Field Office Compliance - Spill

Top Of Iowa Co-op - 311431242

101 North Park Lake Mills, IA

Winnebago County

FO 2

Spill Number:

012012-AHB-1043

Spill Location:

43.420333, -93.538900

Spill County:

Winnebago

FO 2

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec: 3
Tier: 99
Range: 23 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:

Select	Name	Program	Type

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
1/23/2012	Monitor the process and report problems and/or changes.	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

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Field Office Compliance - Spill

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Top Of Iowa Co-op - 311431242

101 North Park Lake Mills, IA

Winnebago County

FO 2

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Public Water Supply: Surface Water