Spill - Template

Ajinomoto Health and Nutrition North America, Inc - AHI - 310423788

1116 Highway 137 Eddyville, IA 52553-5001

Monroe County

FO 5

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

092322-WCG-0920

Spill Location:

41.140000, -92.670000

Spill County:

Monroe

FO 5

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec:
Tier:
Range: W
Lat:
Long:

Responsible Party

Remove Facility

Is Individual

Unknown

Company:

Phone:

Email:

Address:

City:

State:

Zip:

Spill Contact

Name:

Title:

Phone:

Email:

Address:

City:

State:

Zip:

Name	Program	Type
AJINOMOTO U.S.A., INC.	General Permit #1 - Industrial Activity	Owner
AJINOMOTO HEALTH AND NUTRITION NORTH AMERICA, INC.	General Permit #1 - Industrial Activity	Owner
MARK WILSON	General Permit #1 - Industrial Activity	Public Contact
AJINOMOTO HEARTLAND, INC.	General Permit #1 - Industrial Activity	Legal Operator
AJINOMOTO U.S.A., INC.	General Permit #1 - Industrial Activity	Owner
ROB SAUNDERS	General Permit #1 - Industrial Activity	Public Contact
DAVE SAMPLE	General Permit #1 - Industrial Activity	Public Contact
AJINOMOTO U.S.A., INC.	General Permit #1 - Industrial Activity	Owner
AJINOMOTO NORTH AMERICA, INC.	General Permit #1 - Industrial Activity	Owner
ROB SAUNDERS	General Permit #1 - Industrial Activity	Public Contact
DAVE SAMPLE	General Permit #1 - Industrial Activity	Public Contact
DAVE SAMPLE	General Permit #1 - Industrial Activity	Public Contact
TRACY WILLIAMS	General Permit #1 - Industrial Activity	Public Contact
DAVE SAMPLE	General Permit #1 - Industrial Activity	Public Contact
DAVE SAMPLE	General Permit #1 - Industrial Activity	Public Contact
AJINOMOTO NORTH AMERICA, INC.	General Permit #1 - Industrial Activity	Owner
MARK WILSON	General Permit #1 - Industrial Activity	Public Contact
DAVE SAMPLE	General Permit #1 - Industrial Activity	Public Contact
DAVE SAMPLE	General Permit #1 - Industrial Activity	Public Contact
AJINOMOTO HEALTH & NUTRITION NORTH AMERICA INC	Water Use	Permittee
AJINOMOTO HEALTH & NUTRITION NORTH AMERICA INC	Water Use	Permittee
AJINOMOTO HEALTH & NUTRITION NORTH AMERICA INC	Water Use	Permittee
Ajinomoto Animal Nutrition North America, Inc.	Title V	Public Contact
Carl Haffner	Title V	Public Contact
Dave Sample	Title V	Public Contact
David Sample	Title V	Public Contact
	Title V	Public Contact
	Title V	Public Contact
	Title V	Public Contact
	Title V	Public Contact

Material Information


Material: Medium: Quantity: Units:
Material: Medium: Quantity: Units:

Transportation:

Fish Kill:

Continuous Release:

Date of Investigation:

Incident Investigated:

Status:

Compliance Determination:

30 Day Report Not Expected

Transferred To Contaminated Sites:

Report

Attached Files/Reports

Document Name	Type	Note
10-03-2022\IMG_5794.JPG	Photo/Video (internal)
10-03-2022\IMG_5793.JPG	Photo/Video (internal)	photo
10-17-2022\sds Sodium Hypochlorite 15% solution.PDF	Report	SDS - sodium hypochlorite
10-17-2022\30 day report for incident 092322-WCG-0920.doc	Report	spill report
10-03-2022\IMG_5792.JPG	Photo/Video (internal)	photo
10-03-2022\IMG_5791.JPG	Photo/Video (internal)	photo
10-03-2022\IMG_5796.JPG	Photo/Video (internal)	photo
10-17-2022\sds Phosphoric Acid 75% solution.PDF	Report	MSD - phosphoric acid
10-03-2022\IMG_5795.JPG	Photo/Video (internal)	photo
10-03-2022\IMG_5797.JPG	Photo/Video (internal)	photo
10-03-2022\IMG_5798.JPG	Photo/Video (internal)	photo

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
9/23/2022	The vapors subsided after about a half hour. The area is being checked with chlorine monitors. The chlorine (/acid?) in the containment was being pumped into a plastic-lined emergency lagoon on the south end of the site. They are working with Cargill staff on further actions. Mr. Haffner was working on refining the details of the incident and will report them when available. He will be calling the NRC as well.	BILL GROSS
10/3/2022	092322-WCG-0920 follow-up on 9/26/22: I visited the facility and met with Dave Sample. he showed me the chemical fill pipes where the incident occurred. There are several fill pipes in the area which are labeled and locked. Mr. Sample reported the truck diver found the chlorine fill pipe unlocked and assumed that the was pipe to use without checking labels. Mr. Sample reported truck drivers are trained annually and will check on this particular driver. Inside the building, the fiberglass tank was broken on the top and bottom from the gas pressure. He reported a second chlorine tank was not affected. The concrete secondary containment was dry. I asked Mr. Sample to check the integrity of the concrete and metallic appurtenances. We then checked the wastewater lagoon to the south. The two plastic-lined cells appeared to be operating normally. Mr. Sample reported the chlorine that was pumped to the cells quickly diluted and vaporized. Local emergency management representatives were meeting with Ajinomoto staff for an after-event discussion. No people remain in the hospital. Mr. Sample will be sending a follow-up report.	BILL GROSS

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Ajinomoto Health and Nutrition North America, Inc - AHI - 310423788

1116 Highway 137 Eddyville, IA 52553-5001

Monroe County

FO 5

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