Spill - Template

Daybreak Foods - 310201586

4768 280th St Graettinger, IA 51342

Palo Alto County

FO 3

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

072704-BLW-1628

Spill Location:

43.241280, -94.646030

Spill County:

Palo Alto

FO 3

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec: 8
Tier: 97
Range: 32
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
Brett Pickar	Minor	Public Contact
Daybreak Foods	NPDES Industrial Contributor	Owner
The Best Egg Company	NPDES Industrial Contributor	Owner
The Best Egg Company	NPDES Industrial Contributor	Owner
Daybreak Foods, Inc.	Confinement w/ MMP	Owner
Brett Pickar	Confinement w/ MMP	Public Contact
Daybreak Foods Inc	Water Use	Permittee
DAYBREAK FOODS INC	Water Use	Owner
Daybreak Foods Inc	Water Use	Permittee
DAYBREAK FOODS INC	Water Use	Owner
DAYBREAK FOODS INC	Water Use	Legally Responsible Entity
TRAVIS STEVENS	Non-Transient Non-Community	Legal Operator
DAYBREAK FOODS INC	Non-Transient Non-Community	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

Comments

Date	Comment	Commenter
7/24/2009	Advised Daybreak that they must notify this office within 6 hours of spill or release of ammonia even if the exact amount is not known at time of notification.	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

Daybreak Foods - 310201586

4768 280th St Graettinger, IA 51342

Palo Alto County

FO 3

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Facility Note

Incident Report

Responsible Party

Material Information

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Public Water Suppliers

Compliance Tracking

Possible Facility

Public Water Supply: Surface Water