Spill - Template

Pb Leiner Usa - 311124833

7001 N. BRADY STREET Davenport, IA 52806

Scott County

FO 6

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

061417-JFP-1015

Spill Location:

41.590000, -90.570000

Spill County:

Scott

FO 6

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
Andrew Murdock	FO	Regulatory Contact
MATTHEW LA CASSE	General Permit #1 - Industrial Activity	Public Contact
PB LEINER USA	General Permit #1 - Industrial Activity	Owner
PB LEINER USA	General Permit #1 - Industrial Activity	Owner
PB LEINER USA	General Permit #1 - Industrial Activity	Legal Operator
ANDREW MURDOCK	General Permit #1 - Industrial Activity	Public Contact
ANDREW MURDOCK	General Permit #1 - Industrial Activity	Public Contact
Andrew Murdock	Minor	Public Contact
Andy Murdock	Minor	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

Document Name	Type	Note
08-02-2017\061417-JFP-1015.pdf	Report	30 day
08-02-2017\Hazardous Condition report.doc	Report	Hazardous Condition
08-02-2017\PB Leiner release memo.pdf	Report	release memo
08-14-2024\061417-JFP-1015 (2).pdf	Report

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
6/20/2017	Discovered relief valve had lifted and they repaired relief valve. Naturally dissipated in air.	JEFF PRIER

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

Pb Leiner Usa - 311124833

7001 N. BRADY STREET Davenport, IA 52806

Scott County

FO 6

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