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
JOHN REYNOLDS	General Permit #1 - Industrial Activity	Public Contact
DICKINSON LANDFILL, INC.	General Permit #1 - Industrial Activity	Owner
Dickinson County Landfill	Municipal Landfills	Legally Responsible Entity
Stantec Consulting Services Inc.	Municipal Landfills	Legally Responsible Entity
Central Disposal Landfill	Municipal Landfills	Legally Responsible Entity
Iowa DNR	Municipal Landfills	Legally Responsible Entity
Upper-Midwest Market Area	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