Spill - Template

Alexander David & Ewing Family Farms Lc - 310722288

3010 Timber Road Russell, IA 50238

Wayne County

FO 5

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

030210-WDG-1653

Spill Location:

40.860000, -93.170000

Spill County:

Wayne

FO 5

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec: 16
Tier: 70
Range: 20 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
Ted Ewing	Confinement w/ MMP	Owner
David Alexander	Confinement w/ MMP	Owner
Jeff Ewing	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

Document Name	Type	File Date	Note
04-07-2010\30 day letter - Spill No 030210-wdg-1653.jpg	Photo/Video (internal)		30 day report for spill No. 030210-wdg-1653

File Name	File Type	File Date	Note

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

Alexander David & Ewing Family Farms Lc - 310722288

3010 Timber Road Russell, IA 50238

Wayne County

FO 5

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