Spill - Template

ESSENTIA PROTEIN SOLUTIONS - 310642529

Lytton, IA 50561

Calhoun County

FO 3

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

020320-ADW-0920

Spill Location:

42.420000, -94.860000

Spill County:

Sac

FO 3

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec:
Tier:
Range: W
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
THE LAURIDSEN GROUP	Operation Permit	Owner
	Operation Permit	Mailing Contact
	Operation Permit	Mailing Contact
	Operation Permit	Mailing Contact
GARY COLVIN	General Permit #1 - Industrial Activity	Public Contact
LAURIDSEN GROUP, INC.	General Permit #1 - Industrial Activity	Owner
GARY COLVIN	General Permit #1 - Industrial Activity	Public Contact
JACK WOLF	General Permit #1 - Industrial Activity	Public Contact
Essentia Protein Solutions	Land Application	Legally Responsible Entity
Jack Wolf	Minor	Public Contact
Proliant Inc.	NPDES Industrial Contributor	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
2/3/2020	Contractor was on site to make repairs. No evacuation was necessary due to the small nature and location of the leak.	AMBER WOLF

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

ESSENTIA PROTEIN SOLUTIONS - 310642529

Lytton, IA 50561

Calhoun County

FO 3

Edit Facility Location

Generate Letter Template

Facility Note

Incident Report

Responsible Party

Material Information

Revise Open Text File

Public Water Suppliers

Compliance Tracking

Possible Facility

Public Water Supply: Surface Water