Incoming Report - Template

Incoming Report ID - 491251

Pb Leiner Usa - 311124833

7001 N. BRADY STREET Davenport, IA 52806

Scott County

FO 6

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Range:

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Incoming Report ID:

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Date Received:

Reported By:

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Incident Start:

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Incident End:

Parameters

From (location, equipment, stack):

Impact Water Of The State:

Quantity (# of gallons, % opacity):

Impacted Water Name:

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Why did the occurrence happen:

What was done to stop the occurence:

Date Report Received:

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Attached Files/Reports

Document Name	Type	File Date	Note
12-11-23 1722 EMail - EE Report_EP-21 0900-1200_PB Leiner USA.pdf	Report	12/11/2023	12-11-23 EE Written Report EP-21 0900-1200

File Name	File Type	File Date	Note

Multiple Results Found

Field Office Compliance - Incoming Report

Incoming Report ID - 491251

Pb Leiner Usa - 311124833

7001 N. BRADY STREET Davenport, IA 52806

Scott County

FO 6

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