Spill - Template

Essentia - 310783638

1347 Highway 44 Harlan, IA 51537

Shelby County

FO 4

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

081215-ARM-0915

Spill Location:

41.650000, -95.300000

Spill County:

Shelby

FO 4

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
PROLIANT MEAT INGREDIENTS	General Permit #2 - Construction Activity	Owner
JACK WOLF	General Permit #2 - Construction Activity	Public Contact
BRIAN HAINES	General Permit #2 - Construction Activity	Public Contact
AMPC, INC. DBA ESSENTIA PROTEINS SOLUTIONS	General Permit #2 - Construction Activity	Owner
STEPHEN LICHTER	General Permit #2 - Construction Activity	Public Contact
ALLEN LEINEN	General Permit #2 - Construction Activity	Public Contact
ALLEN LEINEN	General Permit #1 - Industrial Activity	Public Contact
ALLEN LEINEN	General Permit #1 - Industrial Activity	Public Contact
LAURIDSEN GROUP, INC.	General Permit #1 - Industrial Activity	Owner
CHANCE GODDARD	General Permit #1 - Industrial Activity	Public Contact
JACK WOLF	General Permit #1 - Industrial Activity	Public Contact
JOHN ABELL	General Permit #1 - Industrial Activity	Public Contact
AMPC, Inc.	Operation Permit	Owner
AMPC, Inc,d/b/a ESSENTIA PROTEINS SOLUTIONS- HARLAN	Operation Permit	Owner
	Operation Permit	Mailing Contact
	Operation Permit	Mailing Contact
	Operation Permit	Mailing Contact
	Operation Permit	Mailing Contact
	Operation Permit	Mailing Contact
Doug Knowles	FO	Regulatory 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
8/21/2015	Per Alison Manz - Clean to site & smell and submit a 30 day report.	KRISTI BURG

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 - 310783638

1347 Highway 44 Harlan, IA 51537

Shelby County

FO 4

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