Spill - Template

Homeland Energy Solutions, Llc - 310659988

2779 IOWA HWY. 24 Lawler, IA 52154

Chickasaw County

FO 1

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Spill Number:

120710-CK1-2330

Spill Location:

43.070000, -92.210000

Spill County:

Chickasaw

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:

Name	Program	Type
HOMELAND ENERGY SOLUTIONS, LLC	Minor Industrial	Owner
	Minor Industrial	Mailing Contact
HOMELAND ENERGY SOLUTIONS, LLC	General Permit #1 - Industrial Activity	Owner
RITA DUNN	General Permit #1 - Industrial Activity	Public Contact
KYLE GUERTIN	General Permit #1 - Industrial Activity	Public Contact
Homeland Energy Solutions, LLC	Title V	Public Contact
Michael Peterman	Title V	Public Contact
Garland Krabbenhoft	Title V	Public Contact
Timothy Aydt	Title V	Public Contact
Kyle Guertin	Title V	Public Contact
Nicole Stephens	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
12/10/2010	Began pumping any ethanal contained in intial dike. Keep any remaining materail from leaving site. Excavate soil.	CHAD KEHRLI

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

Homeland Energy Solutions, Llc - 310659988

2779 IOWA HWY. 24 Lawler, IA 52154

Chickasaw County

FO 1

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Incident Report

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Material Information

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Possible Facility

Public Water Supply: Surface Water