Spill - Template

Nt Bradgate Sow - 310672474

1652 Elm Ave Bradgate, IA 50520

Humboldt County

FO 2

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

012807-CMG-1707

Spill Location:

42.816750, -94.364120

Spill County:

Humboldt

FO 2

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec:
Tier:
Range:
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
	Nathan Kenkel	Confinement w/ MMP	Public Contact
	Nutra Tech	Confinement w/ MMP	Owner

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	We instructed them to stop the leak and berm the manure. Doug Wood Humboldt Co Emergency Management along with the sheriff instructed secondary Roads crew to help with the berming. They also scrapped the manure off the road and put fresh gravel on top of the frozen manure due to the icy conditions it created. The next day Scott Wilson and I went and instructed Mr. Dodgen on cleaning up the frozen manure in the ditches and inspected his repairs to the piping. He landapplied the frozen manure on an adjacent field.	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

Nt Bradgate Sow - 310672474

1652 Elm Ave Bradgate, IA 50520

Humboldt County

FO 2

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