Spill - Template

Boone County Landfill - 310200505

1268 224th Lane Boone, IA 50036

Boone County

FO 5

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

020607-AHB-0959

Spill Location:

42.027120, -93.918020

Spill County:

Boone

FO 5

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec: 6
Tier: 83
Range: 26 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
John Roosa	Minor	Public Contact
BOONE COUNTY SANITARY LANDFILL	NPDES Industrial Contributor	Owner
Boone County Sanitary Landfill	FO	Regulatory Contact
SCOTT SMITH	General Permit #1 - Industrial Activity	Public Contact
BOONE COUNTY BOARD OF SUPERVISERS	General Permit #1 - Industrial Activity	Legal Operator
JOHN ROOSA	General Permit #1 - Industrial Activity	Public Contact
HLW Engineering Group	Municipal Landfills	Legally Responsible Entity
HLW Engineering Group	Municipal Landfills	Legally Responsible Entity
Boone County Landfill	Municipal Landfills	Legally Responsible Entity
Iowa DNR	Municipal Landfills	Legally Responsible Entity

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	Landfill and RP scraped up contaminated soil and will properly dispose of.	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

Boone County Landfill - 310200505

1268 224th Lane Boone, IA 50036

Boone County

FO 5

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Facility Note

Incident Report

Responsible Party

Material Information

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Public Water Suppliers

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Possible Facility

Public Water Supply: Surface Water