Spill - Template

Cargill, Inc. - 311039122

1710 16TH ST SE Cedar Rapids, IA 52401

Linn County

FO 1

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

041813-BDJ-0154

Spill Location:

41.969160, -91.642300

Spill County:

Linn

FO 1

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec: 27
Tier: 83
Range: 07 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
CARGILL INC	UST	Owner
	UST	Public Contact
MAGGIE NELSON	General Permit #1 - Industrial Activity	Public Contact
MARC TUCKER	General Permit #1 - Industrial Activity	Public Contact
ALICIA ODONNELL-LINES	General Permit #1 - Industrial Activity	Public Contact
MAGGIE NELSON	General Permit #1 - Industrial Activity	Public Contact
CARGILL, INC.	General Permit #1 - Industrial Activity	Owner
STEVE PHILLIPS	General Permit #1 - Industrial Activity	Public Contact
CARGILL INCORPORATED	Minor Industrial	Owner
	Minor Industrial	Mailing Contact
	Minor Industrial	Mailing Contact
	Minor Industrial	Mailing Contact
	Minor Industrial	Mailing Contact
Cargill	Title V	Public Contact
Scott Redel	Title V	Public Contact
Jim Fritz	Title V	Public Contact

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
4/18/2013	Stop discharge and sample pH of representative water.	BRIAN JERGENSON

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

Cargill, Inc. - 311039122

1710 16TH ST SE Cedar Rapids, IA 52401

Linn County

FO 1

Edit Facility Location

Generate Letter Template

Facility Note

Incident Report

Responsible Party

Material Information

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Public Water Suppliers

Compliance Tracking

Possible Facility

Public Water Supply: Surface Water