Spill - Template

Middle Amana Dump - 310541594

2800 220th Trl Middle Amana, IA 52307

Iowa County

FO 6

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

050101-KRL-1116

Spill Location:

41.793880, -91.899240

Spill County:

Iowa

FO 6

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec: 28
Tier: 81
Range: 09
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
	Iowa Department of Natural Resources	Chapter 133	Regulatory Contact
	GERALD CHULPACH	Leaking UST	Public Contact

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	The stratified layer of acid was pumped from the water, the water was circulated and remaining acid was neutralized with Sodium Bicarbonate, allowed water to discharge once acid was neutralized, continuously monitored discharge water with pH meter to verify the discharged water met permit limitations.	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

Middle Amana Dump - 310541594

2800 220th Trl Middle Amana, IA 52307

Iowa County

FO 6

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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