Incoming Report - Template

Incoming Report ID - 500623

Evansdale City Of Stp - 310643537

1136 RIVER FOREST ROAD Evansdale, IA 50707

Black Hawk County

FO 1

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Directions:

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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:

Bypass Type:

Why did the occurrence happen:

What was done to stop the occurence:

Date Report Received:

Report Late:

Incomplete:

Year:

Period:

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Comments:

Report

Attached Files/Reports

Document Name	Type	File Date	Note
Evansdale Copper Compliance.pdf	Report	03/27/2024	2024 copper progress report

File Name	File Type	File Date	Note

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Field Office Compliance - Incoming Report

Incoming Report ID - 500623

Evansdale City Of Stp - 310643537

1136 RIVER FOREST ROAD Evansdale, IA 50707

Black Hawk County

FO 1

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