Field Office Compliance - Spill

Summit Dairy - 310745852

5564 390TH ST. Primghar, IA 51245

O'Brien County

FO 3

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

081614-BMM-1600

Spill Location:

43.090000, -95.690000

Spill County:

O'Brien

FO 3

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

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Incident Information:

Sec:
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Range: W
Lat:
Long:

Responsible Party

Remove Facility

Is Individual

Unknown

Company:

Phone:

Email:

Address:

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State:

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Spill Contact

Name:

Title:

Phone:

Email:

Address:

City:

State:

Zip:

Select	Name	Program	Type
	John & Rachelle Westra	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

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

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Field Office Compliance - Spill

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Summit Dairy - 310745852

5564 390TH ST. Primghar, IA 51245

O'Brien County

FO 3

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Incident Report

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Public Water Supply: Surface Water