Incident Report
Edmonds Fire Department
Incident Number: EF06003142 Exposure: 0 Incident Date: 9/18/2006
Apparatus and Personnel
Apparatus ID Personnel ID('s)
L20 EF0128 EF0320 EF1111
weCTIRS
Fire Incident Report
Edmonds Fire Department
Incident Number: EF06003142 Exposure: 0 Incident Date: 9/18/2006
Narrative
Ladder 20 responded to a reported sprinkler activation at Top Foods. Upon arrival we met the
store manager in the loading dock area where the sprinkler piping had been struck by a forklift.
Two heads were damaged and one was detached from the piping. We located the proper valve
for that part of the system and shut down the water supply for that section. The alarm
compan was notified and a tech was dispatched to the store. Snocom was notified of the
system geing out of service until it could be repaired. The area of the leak was the loading
dock and no goods were damaged.
Lt STEVEN NESS
09/18/06 07:36:22 PRINTREQUESTED-BY 'TERMINAL EFPC42`
Incident History for: 600314
Case Numbers: $EFOCOOSSM0206011031
Received 09/18 ~ 06:50:41` BY SCPC03 15C741
Entered 09/18/06 06:51:51 BY SCPC03 SC741
sispatched 09/18/06 06:52:33 BY SCPC03 SC741
Enroute 09/18/06 606:55:22
Onscene 09/18/06 06:59:75
Closed 09/18/06 87:18:37
initial Type: Type: SC Initial Alarm Level: 1 Final Alarm Level: 1 `
Final Type: SC (SERVICE CALL) Pri: 3 Dispn: `` '
Police BLK: E009ZO Fire BLK: EF157S Map Page: 455B-7 Groep': EF1 Beat� EF2
0 Src: 9 ,
Loc: 21900 HWY 99 EDM -- TOP FOODS btwn 216 ST SW & 220 ST 5W (V)
Loc Info: TOP FOODS - INSIDE 425 672 4545
Name: K]M/C Addr: 21900 HWY 99 ,EDM Phone: 425G724545
=51 (SC741 ) ENTRY vSPRINKLER GOT SET OFF BY MISTAKE, MEED HELP FIM
DING SHUT OFF VALVE
/0652
VIEWED
;0652
DISP
E20
/0652
$ASNCAS
E20
/0652
ASST
TAC21
/0652
$ASNCAS
TAC21
/0652
AID
TAC21
/0652
(SC717 ) SUPP
/0655
(SC741 ) ENROUT
E20
/0658
CHANGE
/0658
MISC
E20
/0659
ONSCNE
E20
/0712
MISC
E20
/0718
A I Q
E20
'/0718
CLOSE
E20
#EF0120 HEPLER,PATRICK
#EF1111 ERJ[KSON,DAVID
#EF0320 HTLLG,RANDAL - RESCUE TECH
$EF06003580
$S206017031
LOCI: TOP FOODS - INSIDE 425 672 4545,
NAM: SEC SOLUTIONS/#178,
ADR: IW/0645 N/0648 S/0652,
PHO: 6004870118,
TXT: SPRINKLER WATER FLOW ALARM - COVERS RISER #
2, UNK WHERE THAT'S LOCATED IN THE STORE - HAS N
OT RESET - ADVISED ALM CO THAT THE STORE HAS ALR
EADY CALLED
JACK IN RECIEVING
,L2O ACTUALLY RESPONDING NOT E20
,WATER STOPPED, ALM CO SENDING TECHTO FIX, ALM
WILL STAY IN TEST MODE
0
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STATE OF WASHINGTON UNIFORM INCIDENT REPORIFEV. 6-04-93)
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MAKING FALSE REPORTS TO PUB ILIC OFFICERS: (1) A PERSON COMMITS THE CRIME OF MAKING A FALSE REPORT IF HE / SHE WILLFULLY MAKES ANY UNTRUE. MISLEADING
D STATEMENT IN ANY REPORTTOA POLICE OR FIRE DEPT. (2) MAKING A FALSE REPORT IS A MISDEMEANOR. IF PROPERTY CRIME: IDIDNOTGIVF
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ANYONE PERMISSION TO ENTER MY PREMISES AND i OR TAKE / REMOVE MY PROPERTY / VEHICLE. IF FOUND PROPERTY. I HAVE BEEN ADVISED OF CHAPTER 63 OF T14E
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RELEASED PROPFFITY TO I HAVE READ, UNDERSTAND AND AGREE TO THE ABOVE
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100 DO NOT ACCEPT LIABILITY FOR TOWING AND STORAGE
THE NAMED JUVENILE 6 PRESENTLY A RUNAWAY
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( I ARRiJ I I EXCIJ I UNF
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(REV. 9-1-92)
PROPERTY / NARRATIVE REPORT
� _' -1 _. � _.
PAGE__�OF�
TYPE OF
I - STOLEN 4 - LOST 7-DESTROYED/DAMMM&M W -SAFEKEEPING
I I -UNKNOWN
INCIDENT
NUMBER
ACTION:
2-RECOVERED 5 - FOUND 8 - COUNTERFEIT FORGED 20. INVESTIGATIVE INFO. 12-NONE
3 - EVIDENCE G-SEIZED O-BURNED
VICTIM FlU
TOTAL
RECOVERY DATE
TOTAL VALUE
TYPE OF DRUG I NARCOTIC STOLEN I SEIZED
MEASUREMENT
RECOVERY1
lQUANTITY
ITYPE
Y N
PROPERMUSCRIETIgh for DESC CODE blaeko
01
AIRCRAFT 15 HEAVY CONTRUCTION I INDUSTRIAL EQUIPMENT
29
STRUCTURES - SINGLE DWELLINGS
02
ALCOHOL 16 HOUSEHOLD GOODS
30
STRUCTURES - OTHER DWELLINGS
03
AUTOMOBILE 17 JEWELRY I PRECIOUS METALS
31
STRUCTURES - OTHER COMMERCIAL 13USINESS
04
131CYCLES IS LIVESTOCK
32
STRUCTURES - INDUST. I MFG.
05
BUSES 19 MERCHANDISE
33
STRUCTURES - PUBLIC I COMMUNITY
08
CLOTHING I FURS 20 MONEY
34
STRUCTURES - STORAGE
07
COMPUTER HARDWARE i SOFTWARE 21 NEGOTIABLE INSTRUMENTS
35
STRUCTURES - OTHER
08
CONSUMABLE GOODS 22 NON - NEGOTIABLE INTRUMENTS
36
TOOLS - POWER I HAND
09
CREDIT I DEBIT CARDS 23 OFFICE -TYPE EQUIPMENT
37
TRUCKS
`10
DRUGS I NARCOTICS 24 OTHER MOTOR VEHICLES
36
VEHICLE PARTS / ACCESSORIES
11
DRUGS I NARCOTICS EQUIPJ PARAPH. 25 PURSES I HANDBAGS /WALLETS
30
WATERCRAFT
12
FARM EQUIPMENT 28 RADIOS i TELEVOONS / VCRS
88
PENDING INVENTORY
13
FIREARMS 27 RECORDINGS -AUDIO I VISUAL
98
RESERVED FOR SPECIAL USE
14
GAMBLING EQUIPMENT 28 RECREATIONAL VEHICLES
99
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ITEM
SERIALIOAN
BRAND NAME
mobELicAusEk
ACTION
OESC.CODE :IDV"PnONVFWEAPW.IN04CATEBARRF.LLENMAcnoNFiNoo
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LOCAL
NCIC
WACIC
DATE
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Y N
ADDITIONAL PERSONS / VEHICLES PAGE (REV. 12-14-93)
-3 —OF--
EDMONDS POLICE
"cD"'T CLASSIFICATION INCIDENTNUMBER
ADUL If ) P019ONS
I
LANDLORD NOTF CATION
ON VEHICLE
M�l
P
SUPP. I I COLLISION R�PPT.
X
Y N
E
9
NO.
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CITY
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NUMBER OF SUSPECTS ARRESTED
PERSONS IN THIS INCIDENT:
NO.
NAME (LAST, FIRST, MIDDLE)
RACEI ETH
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D.O.S.
JAGE
MT I
WGT
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ALIAS NAME(S)
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STATUS
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ISR ARREST
BOOKEDIWHERE KINGS
CHARGES CITATION I WARRANT s I AGENCY SAIL
OFFENSE NO.
17
1. M F
ARRESI
LOCATION OF ARREST
2. M F
AFFILIATION ON VIEW CITED STATEMENT HAM AR RESTEE ARMED WITH PON IDENTIFICATION NUM13ER
ARREST ORAL C ADMarrTED CLEAR
Y N WRITTE
--- 9N—T I NAME RELATIONSHIP OF PERSON NOTIFIED DATE I TIME NOTIFIED NOTIFIED
- JUV. PA' DISPOSITION OF JUVENILE
GDN. NOTIFIED
3
Y N H R
NUMBER OF SUSPECTS ARRESTED :
Agg;
PERSONS IN THIS INCIDENI
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NO. I
NAME (LAST, FIRST. MIDDLE)
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AGE HOT I
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STREET ADDRESS APT. 8
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IDENCE PHONE
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I
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a
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—
LOCATION OF ARREST
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T
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. 41.
I EVIDENCE
NO.
LICENS UMBER
STATE
VIN /HLILL NUMBER
YEAR
MAKE
MODEL
STYLE
COLOR SPECIAL FEATURES i DESCRIPTION VALUE III
DRIVER 0:
REGISTERED OWNERS NAME
FLO
PERSON #
VEHICLE DISPOSITION Tow COMPANY ADDRESS PHONE
STATE TOW NU MBEA
REGISTERED OWNERS ADDRESS
LEFT AT SCENE
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TIT
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AGE TO
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7
1 5
1 3 111
1
I>
DAMAGE EST. 6
8
1 6
1 4 1
Y N
Y N
IPAYMENT
Y N
lCONSENT
Y N
Y N __ASKADINQ
TOP UNDERSIDE
ADDITIONAL NARRATIVE
Page of
INCIDENT CLASSIFICATION T—INCIDENT NUMBER
[MMONDS POLICE DEPARTMENT Arson 102-4102 � I
Edmonds Units responded to the listed location on the report of a fire on the outside of the listed building. . I
arrived on the Souths�ide of the building and noted the fire in the S/W comer of the building in a loading dock
type area. I noted that the flames were about to the roof of the building.
I went inside of the building to determine if the fire had gotten into the interior'of the building. I found that the
fire had not gotten into the interior of the building but there was some smoke coming into the stockroom from
the fire.
I then assisted with the evacuation of the building.
The Fire Dept. responded and were able to extinguish the fire very quickly. I was then able to take a number of
pictures of the of the damage caused by the fire, both outside and inside.
I then contacted and talked to C-1 DORR, W-1 LINVILLE, and W-2 WENZL, who are employees of the
business. The following information was obtained from them. W- I LINVILLE advised that X- I came into the
store and told her there was a fire outside. W- I LINVILLE was checking at that time, W-1 LINVILLE then
told C-1 DORR who is the night manager about the fire. C-1 DORR then called 911 to report the fire.
W-2 WENZL a store clerk was called up to the front of the business by C- I DORR. W-2 WENZL went outside
with X- 1 to check on - the fire. W-2 WENZL walked over to where the fire was, while X- I drove his vehicle to
the location. X- I's vehicle is listed as Veh- 1 in this report. X- I then left in his vehicle after verifying that W-2
WENZL had located the fire. X-1 was not identified by anyone before he left the location. A description of X-
1 was obtained from C-I DORR, W-1 LINVILLE, and W-2 V%TENZL, and is listed in the report. C-I DORR,
W- 1 LINVILLE, and W-2 WENZL did not have any additional information for me.
The Fire Dept's Arson investigator (Westfall) arrived to investigate the fire. Westfall was unable to determine.
what had started the fire.
Detectives Richardson and Hardwick took video of the fire area and damage., They bad been returning from a
detail in Seattle when the fire call had come out.
An Everett K9 Unit K9-75 responded to attempt a track for a possible Suspect. This attempted track met with
negative results.
No one contacted at the fire scene had seen the fire start or had seen anyone around when the fire was �found.
Dreyer/0190
OFFICER NAME/NUMBER
AREA
OFFICER NAME/NUMBER
AREA
APPROVED BY
Dreyer/0190
I 3E2
I
I
I
EDMONDS FIRE DEPARTMENT
121 FI IFTH AVEN U E N 0 RTH
EDMONDS, WA 98020
Phone (425) 771-0213 Fax (425) 775-7721
�0/j7 STA7 I.. , .).ENT FORM
d)e(.Zd '145
DATE..E_/2--Zo an") LOCATION , .' /, .' -r INCIDENT # -aZ-qzc;,'S
Name (Last, First Middle
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Social Security Number
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I CERTIFY (OR DECLARE) UNDER PENALTY OF PER4uq UNDER T;HE LAWS OF THE STATE OF WASHINGTON,
THAT THE FOREGOING IS TRUE AND CORRECT.
SIGNATURE OF PERSON GIVING STATEMENT
WITNESS WITNESS PAGE I OF
EFD Stmt.Doc 3/98
EDMONDS FIRE DEPARTMENT
STATEMENT CONTINUATION FORM
21WO 14w'4 TMA IN C I D E N T #
DATE/TIME LOCATION
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k - U0, - I �__A C, t I (A r- 11L,=1 cL, �_p If, Falk" �j -1 y I
_f 0 V\
i tiA A
I CERIVY ((5-RQEC-LARE) UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON',
THAT THE FOREGOING IS TRUE AND CORRECT.
SIGNATURE OF PERSON GIVING STATEMENT X
WITNESS WITNESS PAGE 0 _F
EFD Stmt2.Doc 3/98
I
10/17/02 06:08:10 PRINT REQUESTED BY TERMINAL EPPC27
Incident History for: #EP02025032 Xref: #EF02003017
Case Numbers: $EP02004203
Received 10/17/02 00:45:10 BY SCPCO6 SC746
Entered 10/17/02 00:4S:S8 BY SCPCO6 SC746
Dispatched 10/17/02 00:46:07 BY SCPC03 SC744
Enroute 10/17/02 00':46:07
Onscene 10/17/02 00:.48:00
Closed 10/'17/02 02:39:20
Initial Type: FIREAS Initial Alarm Level: Final Alarm Level:
Final Type: ARSON (ARSON) Pri: 1 Dispo: R
Police BLK: E009ZO2 Fire BLK: EF157 Map Page: 455B-.7 Group: EP1 Beat.: E2
Loc: 21900 HWY 99 -,EDM -- TOP FOODS high x9t: 220 ST SW (V)
Loc Info: TOP FOOD DRUG, EDM
Name: SHEILA/TOP FOODS EMP Addr: 21900 HWY 99 EDM Phone: 4256708896
/0045
/0046
/0046
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(SC746 )
ENTRY
SMOKE AND HIGH FLAMES BACK OF STORE
(SC744 )
DISPER
3E1
#EP1010 HONNEN,DAVE
(SC746 )
CROSS
#EF02003017
(SC744
ASSTER
3E41
#EP0886 ROTH,KARL
ASSTER
3F2
#EP0190 DREYER,TIMOTHY
(SC749
SUPP
TXT: NEXT TO BLDG
(SC744
ONSCNE
3E2
f FLAMES VISIBLE
(SC749
SUPP
TXT: BLDG NOT BEING EVAC-AT THIS TIME
(SC717
SUPP
NAM: RURAL METRO,
TXT: RURAL METRO ADVISING THEY CAN SEE A GOOD TH
ERMAL COLUMN COMING FROM THE S TORE
(SC744 ONSCNE 3E1
ASSTOS 2T2
MISC 3E2
ASSTOS 2T41
MISC 3E2
ASSTOS 3E3
ONSCNE 3E41
MISC 3E3
(SC749 CHANGE
(SC744 NEWLOC 3E1
NEWLOC 3E3
ASSTOS K92
NEWLOC K92
NEWLOC 3E3
NEWLOC 3E41
MISC 3E41
NEWLOC 2T2
ASSTOS 2T1
NEWLOC 2T1
(SC749 CHANGE
(SC744 ASSTER 2E11
/0106 CHGLOC
/0106 (EP0886) REMINQ
/0107 (SC744 NEWLOC
2E11
3E41
2T41
[21900 HWY 99 EDMI
#TP0477 HOLMES, JEFF
,ENTERING THE STORE
[21900 HWY 99 EDMI
#TP0479 OSWALT, BRIAN
,EVACUATING THE BLDG
[21900 HWY 99 EDMI
#EP1879 MCCLURE, JOSH
,COUNTY CHEKING AVAILABILITY OF DOGS
,EVERETT PD K975 ENRT
[220/801
(216/761
[21900 HWY 99 EDMI
#TP0488 TOLLEFSON, LORA
[70/22 01
(216/801
(219/761
,CONTACTING SUBJECT
[216/HWY
(70/2201
#TP0471 BURKETT, SCOTT
[LYNN HONDA]
,EVT PD INC #DD02118357
[220/801
#EP2128 WILDE, SCOTT
[212/76 1
MDTWANT,DIXON,BENJAMIN,A,122180 ... WA,11111fil'',
1W OF BRROKSIDEI
/0107
REMINQ
2T41
WANT,2T41,,,,,,,,,HANNA,ERIC,A,05,31,55 ...
/01*07
MISC
3E41
CLEAR CONTACT
/0107
NEWLOC
3E41
[STORE I
/0108
NEWLOC
2TI
[BROOKSIDE]
10109
ONSCNE
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ASSTOS
2B1
[BROOKSIDE]
#BPO519 MCSHANE, PAUL
/0110
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2B1
[224/761
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2E11
[216/801
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MISC
3E3
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ONSCNE
2E11
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NEWLOC
3E3
(W/K91
/0118
misc
3E3
SOME INDICATION WB TRAIL
/0119
MISC
3E3
SB TOWARDS 220TH
/0121
NEWLOC
2T1
[KMART LOT]
/0121
NEWLOC
2T41
[K MART LOT]
/0121
misc
3E3
HARD TIME STARTING NO STRONG TRACK-
/0122
misc
3E3
7500 220 TRYING TO WORK IT OUT
/0122.
ASSTOS
E72
(K MART LOT)
#EP1104 RICHARDSON,MICHAEL
/0122
ASSTOS
E74
[K MART LOT]
#EP2178 HARDWICK, ALAN
/0125
MISC
3E3
AREA SEARCH - IN THE HONDA LOT
/0127
(EP1010)
REMINQ
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MDTWANT,DIXON,BENJAMIN,A,122180 ... WA ............
/0130
(SC744
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ff
FIRID GUY THAT LIVED AT 218/76
/0132
(EP1010)
REMINQ
3EI
MDTWANT,DAVIS,DANIEL,A,081682 ... WA ..............
/0133
(SC744
NEWLOC
E74
(21900 HWY 99 EDMI
/0133
NEWLOC
E72
[21900 HWY 99 EDMI.
/0133
MISC
3E3
CONTAINMENT CAN BREAK DOING AREA CHECK
/0133
CLEAR
2T2
/0133
CLEAR
2E11
/0134
CLEAR
3E1
/0134
CLEAR
2B1
/0134
CLEAR
2T1
/0135
NEWLOC
E74
[MILL PK #Ml-1
/0135
NEWLOC
E72
(MILL PK #Mll
/0137
CLEAR
K92
/0137
$PREMPT
2T41
/0138
OK
E72
/0138
OK
E74
/0138
OK
.3E2
/0138
OK
3E3
/0138
01K
3E41
/0147
MISC
-3E3
K975 BACK TO EVERETT
/0150
CLEAR
3E41
/0151
NEWLOC
E74
[21900 HWY 99 EDMI
/0151
NEWLOC
E72
[21900 HWY 99 EDMI
/0151
$PREMPT
3E3
/0151
CLEAR
E72
/0151
CLEAR
B74
/0151
ASNCAS
3E2
$EP02004203
/0153
(SC746 )
CHANGE
NAM: RURAL METRO SHEILA/TOP FOODS EMP
/0222
(SC744 )
CHANGE
TYP: FIREAS
---> ARSON
/0235
(EP0190)
REMINQ
3E2
MDTWANT,DOOR,SHELIA,M,051450 ... WA .......... f
/0235
REMINQ
3E2
MDTWANT,DORR,SHELIA,M,0514SO ... WA,,,Ifflllfffll
/0239
(SC744
CLEAR
3E2
D/R
/0239
CLOSE
3t2
EDMONDS FIRE DEPARTMENT CAUSE DETERMINATION REPORT
SNOCOM INCIDENT NUMBER FIRE/EXPLOSION CAUSE:
# EF 02-3017 INCENDIARY
Thursday, October 17, 2002 00:45
Occupant name: Top Foods Occupant phone:
Location: 021
Owner name: Ha Owner phone
FF injuries: 0 Civilian injuries: 0
Occupant Insurance Co.: same Agent:
Owner Insurance Co.: Grocer's Insurance
Estimated loss: $20,750.00
Fire department Dispatched time
Fire officer:
Investigator notified:
Fire investigator:
Police: Is
Police officer: Tim Dreyer
Photographs: Westfall
(425) 672-1520
(360) 734-8720
Deaths--O
Portland, OR
Agent phone:360 733-8720
0045 hrs Onscene:0051 hrs
Lt. Oftedahl
0045 hrs Onscene:01.02 hrs
John Westfall, Fire Marshal
# EP 02-25032
Notified: 0045 hrs Arrived:0048 hrs
Evidence: NOT APPLICABLE
INVESTIGATORS CONCLUSION:
In view of the below stated facts and observations made at the scene it is the opinion of the
undersigned that this fire was incendiary in origin and caused by handheld ignition source. The
lack of any accidental sources of ignition in the area of origin lends to my determination that an
ignition source was brought to the area of origin.
DISPOSITION: Open, active
WEATHER CONDITIONS:Cool, 60 degrees
DESCRIPTION OF PREMISES:
One story concrete masonry sprinklered mercantile occupancy in a Commercial -zoned area.
Building was open for business at the time of the fire.
EXTERNAL EXAMINATION:
No apparent problems from north, east and south faces of building. Smoke and heat damage
apparent to an exterior wall in an area at the back of the store. The area had no loading dock
nor any other access from or to inside the building, except that a rubbish compactor that opened
into the building and was located adjacent to the heat- & smoke -damaged area. 105 plastic
shopping carts appeared to have provided the only fuel for the fire.
Edmonds Fire Department
Fire Origin and Cause Determination Report
Fire Marshal 16
Jo
INTERIOR EXAMINATION:
Interior of store was inspected for smoke & fire damage. Firefighters had set up positive -
pressure ventilation to drive the little smoke odor to the'outside of the building. The rubbish
inside the compactor was unaffected by fire. The metal compactor dock had experienced radiant
heat damage that peeled paint off the interior walls.
AREA/POINT OF ORIGIN:
105 steel -framed plastic shopping carts were nested in storage at the area of origin. Diagram
shows area affected by heat and smoke. There were no openings in the concrete masonry wall
in the area -of origin. The metal vestibule for the rubbish compactor, adjacent to this area, had
radiantly heated, evident by the peeled paint inside the vestibule. No direct flame impingement/
flame damage was evident at the building opening to the compactor.
There is no electrical sources in the area of origin. No chemical, friction or other accidental
sources exist in the area. The weather was moderate that evening.
The fire had burned and melted the plastic components away from the metal frameworks of the
carts. The plastic pooled on the concrete apron. Portions of the concrete wall and concrete
apron had spalled, leaving depressions in these surfaces. No area appeared "more burned"
than others. An inspection for lighters, matches, tinder found a variety of incidental items,
including soda cans, bottles, retail items in carts and others.
The area of origin includes the general burn and diagram area. I am unable to determine an
exact point of origin within this area with the evidence provided.
WITNESS STATEMENTS:
First in company officer, E 16 Lt. Oftedahl notes "black smoke", like from "gasoline".
Written statement from Mr. Jorge Rodriguez, Top Foods night Managero.
Written statement from Ms. Sheila Dorr, Top Foods POS Coordinator.
ADDITIONAL INFORMATION:
Regional officials of Haggen provided grocery cart value at $150 per cart.
Xref: #EP02025032. Edmonds police K9 unit picked a trail leading away from fire. No suspects
were found. See EPD Incident report...
Top Foods Manager Linda Tickner (425) 672-4545. District representative, Mike Lobaugh on -
site.
Damage estimate from 105 carts x $150 = $15750 + $5000 structural = $20,750 total.
Fire Origin and Cause Determination Report
Edmonds Fire Department Fire Marshal 16 Joh as 11
EDMONDS FIRE DEPARTMENT CAUSE DETERMINATION REPORT
SNOCOM RUN NUMBER
.# EF 02-3017
MPHOTOGRAPH / FIEVIDENCE LOG: - '
1 Diagrammed wall damage at AOO
2 Cart with retail items
3 Cans in area of oriain
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Shopping cart frames
Spalling at wall
Spalling at wall
Nested shopping carts
Cans and glass bottles in area of origin
Cart with retail items
(poor quality photo)
(poor quality photo)
(poor quality photo)
View from west of wall
View.from roof to diagram area
PairA peel from interior of rubbish compactor vestibule
No damage in rubbish compactor
Paint peel from interior of rubbish compactor vestibule
Interior view of building opening for rubbish compactor
Edmonds Fire Department
Fire Origin and Cause Determination Report
Fire Marshal 16
JohQJ stfall
71-
I
"31
17
-,;-. :5
<-,/
I
It'
RI
6-1
&i
ozn exci
S
ommission. As
'ha'se" reporte d
$10,407.11 in cash: and in-,
kind support.
cash�. and' in-
According to the summa-
Itures." In the
ry report, Chase's campaign
�ept. 10 to Oct.
has a $188.16 deficit. -
?,orted raising
Bob Ransom, the Repub-
1ican challenger, has raised
$13,907.13.. since atinounc-
ing his bid to unseat Chase.
He - gathered $2,600 in the
month -long reporting peri-
'according
od, to his filing.
'
Much of . Ransom's
mon,ey,more than $5,000 of
the overall total,.has come
100"10! �.!
from gambliiig'- interests,
including' people identified
as employed by casinos in
Shoreline and other cities.'.
than $11,000 of
Chase's cash has come from
tinion labor sources, accord-.
'_:o
ing to her PDC i - filings.
Chase also reporteff getting
nearly $7,000 in cash and in -
kind support from the 'state
Democratic Central'. Com-
mittee to
covet mailing and
rin
P 1 ting costs.�
1!1�rso'n pm.po
mted..
S
m* Top Fo'd
o fire''.
For the,Enterprise store first noticed the fire,
said Edmonds Fire Depart-
EDMONDS — A fire that ment Assistant Chief Kevin
caused $20,000 worth of Taylor. No one was. hurt'
damage to an Edmonds gro- but thei store was closed
cery store early on Oct.17 until about 2 a.m. I �
was intentionally set, i.nves- The fire�m�hich happened
tigators said.'. outside an in back of the
. The blaze destroyed.150 grocery store, sent flames�
grocery carts and damaged about 40 feet in the air, Ta -
a cardboard compactor and lor said. Y
'exterior wall at Top Foods The incident 'is under
in the 21900,block of High- investigation by Edmonds*
Way go. police.
The fire was reported at
12:45 a.m. This story was compiled1y
Customers at,the 24-hour. staff at. the Herald in
Everett.
Recycling works!
Please recycle this news
paper.
M..
#
ep,regehtaff r
21?c96 #--j y C-A-r�ecAst� I o 2,s—( a,,
BRIEFS
Change your clock
and battery
Set clocks back from
Daylight Savings Time on
Sunday, Oct. 27. That is
also a great time to put a
new battery in.your smoke
detectors said Yj in
Schroeder, public education
coordinator for Snohomish
County Fire District 1.
The most common cause
of non -working smoke
detectors is worn or miss-
ing batteries. To make sure
smoke detectors are in
working order: Test at least
once a month. Push the test
button. or use smoke. Clean
at least once a month. Dust
with a vacuum to unclog
the vents. Replace the bat-
tery at least once a year.
City has opening
on Plannin 'Board
9
The city of Edmonds is
seeking,- residents interest-
ed in participating on the
Fdmonds Planning Board.
The Planning Board serves
as an advisory board to the
City Council on rezones,
comprehensive planning,
Community Development
Code anictidirle'nts, and
other land -use issucs. The
Planning Board meets at 7
P.m. the second and fourth
Wednesdays of each month
in the Public Safety Com-
plex. Board members serve,
four -Year terms and are eli-
gible for appointment to 'a
second four-vear term.
While one of our ch WE
teach you the imp_ or,,
the sight of our b
birthing suites
And make your heart race a bit, too. Because
Center's new Family Maternity Center has it
As soon as you walk in, you're treated to a
bright, inviting, peop le -friendly environment,
one designed with the family in mind.
There are 40 beautifully appointed new
birthing suites where, right in their own
room, families can experience the entire
birth process, from Jabor and delivery.
through recovery and postpartum.
suite is equipped with a shower,
VCR and a pull out sofa. Plus, there ar'8'..
-3
L - __.-r. I
S,
CheArts.'. Pages Edthotid',:A�'NBA
A, Pr6ie* Of -,This'..,1ear's Kind:Of'.Town?.
I -Arts'.Fesifyal -16A Shim Mink!
onds
17
pages P�gf 10
ldyg
[7 q
I US POSTAGE
PAJD
PMW NO 121
EVE TT
A
. Paper Published Exclusively For Edmonds �Jujj.6 11 to June 24, 1907
Rl
1KIP red.''
4''
i6r P. FoOdIs
onist-�
.:,.�.By AL HOOPER
Anyone who kno P to virtuilf all the fresh l5iWai'ce,'
ws who set:, y
t, in arson fire at top Fodds in f bulk. foods and bakery goods
Edmoncisc-ancollect $2,500 for was areversible�
,'sharing t'he.infor . mation., ti film
'.'You get this me over.
A spokesman for Haggen Inc., everything," Estes says. "If you
'ic Food 8i ,could just wash it off, the.food �o
a U Hi wa � says
,�ould b!efifie".1BUt the state
as len ofin-'..- Health =nt.�a
Y,
eq or postin e rew6d. can't -do I thif=1
is a tion,cost.the.store- ruined. It'i a terrible waste."*
j.,,!h6usands7O'f dollars,`Jairies�., .'Nofis itthifliAtimethatito":
p
Y, Estes told Tht Edarionds Paper., Foodsbas; been taigited -With,
from ��Billinghaai, Whe're malicious in ent.
Haggen Inc, isbased.Itificon_-�., "In the past year alone," Est ets
venienced our custorners for- says. �'there have beenthree or.
hotai.. And it resulted n
in mas-' four i' stances,of sornebody
sive gpoilag4--of perishable throwing little Molotov cock-
j,.,,"_,foods.;. . :,: � : _� ;'7',:" tails (inciendiary devicesi at the,
.4 lroac...., ...
Investigatorg found the fire._ back wall 6f the'st6re�",
had been deliberately set by one On those"OCCAong thii dam-.
I Totalitarian EniciMents). Their4 of moijindividuals wh6 packed �f age was'easily controlled. B ut
I any and all ainti-bike leg islailom A si x -inch downspout on the roof �'thi s latest caper carries the mis-',
o-lang & North Kftsap Chapters'
31, the day Maybr Barb Fahey I with combustible to 6 new level.,
worst counties for the occasion, set it ablaze. FireMar'shaiMcCorts; con -
fill. For more Information about Edmonds Rre-,Marshal Wr� -,',,,,tinuitig the i6egiigafion in co- -
McComas says, "rhe down�.. operation twith the Ed Goads,
-spotivpenetrated thb�wali. It's Police DepartmenL gays his o&j 11
not totally conclusive what ma-* - fice has looked into similaf in-
teriall was used, but whatever it cidents of property damage at
'd It - nearb
was ignite j,e
plastic down y Stevens Hospital.
spout... Ve, tbinkjhey'�e all con-
Yniss The was'discovered At 5-,�, nected," he says. !'It's the same�.
p.rn - Thursdayi, Mj6Y 29. Smoke, ..'kind of vandalism and random
6eped through the store,,and. acts of destruction. 77here are a
$4, 0 "Sempiloy6es had to shutdown and- 'lot of unsupervised youths in
_herd the customers outside; I... that area." -
,A. state' auditor's report acm-� 1he:stomwas closed for five
cuses a fbimtr'Meadcii�aale:-"lh6urs.-13y then,'smoke darnage..,__: see ARSON page 2:
IJ;-h School drill-tearn'advisei�. -
4
Shoppers at Top Food & Drug on Hi6hway 99 were stopped, In mid -purchase and herded outside when
smoke baban"cirlifing Into the store korn fire on the rooli. Investigators discovered the fire had been deliber-
ately.saL (Photo by Robert Phillip)
ARSON.from pap V might be sufficient incen . tiv6 for
Edmbndi Fire Department at
some young person to report"
j
711-OW or Jarn6.Estes at
James l[Isies echoes the senti- ,r w ho did it."'
(360) 650-8246.
ment.' He specifies that the reward is
� Haggeh Inc. own,s and oper-
'Ve think it's probably kids for the arrest and conviction of,.
ates 18 stores state-wide in whit
who are responsible.'! he says. '."the arsonist orarsonists. Anyone!,
Estes'eills "the Haggen format
reward of.$2,500
':'Ve h Pe -'with information may call'the
and the Top Foods format."
WOODWAY from page I
The vehinien cc of die'oppo- There were also reports andi�'.
acre lots.
sition surprised developers rumors that the developers
The town Planning Comunis-
wheff they fast announced plans, planned to inchid mul - ti-tarnily',
sion, made up of nine volunteers
-.:'f6r the subdi vision, now named units..
appointed by Mayor Ross Wood
The W.6dway&jfflgbk �da, two But the proposed development
and confirmed by� the town
years ago: (stretching from Timberline
�tbat'tlie
council, must address three,,
Echelbarger noted Road to the waterfront between
seoaiate�applicatidnsiroin the',
Property was presently!walled 240th Street SW and the King'�
developers:,,
offby "an iiidustrial4trength Cbunty line) would actually go,
Wamend the, Comprehen-.
chain -link fence.',' hardly aes- like this:
sive Plan;
thetVj decor., He said a split -rail '.�,ThreetWo-ac'm lots; 10ohe
To rezone the property from
&-dar fence, 6r something simi- a6re.lots; 7 three-quartei-acre
a Special Study Area to residew
-lar would be infinitely more at� lots; 11, two -third -acre lots; 35
tial; and,,
i;i�tive for the neighbiirs;, half-a6ni lots; and 211 6ne-thiid
-To build a !subdivision on the
SOMETHIFS'ALWHY&COOHIN..
-7- The odeinal Millsbury I�cue�W
A
Edmonds has a flavor all its.
own. . Our friendl� �ualnesses_
Pro al, service With ii
�Pcll some unexpected twists:
I
Munch fi �e Opc:,orn on.Tuc9da'y`,�:'�-.
n1ohts,at the. Edmonds Theatre.—,
�Hn4yourpivn baq� �njoy �tah'6
LIEUTE12 VF UMMSEDUML
SMITH FIRE SYSTEMS, INC.
4519 South Orchard SM-IT-HF-SI360T
Tacoma, Washington 98466 (206) 473-6967
FAX: 475-1205
TO C ty"( 6 P Ect mofjo"�>
DeApy 19 r— ovm n U ?'j Lr4 pUIC45�4>
_mo Rpm AwA� Me(,?-4-q
" M O&V e_> I " 1 ?6 Z-0
WE ARE SENDING YOU 0 Attached 0 Under separate cover via —
El Shop drawings ED Prints 0 Plans
0 Copy of letter 0 Change order.
.ATE
7 NO. Vj - :3 zo
ATTENTION
RE:
0 P rA G,,�
the following items:
0 Samples 0 Specifications
COPIES
DATE
NO.
DESCRIPTION
f5vs rz-:� Z_
nw
RECEIVED
S E P u 1 1992---
EDMONDS FIRE DEM
THESE ARE TRANSMITTED as checked below:
0 For approval 0 Approved as submitted
A- /
;K For your use 0 Approved as noted
0 As requested 0 Returned for corrections
0 For review and comment 0
0 FOR BIDS DUE _19—
REMARKS
• Resubmit —copies for approval
• Submit —copies for distribution
El Return —corrected prints
0 PRINTS RETURNED AFTER LOAN TO US
COPY TO
SIGNED:
If enclosures are not as noted, kindly notify us at once.
SMITH FIRE SYSTEMS9 INC.
4519 South Orchard BUS (206) 473-6967
Tacoma, WA 98466 FAX (206) 475-1205
Contr. Reg. No. SMITHFS1360T
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING
PROJECT NAME TORFOODS JOB NO. W-320
PROJECT ADDRESS 21900 HIGHWAY 99 EDMONDS, WA
SYSTEM NO. I SERVES NORTH ROOF
APPROVALS
MUNICIPALITY/COUNTYISTATE AUTHORITY
CITY OF EDMONDS
ER
ADDRESS
250 5th AVE NORTH EDMONDS, WA 98020
ADDRESS
Upon completion of work, Inspection and tests shall be made by the contractor's representatives and witnessed by an owner's represen-
tative. All defects shall be corrected and systems left In service before contractor's personnel finally leave the job.
PROCEDURE
A certificate shall be filled out'and signed by both representatives. Copies shall be prepared for approving authorities, owners and con-
tractor. It Is understood that owner's representatives signature In no way prejudices any claim against contractor for faulty material, poor
workmanship, or failure to comply with approving authority's requirements or local ordinances.
PIPE AND
FITTINGS
PIPECONFORMSTO NFPA .13 -STANDARD 0 YES 0 NO
FITTINGS CONFORM TO NFPA 13 STANDARD N YES 0 NO
WELDED PIPING R YES 0 NO
WELDING
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY
WITH THE REQUIREMENTS OF AT LEASTAWS D10.9, LEVELAR-3 M YES 0 NO
c6
DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN
COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR-3 N YES 0 NO
14J
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED
QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT
OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WEI:DING RESIDUE ARE
REMOVED, AND THATTHE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED N YES 0 NO
HYDROSTATIC* Hydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 bars) above static pressure
In excess of 150 psi (10.2 bars) for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent damage. All
TEST
DESCRIPTIONS
aboveground piping leakage shall be stopped.
PNEUMATIC, Establish 40 psi (2.7 bars) air pressure and measure drop which shall not exceed 1 V2 psi (0.1 bars) In 24 hours. Test pressure
tanks at normal water level and air pressure and measure air pressure drop which shall not exceed 1 Vz psi (0.1 bars) In 24 hours.
ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HRS.
IF NO, STATE REASON
WITNESS FOR
DRY PIPING PNEUMATICALLY TESTED 0 YES 0 NO
HYDROSTATIC
TEST ONLY
ACCEPTED BY
FOR CITY OF EDMONDS
DATE
2,,/
ACCEPTED BY
FOR
DATE
UndeMround mains and load In connections to system risers flushed before connection made to sprInIdor piping.
FLUSHING
VERIFIED BY COPY OF THE U FORM NO. 858 0 YES ONO OTHER EXPLAIN
VERIFICATION
FLUSHED BY INSTALLER OF UNDERGROUND
SPRINKLER PIPING 0 YES 0 NO
BLANK TESTING
Number Used
Locations
Number Removed
GASKETS
0
MANUFACTURER
TYPE
MODEL
YR.OF
I MFG.
ORIFICE
SIZE
THREAD
SIZE*
TEMP.
RATING
QUANITY
RELIABLE
SSU
G
1992
17/32
3/4'
2860
400
RELIABLE
SSU
G
1992
1/2
1/2
1650
11
RELIABLE
SSU
G
1992
1/2
1/2
2120
4
RELIABLE
Ssu
G
1992
1/2
1/2
2860
2
RELIABLE
HSW
G
1992
1/2
112
1650
3
RELIABLE
HSW
G
1992
1/2
1/2
2120
1
SPRINKLERS
RELIABLE
SSP
G
1992
1/2
112
1650
66
RELIABLE
SSP
G
.1992
1/2-
1/2
2860
2
RELIABLE
D.PEND
G3
11992
1/2
1
1650
1
RELIABLE
DJEND
G3
1992
1/2
- 1
2120
18
CLS)
ALARM VALVE
ALARM DEVICE
MAXIMUM TO OPERATE THROUGH TEST PIPE
TYPE
MAKE
MODEL
MIN.
EC.
OR FLOW
INDICATOR
WATERFLOW
-.NOTIFIER
WFD
I
INDICATOR
DRY VALVE
O.O.D.
MAKE
MODEL
SERIAL NO.
MAKE
MODEL
SERIAL NO.
DRY P E
OPERA G
TIME TO TRIP'
WATER
PRESSURE
AIR
PRESSURE
TRIP OINT
AIR PRES RE
P SU
TIME WATER
REACHED
TEST OUTLET'
ALARM
OPERATED
PROPERLY
MIN. SEC.
-PSI
PSI
PSI
MIN. SEC.
YES NO
TEST
Without 0.0.0
With 0.0.0,
IF NO, EXPLAIN
*MEASURED FROM THE TIME THE INSPECTOR'S TEST CONNECTION VALVE IS OPENED.
OPERATION 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC
PIPING SUPERVISED 0 YES 0 NO DETECTING MEDIA SUPERVISED 0 YES 0 NO
DOES VALVE OPERATE FROMTHE MANUAL TRIP AND(OR REMOTE CONTROL STATIONS 0 YES 0 NO
DELU E A
PREAC
VALVES
IS THERE AN ACCES81BLE FACILITY IN EACH CIRCUIT FOR TESTING
0 YES 0 NO IF NO, EXPLAIN
huu"
DOES EACH CIRCUIT
uu
DOES EACH CIRCUIT
MAXIMUM TIME
OPERATE SUPERVISION
C PERATE VALVE
TO OPERATE
MAKE
MODEL
LOSS ALA Im
RELEASE
RELEASE
N �O
0
YES
MIN.
SEC.
:L
_t[0
EQUIPMENT
EQUIPMENT OPERATES PROPERLY YES 0 NO IF NO, EXPLAIN
OPERATION,
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL
INSTRUCTIONS
VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT ES 0 NO
IF NO, EXPLAIN 1)9'Y
IN-SERVICE
DATE
DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN:
MAIN DRAIN
TEST
READING GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE:
STATIC PRESSURE: 23— = Psi
RESIDUAL PRESSURE WITH VALVE IN TEST PIPE
I OPEN WIDE 67 Psi
F ILAL--'
DOESAHJ REQUIREA FUNCTIONAL FLOWTESTOF RESIDENTIAL SPRINKLERS? 0 YES 0 NO
L
mm
WERE FUNCTIONAL FLOW TEST RESULTS SATISFACTORY4 0 YES 0 NO
TESTS WITNESSED BY:
FINAL
FOR
SIGNATURE
TITLE !4aft&-DATFFtIS
J9
TEST
CITY OF EDMONDS
FOR
SIGNATURE
SMITH FIRE SYSTEMS, INC.
TIT, F FOREWN -DATE 3
I CERTIFY THAT THE INFORMATION HEREIN IS TRUE AND THAT THIS SPRINKLER SYSTEM WAS INSTALLED IN AC_
CORDANCE WITH RCW 18-160 AND THE RULES ADOPTED BY THE WASH I NGTO�DM IN ISTRATIVE CODE AS AD -
CERTIFICATION
MINISTERED BY THE STATE FIRE MARSHAL To m 4mill
40 & CptAPETENCy NAME OF CE FICA M . NCY H R (PRINT OR TYPE)
SIGNATURE OF cEATIFICATE OF COMPETENCY HOLDER
cl)
FIRE
CERTIFICATE REGISTRATION # 5S4' 14- Z361 DATE Lgklgz,
2-
t4m
SMITH FIRE SYSTEMS, INC.
4519 South Orchard BUS (206) 473-6967
Tacoma, WA 98466 FAX (206) 475-1205
Contir. Reg. No. SMITHFS1360T
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING
PROJECT NAME TOP FOODS JOB NO. W-320
PROJECT ADDRESS 21900 HIGHWAY 99 EDMONDS, WA
SYSTEM NO. 2 SERVES SOUTH ROOF
MUNICIPALITY/COUNTYISTATE AUTHORITY
APPROVALS ICITY OF EDMONDS
OTHER
ADDRESS
250 5th AVE NORTH EDMONDS. WA 98020
ADDRESS
Upon completion of work, Inspection and tests shall be made by the contractor's representatives and witnessed by an owner's represen-
tative. All defects shall be corrected and systems left in service before contractor's personnel finally leave the job.
PROCEDURE
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners and con-
tractor. It Is understood that owner's representatives signature In no way prejudices any claim against contractor for faulty material, poor
workmanship, or failure to comply with approving authority's requirements or local ordinances.
PIPE AND
FITTINGS
PIPECONFORMSTO NFPA 13 - -- -STANDARD 2 YES 0 NO.
FITTINGS CONFORM TO. NFPA 13 —STANDARD 0 YES 0 NO
WELDED PIPING M YES 0 NO
WELDING
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY
WITH THE REOUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR-3 N YES 0 NO
DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS OUALIFIED IN
c6
COMPLIANCE WITH THE REOUIREMENTS OF AT LEAST AWS D10.9. LEVEL AR-3 0 YES 0 NO
w
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED
OUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARF4 RETRIEVED, THAT
OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE
REMOVED. AND THATTHE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED 0 YES 0 NO
.$
HYDROSTATIC* Hydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 bars) above static pressure
In excess of 150 psi (102 bars) for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent damage. All
TEST
aboveground piping leakage shall be stopped.
DESCRIPTIONS
PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop which shall not exceed 1 Vz psi (0.1 bars) In 24 hours. Test pressure
tanks at normal water level and air pressure and measure air pressure drop which shall not exceed 1 Y2 psi (0.1 bars) In 24 hours.
ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HRS.
IF NO, STATE REASON
I
WITNESS FOR
DRY PIPING PNEUMATICALLY TESTED 0 YES ONO
—
ACCEPTED By S—C4*'
FOR ci OF EDMONDS
DATE -)Z/ 7 1 -z-
HYDROSTATIC
TEST ONLY
—
ACCEPTED BY
FOR
DATE
Underground mains and load In connections to system dean; flualhed before connection made to sprinkler p4ping.
FLUSHING
VERIFIED BY COPY OF THE U FORM NO. &58 0 YES ONO OTHER EXPLAIN
VERIFICATION
FLUSHED BY INSTALLER OF UNDERGROUND
SPRINKLER PIPING 0 YES 0 NO
BLANK TESTING
Number Used
Locatlons
Number Removed
GASKETS
0
I
I
MANUFACTU . RER
TYPE
MODEL
YR.OF
MFG.
ORIFICE
SIZE
THREAD
SIZE
TEMP.
RATING
QUANITY
RELIABLE
SSU
G
1992
17/32
3/4
2860
526
RELIABLE
SSU
G
1992
1/2
1/2
2120
4
RELIABLE
SSU
G
1992
1/2
1/2
1650
4
3SP-REC'D
G
1992
1/2
1/2
1650
94
-RELIABLE
RELIABLE
SSP
G
1992
1/2
1/2
1650
46
RELIABLE
SSP
G
1992
1/2
1/2
1650
2
SPRINKLERS
).PEND
G3
1992
1/2
1
2960
41
-RELIABLE
CENTRAL
'ONC*
A
1992
1/2
1
1650
12
p�:=
CENTRAL
D.PEND
A-1
1992
'1 /2
1
1650
12
ALARM VALVE
ALARM DEVICE
MAXIMUM TO OPERATE THROUGH TEST PIPE
TYPE
MAKE
MODEL
MIN.
SEC.
OR FLOW
INDICATOR
--WKTERFLOW
NOTIFIER
WFD
INDICATOR
DRY VALVE
Q.O.D.
MAKE
MODEL
SERIAL NO.
MAKE
MODEL
SERIAL NO.
DRY P E
Ry P E
OPERA G
P
TIME TO TRIP*
WATER
PRESSURE
AIR
PRESSURE
TRIP POINT
AIRPRESSURE
TIME WATER
REACHED
TEST OUTLET
ALARM
OPERATED
PROPERLY
MIN. SEC.
PSI
PSI
PSI
MIN. SEC.
YES NO
TXEST
Wltho.t O.O.D.
With O.O.D.
IF NO, EXPLAIN
*MEASURED FROM THE TIME THE INSPECTOR'S TEST CONNECTION VALVE IS OPENED.
OPERATION 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC
PIPING SUPERVISED 0 YES 0 NO DETECTING MEDIA SUPERVISED 0 YES 0 NO
DOES VALVE OPERATE FROM THE MANUAL TRIP ANDIOR REMOTE CONTROL STATIONS 0 YES 0 NO
IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING
D LU
DELU A
XEA
PREAC
PREAC
VALVES
VALVES
0 YES 0 NO I NO, EXPLAIN
DOES EACH CIRCUIT
DOES EACH CIRCUIT
MAXIMUM TIME
OPERATE SUPERVISION
OPERATE VALVE
TO OPERATE
MAKE
MODEL
LOSS ALARM
RELEASE
RELEASE
Y
NO
YES
NO
MIN.
SEC.
EQUIPMENT
EQUIPMENT OPERATES PROPERLY N(YES - 0 NO IF NO, EXPLAIN
OPERATION. -
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL
INSTRUCTIONS
VALVESAND CARE AND MAINTENANCE OFTHIS NEW EQUIPMENT *YES 0 NO
IF NO,.EXPLAIN
IN-SERVICE
DATE
DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN:
MAIN DRAIN
TEST
READING GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE:
STATIC PRESSURE: 7-67 PSI
RESIDUAL PRESSURE WITH VALVE IN TEST PIPE
oprtt�wIDE Psi
FMW9JQUAl--'
DOES AHJ REQUIRE A FUNCTIONAL FLOW TEST OF RESIDENTIAL SPRINKLERS? 0 YES 0 NO
FJL�S�.
WERE FUNCTIONAL FLOW TEST RESULTS SATISFACTORY? 0 YES 0 NO
TESTS WITNESSED BY.
FOR
SIGNATURE
FINAL
TITLE DAZE V/3 jq
TEST
CITY OF EDMONDS
FOR
SIG14ATUR
SMITH FIRE SYSTEMS, INC.
TITLE DATE 2-/j 4
I CERTIFYTHATTHE INFORMATION HEREIN ISTRUE ANDTHATTHiS SPRINKLER SYSTEM WAS INSTALLED IN AC-
CORDANCE WITH RCW 18-160 AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS AD-
CERTIFICATION
MINISTERED BY THE STATE FIRE MARSHAL -rom z)tj
[4,,,,T
NAME OF CERTI CATE PETENCY HOLDER (PRINT OR TYPE)
CO
At- 4� RA/AtE—
SIGNATUAE OF CER-fIFMTE OF COMPETENCY HOLDER
lz
FIRE P
PERTIFICATE REGISTRATION # 554 74 &XII DATE
'2—
SMITH FIRE SYSTEMS, INC.
4519 South Orchard BUS (206) 473-6967
Tacoma, WA 98466 FAX (206) 475-1205
Contir. Reg. No. SMITHFS1360T
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING
PROJECT NAME TOP FOODS JOB NO. W-320
PROJECT A11RE41, 900 HIGHWAY 99 EDMONDS, WA
SYSTEM NO. . AUX- DRY SERVES FRONT CANOPY AND COMPRESSOR ROOMS
APPROVALS
MUNICIPAILITY/COUNTYISTATE AUTHORITY
CITY OF EDMONDS
ADDRESS
250 5th AVE NORTH EDMONDS, WA 9RO20
ADDRESS
PROCEDURE
Upon completion of work, Inspection and tests shall be made by the contractor*s representatives and witnessed by an owner's represen-
tative. All defects shall be corrected and systems left In service before contractor's personnel finally leave the job.
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners and con-
tractor. It Is understood that owner's representatives signature In no way prejudices any claim against contractor for faulty material, poor
workmanship, or failure to comply with approving authority's requirements or local ordinances.
PIPE AND
FITTINGS
PIPECONFORMSTO NFPA 13 -STANDARD JOYES 0 NO
FITTINGS CONFORM TO NFPA 13 STANDARD UYES ONO
WELDED PIPING X YES 0 NO
WELDING
00 YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY 9YES 0 NO
WITH THE REOUIREMENTS OFAT LEAST AWS 010.9, LEVELAR-3
C6
U1
>_
DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS OUALIFIED IN
COMPUANCE WITH THE REOUIREMENTS OF AT LEAST AWS D10.9. LEVEL AR-3 1§ YES 0 NO
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COOMPLIANCE WITH A DOCUMENTED
OUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT
OPENINGS IN PIPING ARE SMOOTH. THAT SLAG AND OTHER WELDING RESIDUE ARE
REMOVED, AND THATTHE INTERNAL DIAMETERS OF PIPING ARE NbT PENETRATED VVES 0 NO
TEST
DESCRIPTIONS
HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 bars) above static pressure
In excess of 150 psi (102 bars) for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent damage. All
aboveground piping leakage shall be stopped.
PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop which shall not exceed I % psi (0.1 bars) In 24 hours. Test pressure
tanks at normal water level and air pressure and measure air pressure drop which shall not exceed 11/2 psi (0.1 bars) In 24 hours.
WITNESS FOR
ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR —
DRY PIPING PNEUMATICALLY TESTED 0 YES - PINO
IF NO, STATE REASON
HYDROSTATIC
TEST ONLY
9
ACCEPTED BY&(-
FOR CITY OF EDMOND'S
DATE
ACCEPTED BY
FOR
DATE
FLUSHING
VERIFICATION
Und*Tround main* and lead In connections to system risers flushed before connection mad* to sprinkler piping.
VERIFIED BY COPY OF THE U FORM NO. 858 0 YES ONO OTHER EXPLAIN
FLUSHED BY INSTALLER OF UNDERGROUND
SPRINKLER PIPING DYES ONO
8 . LANK TESTING
GASKETS
Number Used
01
Locations
Number Removed
MANUFACTURER
TYPE
MODEL
YR. OF
MFG.
ORIFICE
SIZE
THREAD
SIZE
TEMP.
RATING
QUANITY
RELIABLE
SSU
G
1992
1/2
1/2
1650
62
RELIABLE
Ssu
G
1992
1/2
1/2
2120
17
CENTRAL
DRY P
A-1
1992
1/2
1
1650
18
SPRINKLERS
EE]
ALARM VALVE
ALARM DEVICE
MAXIMUM TO OPERATE THROUGH TEST PIPE
TYPE
MAKE
MODEL
MIN.
SEC.
OR FLOW
INDICATOR
PRESSURE SWITCH
POTTER
IELECTRIC
PS-10
I
DRY VALVE
O.O.D.
MAKE
MODEL
SERIAL NO.
MODEL
SERIAL NO.
RELIABLE
D
-1 (p 7,0 F_
IRELIAB E
B-1
I 4//,K0_Z--
TIME TO TRIP*
WATER
PRESSURE
AIR
PRESSURE
TRIP POINT
AIR PRESSURE
TIME WATER
REACHED
ALARM
OPERATED
DRY PIPE
OPERATING
TEST OUTLET
PROPERLY
MIN. SEC.
PSI
PSI
PSI
MIN. SEC.
YES NO
TEST
Without O.O.D.
With O.O.D.
S -z-
Z'/'
1.00
IF NO, EXPLAIN
'MEASURED FROM THE TIME THE INSPECTOR'S TEST CONNECTION VALVE IS OPENED.
OPERATION 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC
PIPING SUPERVISED 0 YES 0 NO DETECTING MEDIA SUPERVISED 0 YES 0 NO
DOES VALVE OPERATE FROM THE MANUAL TRIP AND16R.REM6TE CONTROL STATIONS 0 YES 0 NO
ELU
D DELU E A
IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING
XEA
PREAC
0 YES 0 NO IF NO, EXPLAIN
V LV
VALVE
DOES EACH CIRCUIT
DOES EACH CIRCUIT
MAXIMUM TIME
OPERATE SUPERVISION
OPERATE VALVE
TO OPERATE
MAKE
MODEL
LOSS ALARM
RELEASE
RELEASE
YES
NO
YES
NO
MIN.
SE
EQUIPMENT
EQUIPMENT OPERATES PROPERLY YES 0 NO IF NO, EXPLAIN
OPERATION
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL
INSTRUCTIONS
VALVESAND CAREAND MAINTENANCE OF THIS NEW EQUIPMENT )IVYES 0 NO
IF NO, EXPLAIN
IN-SERVICE
DATE LEFT IN SERVICE WITH ALL C64TROL VALVES OPEN: Z—
DATE
MAIN DRAIN
READING GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE7]
RESIDUAL PRESSUREWITH VALVE IN TEST PIPE
TEST
STATIC PRESSURE. 6 -7-5- Psi
OPEN WIDE Psi
rDNGTllQNAlr-'
DOES AHJ REQUIRE A FUNCTIONAL FLOW TEST OF RESIDENTIAL SPRINKLERS? 0 YES 0 NO
FLOWTIEdt--�_
WERE FUNCTIONAL FLOW TEST RESULTS SATISFACTORY? YES 0 NO
TESTS WITNESSED BY:
FINAL
FOR
SIGNATUREggZW
TITLEEat� —d-g-oal:44 DATEV-1
TEST
CITY OF EDMONDS
FOR
SIGNATURE <"J
I-M- &At62S_.o_J
SMITH FIRE SYSTaIS. INC.
,
TIT[ I= FORVW9 DATE K-13
1 CERTIFY THATTHE INFORMATION HEREIN IS TRUE AND THATTHI[S SPRINKLER SYSTEM WAS INSTALLED IN AC_
CORDANCE WITH RCW 18-160 AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS AD -
MINISTERED BY THE STATE FIRE MARSHAL Tom "kh-pi
CERTIFICATION
NAME OF CERTI ICAT MPETENCY HOLDER (PRINT OR TYPE)
a,91elih SIGNATIJRE OF CEhrfICATE OF COMPETENCY HOLDER
dr
Au
in
,CERTIFICATE REGISTRATION # DATE
rz-
7--
FIFtE PW,,�'
REcF.IVED
MM . 4 1992
PERMIT COUNTER 473-6967 e FAX 475-1205
SMITH FIRE SYSTEMS, INC. 4519 South Orchard e Tacoma, Washington 98466
April 30, 1992
City of Edmonds
Dept. of Community Services
250 Fifth Avenue North
Edmonds, WA 98020
Attention: Gary McComas
Reference: Top Foods
21900 Highway 99
Edmonds, Washington
US Job #: W-320
Gentlemen:
The following is an item -by -item response to the sprinkler plan
check review letter by Charles Williams, Regional Engineer with
International Conference of Building Officials.
Item #1 Per our telephone conversation on Tuesday, April 28,
1992, hose stations will not be required.
Item #2 The 611 dry system control valve will be relocated and
butterfly valve changed to NRS gate valve and wall post
indicator (see revised riser detail).
Item #3 A Reliable Model B-1 accelerator will be installed if we
cannot meet the 60-second required "trip time" per
exception of 5-2.3.1 (NFPA 13-1989).
Item #4 A second waterflow switch will be added to each "wet"
system riser.
Item #5 A relief valve will be provided.
Item #6 Not required per our telephone conversation of April 17,
1992.
Item #7 Hydraulic calculations were submitted showing system
demand on either side of "remote area" was under that of
"remote -area".
I
City of Edmonds
Page 2
April 30, 1992
Item #8 'The f low test used was conducted by Smith Fire Systems
and witnessed by Scott Highland, Water Leadman with the
Edmonds Public Works Department.
Static: 99 PSI
Residual: 52 PSI
No. of Ports opened: 4
ID of 1611 Stream Straighteners Used: 2.5
Co -efficient of Stream Straightener: .9
.Pitot Readings:
Port #1 - 23 Calculated Flow 804.71 GPM
Port #2 - 24 Calculated Flow 822.01 GPM
Port #3 - 25 Calculated Flow 838.96 GPM
Port #4 - 26 Calculated Flow 855.58 GPM
Total Flow 3,321.26 GPM
Item #9 Please see the attached ceiling plans showing areas with
"open grid" ceilings and notes discussing them. None of
these areas have high piled storage under them.
Item #10 Please see revised sprinkler plans for details of
vertical and lateral sway braces showing how they are
connected to the structure and the type and size of
fastener(s) to be used.�
Item #11 To our knowledge, * there is no exposed combustible
construction in unsprinklered areas.
Item #12 This is between the owner and the provider of the central
station monitoring.
Item #13 This is acceptable per our telephone conversation of
-- April 17, 1992.
Item #14 We will install hangers on all 111 arm-overs exceeding
24".
Item #15 We have changed the hanger detail as shoWn to a 211 square
x 1/411 thick plate with 1/211 NC hex nut. This will
comply with ICBO requirements.
Item #16 We are providing a combination electric bell/strobe. It
is intended that the fire alarm/ electrician wire all
three systems to it.
Item #17 All auxiliary drains located above suspended ceilings
.will be clearly identified and accessible.
Item #18 The I'delill and "proofer" hoods will be protected by a wet
chemical system.
Item #19 Hangers will be provided on all 211 "outriggers" exceeding
4811 in length.
Item #20 The compressed air supply meets all NFPA requirements.
City of Edmonds
Page 3
April 30, 1992
Item #21 211 Clearance around 811 underground water supply will be
provided.
Item #22 All required tests per NFPA 13 will be conducted and a
completed Contractor" s Material and Test Certif icate will
be provided to you upon job completion. Per our
telephone conversation of April 17, noting these
requirements on the plan will not be required.
If you have any questions and/or comments, please do not hesitate
to call.
Yours truly,
SMITH FIRE SYSTEM, INC.
Tom Hinton
Design Manager
TH:kw
enc.
BELLINGHAM
WCK & SAFE, INC.
FIRE & SECURITY SYSTEMS
Edmonds Fire Department
Attn: Chief Gary Buzlsky
250 5th Avenue North
Edmonds WA 98020
Re: Top Foods, 21900 Hwy 99
Dear Chief:
RAIEC.� IV ED
p r 1 23, 1992
APR 2 3 199Z
EDMONDS FIRE DERL
As per our telephone conversation this morning, I am informing the
site Foreman Steve Lee that the back flow preventers located underground
in the on site vault will not need to be electrically supervised to the
alarm monitoring station. We will simply need to chain and padlock these
valves in the opened condition. If this in any way disagrees from our
conversation, please make me aware of it as soon as possible.
s, C. M. L.
Lock & Safe
JJV/ddb
cc: Steve Lee/Shea Cons
1314 NORTH STATE STREET
BELLINGHAM, WASHINGTON 98225
(206) 734-4940
October 4, 1990
MEMO TO: Dick Mumma
Building Official
FROM: Tom VonSchuessler
Senior Inspector
SUBJECT: UNDERGROUND TANK REMOVAL -OLD C & C LOT-21800 BLOCK
ON HIWAY 99
On October 1, 1990 1 witnessed the removal of two underground
flammable liquid tanks from the above location. The tanks
were properly evacuated and removed. The soil was sniffed and
soil samples were taken. No evidence of leakage was noted by
the removal company or myself.
TV: be
cc: Jeannine Graf
Fire Marshal
Dames & Moore
MEMOEX/TXTBLE32
October 4, 1990
MEMO TO: Dick Mumma
Building Official
FROM: Tom VonSchuessler
Senior Inspector
SUBJECT: UNDERGROUND TANK REMOVAL -OLD C & C LOT-211-:00 BLOCK
ON HIWAY 99
On October 1, 1990 1 witnessed the removal of -*-wo u--4erground
flammable licuid tanks from the above location. The tanks
were properly evacuated and removed. The soil was Sniffed and
soil samples were taken. No evidence of leakage was noted by
the removal company or myself.
TV: be
cc: Jeannine Graf
Fire Marshal
Dames &
DAMES& MOORE A PROFESSIONAL LIMITED PARTNERSHIP
500 MARKET PLACE TOWER, 2025 FIRST AVENUE, SEATTLE, WASHINGTON 98121
(206) 728-0744
August 20, 1990
Underground Storage Unit
Washington Dept. of Ecology
M.S. Pv- I I
Olympia, WA 98504-8711
REC E I VE D
AUG 2 11990
'EDIVIONDS FIRE DEPT.
Notification of System Closure
21802 Hwy. 99, Edmonds, WA
Dear Sirs:
Briar Development is scheduling the excavation and removal of all UST"s located in the single
excavation zone at the above referenced property.
Details of the existing UST system scheduled for closure are listed below:
Site and UST System Owner: Briar Development
Site Address: C & C Truck Parts, Inc.
21802 Hwy. 99
Edmonds, Washington 98020
UST System Description: 2-steel 500 gallon UST's located in a single
excavation zone. Product history of the tanks
include gasoline and diesel fuel.
Project Schedule: We propose to begin excavation of the UST
system during the week beginning
September 17, 1990.
OFFICES WORLDWIDE
-�Vft DAMES & MOOREA PROFESSIONAL LIMITED PARTNERSHIP.
Washington Dept. of Ecology
August 20, 1990
Page 2
If you have any questions or comments regarding the UST system closure, please don't
hesitate to contact us at:
Ms. Sue Kent
c/o Dames & Moore
500 Market Place Tower
2025 First Avenue
Seattle, WA 98121
(206) 728-0744
Sincerely,
DAMES & MOORE
James H. Fleetwood
Sr. Environmental Engineer
cc: Gary McComas, Edmonds Fire Chief
Janine Graf, Edmonds Permit Coordinator
Dale Henley, Briar Development
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