Spill - Template

Louisa Generating Station - MidAmerican - 311216878

8602 172ND ST. Muscatine, IA 52761

Louisa County

FO 6

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

110508-KAL-0837

Spill Location:

41.334210, -91.095530

Spill County:

Muscatine

FO 6

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec: 33
Tier: 76
Range: 02 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
Matt Ferry	FO	Regulatory Contact
JAMES WESTERGAARD	Water Use	Owner
SJERP YSSELSTEIN	Water Use	Owner
MidAmerican Energy Company - Louisa Generating Station	Water Use	Permittee
Midamerican Energy Company	Water Use	Legally Responsible Entity
MidAmerican Energy Company	Water Use	Owner
MIDAMERICAN ENERGY LOUISA STATION	Water Use	Permittee
MIDAMERICAN ENERGY	Water Use	Owner
MIDAMERICAN ENERGY	Water Use	Legally Responsible Entity
JIM PFLUGHAUPT	Leaking UST	Public Contact
Louisa Generating Station	Coal Combustion Residue Landfill	Legally Responsible Entity
Iowa DNR	Coal Combustion Residue Landfill	Legally Responsible Entity
YUSUF SETIAWAN	Non-Transient Non-Community	Legal Operator
LOUISA GENERATING STATION WS 2	Non-Transient Non-Community	Public Contact
MIDAMERICAN ENERGY - LOUISA GEN STA #2	Non-Transient Non-Community	Owner
MidAmerican Energy Company - Louisa	Title V	Public Contact
Todd Horchem	Title V	Public Contact
Kayla Swope	Title V	Public Contact
Josh Mohr	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
7/24/2009	Staff were sent to the pond to collect samples for pH and free chlorine. Staff will doublecheck to make sure the discharge gates are locked. No release to a surface water has occurred and it is not anticipated that any discharge limits will be exceeded.	DNRHSIADMIN

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

Louisa Generating Station - MidAmerican - 311216878

8602 172ND ST. Muscatine, IA 52761

Louisa County

FO 6

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Facility Note

Incident Report

Responsible Party

Material Information

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Public Water Suppliers

Compliance Tracking

Possible Facility

Public Water Supply: Surface Water