Spill - Template

Bayer Cropscience Lp - 6909 - 310203151

2500 Wiggens Rd Muscatine, IA 52761

Muscatine County

FO 6

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

022701-PFB-1221

Spill Location:

41.352040, -91.085850

Spill County:

Muscatine

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: 76
Range: 02
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
Ed Steinke	FO	Regulatory Contact
Tyler Chlystun	FO	Regulatory Contact
Elana Becker	FO	Regulatory Contact
Northway Well & Pump Company	FO	Contractor
CHASE CONAWAY	Non-Transient Non-Community	Legal Operator
BAYER CROPSCIENCE LLC	Non-Transient Non-Community	Owner
JOSHUA LEYH	General Permit #2 - Construction Activity	Legal Operator
JOSHUA LEYH	General Permit #2 - Construction Activity	Public Contact
BAYER CROP SCIENCE	General Permit #2 - Construction Activity	Owner
JOSHUA LEYH	General Permit #2 - Construction Activity	Public Contact
MATTHEW GREEN	General Permit #2 - Construction Activity	Owner
BAYER CROPSCIENCE LP	General Permit #2 - Construction Activity	Owner
ELANA BECKER	General Permit #2 - Construction Activity	Public Contact
BERNADETTE MELANCON	General Permit #2 - Construction Activity	Owner
Mae Thomas	Title V	Public Contact
Mark Mathias	Title V	Public Contact
	Title V	Public Contact
BAYER CROPSCIENCE LLC	Major Industrial	Owner
MONSANTO COMPANy	Major Industrial	Owner
	Major Industrial	Mailing Contact
	Major Industrial	Mailing Contact
	Major Industrial	Mailing Contact
	Major Industrial	Mailing Contact
	Major Industrial	Mailing Contact
	Major Industrial	Mailing Contact
Andy Ruppenkamp	FO	Public Contact
Mae Thomas	Title V	Public Contact
Mark Mathias	Title V	Public Contact
	Title V	Public Contact
Mae Thomas	Title V	Public Contact
Mark Mathias	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
7/24/2009	Reset relay - to resume flaring. Event ended at the time Monsanto called	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

Bayer Cropscience Lp - 6909 - 310203151

2500 Wiggens Rd Muscatine, IA 52761

Muscatine County

FO 6

Edit Facility Location

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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