Request edit access
Tell us your Experience of the Refinery Fire
Around 4AM on Friday June 21, 2019 a massive fire broke out at the PES refinery in South Philly, the second fire at the refinery in just over a week. Explosions were heard and felt throughout the city, and clouds of smoke spread from the refinery, traveling primarily east and north east. From 4AM to 7AM a shelter in place was called for east of the refinery. As of 8:30AM the fire is still not under control.

Philly Thrive has been organizing around the refinery for 3.5 years. We have been uniting residents at the fence line of the refinery and across Philadelphia for our #RightToBreathe -- which is threatened daily by the deadly pollution put out by the refinery. Because of our history with the refinery we are in a position to respond and to demand that PES be held accountable for putting our lives at risk.

Thank you for filling out this form to document your experiences with the fire Friday morning. Your story will help us understand the impacts of the fire and to demand that action be taken to address them.

We will keep you updated on next steps.
Follow @phillythrive on Facebook (https://www.facebook.com/PhillyThrive/), Twitter (https://twitter.com/PhillyThrive), and Instagram (https://www.instagram.com/phillythrive/?hl=en) for updates.
Name *
Your answer
Address *
Your answer
Have you experienced any health impacts since the time of the fire? *
Your answer
Did you seek medical treatment or are you thinking of going to the hospital? *
Have you been diagnosed with health conditions before the fire? If so, which ones? *
Your answer
Did your family members or friends experience health impacts since the time of the fire? If so please describe. *
Your answer
What was you experience of the fire/explosion? What did you see, hear, think? (optional)
Your answer
What are your biggest concerns? What questions do you want answers to? *
Your answer
Would you like to be kept updated on actions and information from Philly Thrive? *
Phone number
Your answer
Email
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms