Spill - Template

Dickinson Landfill Inc. - 310201411

2575 190th Street Spirit Lake, IA 51360

Dickinson County

FO 3

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

073009-BMM-1555

Spill Location:

43.370000, -95.080000

Spill County:

Dickinson

FO 3

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
JEFF VASSAR	General Permit #1 - Industrial Activity	Public Contact
MEGAN SMITH	General Permit #1 - Industrial Activity	Public Contact
JOHN REYNOLDS	General Permit #1 - Industrial Activity	Public Contact
JOHN REYNOLDS	General Permit #1 - Industrial Activity	Public Contact
DICKINSON LANDFILL, INC.	General Permit #1 - Industrial Activity	Owner
John Reynolds	General Permit #1 - Industrial Activity	Public Contact
Dickinson County Landfill	Municipal Landfills	Legally Responsible Entity
Stantec Consulting Services Inc.	Municipal Landfills	Legally Responsible Entity
Iowa DNR	Municipal Landfills	Legally Responsible Entity
Upper-Midwest Market Area	Municipal Landfills	Legally Responsible Entity
Michaela Tiefengraber	Municipal Landfills	Legally Responsible Entity

Material Information


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

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
10/9/2009	Per information from Brandon Miner - Mr. Stover reported that floor dry was placed on the spill. Affected soil will be excavated on 7/31/2009 and placed in the landfill.	ADAM BROUGHTON

Comment:

Public Water Suppliers

Name	Supply Type	PWS ID	Operator: Name / Phone Number	Contacted

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

Multiple Results Found

Field Office Compliance - Spill

New Material

Dickinson Landfill Inc. - 310201411

2575 190th Street Spirit Lake, IA 51360

Dickinson County

FO 3

Edit Facility Location

Generate Letter Template

Facility Note

Incident Report

Responsible Party

Material Information

Revise Open Text File

Public Water Suppliers

Compliance Tracking

Possible Facility

Public Water Supply: Surface Water