Spill - Template

Einck Dairy - 310724539

1140 227TH AVE. Fort Atkinson, IA 52144

Winneshiek County

FO 1

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

052915-JPS-0900

Spill Location:

43.100000, -91.850000

Spill County:

Winneshiek

FO 1

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:

Select	Name	Program	Type
	Mike Einck	Confinement w/ MMP	Owner
	Troy Peterson	Confinement w/ MMP	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
6/29/2015	Brett Meyers and Joe Sanfilippo responded to spill and insured that RP was doing everythin possible to dam up creek, remove manure from creek by hauler, and return manure to lagoon. No fish kill observed. Water samples checked on site and submitted to SHL for analysis	JOE SANFILIPPO

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

Einck Dairy - 310724539

1140 227TH AVE. Fort Atkinson, IA 52144

Winneshiek County

FO 1

Edit Facility Location

Generate Letter Template

Facility Note

Incident Report

Responsible Party

Material Information

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Public Water Suppliers

Compliance Tracking

Possible Facility

Public Water Supply: Surface Water