Spill - Template

Boyer Valley Company/apc Denison - 311216696

201 E 1ST ST Wall Lake, IA 51466

Sac County

FO 3

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

082101-CWO-1510

Spill Location:

42.270800, -95.089040

Spill County:

Sac

FO 3

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec: 7
Tier: 86
Range: 36 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:

Select	Name	Program	Type

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	RP checked the outfall of the storm sewer, but did not see that any material came out. They will flush and recover the material in the storm sewer. Agsorb was used to absorb the material on the concrete and gravel. Contaminated gravel will be excavated. The contaminated material will be land applied at agronomic rates.	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

Boyer Valley Company/apc Denison - 311216696

201 E 1ST ST Wall Lake, IA 51466

Sac County

FO 3

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Facility Note

Incident Report

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Material Information

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Possible Facility

Public Water Supply: Surface Water