Spill - Template

North Central Iowa Regional Sanitary Landfill - 310204356

2150 South 22nd Street Fort Dodge, IA 50501

Webster County

FO 2

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

100503-TRL-1730

Spill Location:

42.495910, -94.154910

Spill County:

Webster

FO 2

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec: 28
Tier: 89
Range: 28 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
North Central Iowa Regional Solid Waste Agenc	NPDES Industrial Contributor	Owner
North Central Iowa Regional Solid Waste Agency	Household Hazardous Materials	Regulatory Contact
Fort Dodge Household Hazardous Materials	Household Hazardous Materials	Legally Responsible Entity
Jeff Feser - Chief Operating Officer	FO	Owner/Operator
Rob Anderson - Facilities Manager	FO	Owner/Operator
Jeff Feser	FO	Owner/Operator
Mike Grell	FO	Legal Operator
Mike Grell	FO	Legal Operator
NORTH CENTRAL IOWA REGIONAL SOLID WASTE AGENCY	General Permit #1 - Industrial Activity	Owner
DONNA BICE	General Permit #1 - Industrial Activity	Public Contact
NORTH CENTRAL IOWA REGIONAL SOLID WASTE AGENCY	General Permit #1 - Industrial Activity	Owner
GARY SCHMIDT	General Permit #1 - Industrial Activity	Public Contact
CINDY TURKLE	General Permit #1 - Industrial Activity	Public Contact
HLW Engineering Group	Municipal Landfills	Legally Responsible Entity
North Central Iowa Regional Solid Waste Agency	Municipal Landfills	Legally Responsible Entity
NCIRSWA	Municipal Landfills	Legally Responsible Entity
Iowa DNR	Municipal Landfills	Legally Responsible Entity
Donna Bice	Title V / Minor EI	Public Contact
Douglas Luzbetak	Title V / Minor EI	Public Contact
Nicholas Myers	Title V / Minor EI	Public Contact
Jason Potts	Title V / Minor EI	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	Facility used dozers to isolate area of pile that was burning. Fire dept. used approx. 6000 gallons of water and foam to cool pile enough that dozers could smother entire pile with earth. No resident evacuations were necessary due to smoke.	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

North Central Iowa Regional Sanitary Landfill - 310204356

2150 South 22nd Street Fort Dodge, IA 50501

Webster County

FO 2

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Incident Report

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Material Information

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Public Water Supply: Surface Water