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Field Office Compliance - Spill

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Usda - National Animal Disease Center - 310506048

1920 DAYTON AVE. Ames, IA 50010

Story County

FO 5

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

121112-JAG-1600

Spill Location:

42.045670, -93.581080

Spill County:

Story

FO 5

Incident Report

Received:

Received By:

Discovered:

Assigned To:

Reported By:

Anonymous

DNR Observation

Individual

Company:

Name:

Title:

Phone:

Email:

Incident Information:

Sec: 31
Tier: 84
Range: 23 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
USDA APHIS	Title V	Public Contact
Karla Tebben	Confinement w/ MMP	Public Contact
USDA National Centers for Animal Health	Confinement w/ MMP	Owner
Tyler Thacker	Confinement w/ MMP	Public Contact
Edward Hernandez	Confinement w/ MMP	Public Contact
VERN PRUIN	Leaking UST	Public Contact
JOHN FELDMAN	Leaking UST	Public Contact
TIM LAKERS	Leaking UST	Legally Responsible Entity
DYNO OIL COMPANY INC	Leaking UST	Legally Responsible Entity
MARVIN LOW	Leaking UST	Public Contact
U.S. DEPT OF AGRICULTURE	UST	Owner
U.S. DEPARTMENT OF AGRICULTURE	UST	Owner
USDA APHIS	Title V	Public Contact
Jason Wilking	Title V	Public Contact
	Title V	Public Contact
	Title V	Public Contact
Karla K. Tebben	Title V	Public Contact
USDA D&B Procurement	Title V	Public Contact
Xavier Lambert	Title V	Public Contact
	Title V	Public Contact
Tyler Thacker	Title V	Public Contact
Sam Erdahl	Title V	Public Contact
Mindy Miller	Title V	Public Contact
	Title V	Public Contact
Karla Tebben	Title V	Public Contact
Sarah Schauf	Title V	Public Contact
	Title V	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
12/12/2012	Absorbent material was placed on a the spilled fluid, mixed until the fluid was absorbed, swept up into a container that will be disposed of as hazardous waste.	JANET GASTINEAU

Comment:

Public Water Suppliers

Name	Supply Type	PWS ID	Operator: Name / Phone Number	Contacted

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

State of Iowa DNR Home Site Policy

Leading Iowans in caring for our natural resources

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Field Office Compliance - Spill

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Usda - National Animal Disease Center - 310506048

1920 DAYTON AVE. Ames, IA 50010

Story County

FO 5

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