Spill - Template

Lance Schiele - 311438076

2092 Delta Avenue West Branch, IA 52358

Cedar County

FO 6

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

051304-AHB-1539

Spill Location:

41.643370, -91.307530

Spill County:

Cedar

FO 6

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec: 15
Tier: 79
Range: 04
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:

Select	Name	Program	Type
	Lance Schiele	Confinement w/ MMP	Owner
	Knee Deep Solutions	Confinement w/ MMP	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	RP stopped fueling when discovered fuel on ground. Tank was moved and contaminated soil excavated and stored properly pending final disposal either by landfarming or disposal at a local landfill.	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

Lance Schiele - 311438076

2092 Delta Avenue West Branch, IA 52358

Cedar County

FO 6

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Facility Note

Incident Report

Responsible Party

Material Information

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Possible Facility

Public Water Supply: Surface Water