Spill - Template

John Deere Dubuque Works - 310643088

18600 S John Deere Rd Dubuque, IA 52001

Dubuque County

FO 1

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

052307-RLT-0853

Spill Location:

42.558360, -90.692790

Spill County:

Dubuque

FO 1

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:

Name	Program	Type
JOHN DEERE DUBUQUE WORKS	Major Industrial	Owner
	Major Industrial	Mailing Contact
	Major Industrial	Mailing Contact
	Major Industrial	Mailing Contact
	Major Industrial	Mailing Contact
	Major Industrial	Mailing Contact
	Major Industrial	Mailing Contact
John Deere Dubuque Works	Title V	Public Contact
Jack Dallal	Title V	Public Contact
	Title V	Public Contact
	Title V	Public Contact
Daniel Mai	Title V	Public Contact
CHRIS SABERS	General Permit #2 - Construction Activity	Public Contact
JESSICA CORYELL	General Permit #2 - Construction Activity	Public Contact
JOHN DEERE DUBUQUE WORKS	General Permit #2 - Construction Activity	Owner
JAMES HENSLEY	General Permit #2 - Construction Activity	Legal Operator
CHRISTOPHER SABERS	General Permit #2 - Construction Activity	Public Contact
JAMES HENSLEY	General Permit #2 - Construction Activity	Public Contact
SCOTT HEMESATH	General Permit #2 - Construction Activity	Public Contact
JAMES HENSLEY	General Permit #2 - Construction Activity	Public Contact
JOHN DEERE DUBUQUE WORKS	General Permit #2 - Construction Activity	Owner

Material Information


Material: Medium: Quantity: Units:
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	Monitor air in the area and report any unusual findings.	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

John Deere Dubuque Works - 310643088

18600 S John Deere Rd Dubuque, IA 52001

Dubuque County

FO 1

Edit Facility Location

Generate Letter Template

Facility Note

Incident Report

Responsible Party

Material Information

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Public Water Suppliers

Compliance Tracking

Possible Facility

Public Water Supply: Surface Water