Get Written Contamination Incident Follow-up Report - State Of South Dakota - State Sd

This guide provides clear, step-by-step instructions for completing the Written Contamination Incident Follow-up Report online. You will find detailed information tailored to support you through each section of the form.

Follow the steps to complete the report online.

1. Click ‘Get Form’ button to obtain the Written Contamination Incident Follow-up Report and open it in the online editor.
2. Begin filling out the form by entering the DENR file number at the top of the document. This number is essential for tracking the incident.
3. In the 'Site Name' field, provide the name of the affected location where the contamination incident occurred.
4. Enter the spill location details. This includes a specific address or a detailed description of where the incident took place.
5. Input the latitude and longitude of the spill site accurately to help with geographical identification.
6. Fill in the legal location details by specifying the township and range associated with the site.
7. Identify the responsible party for the incident and provide their mailing address, city, state, and telephone numbers.
8. Record the date and time of the spill or when the contamination was detected.
9. Indicate the duration of the release and specify the substances that were released during the incident.
10. Detail the quantity of the substance released and include the chemical name of the materials involved.
11. Answer the questions regarding whether the substances are included on various hazardous substance lists, selecting yes, no, or don’t know options.
12. Provide information about any consultants involved and identify known health risks associated with the contamination.
13. Document pertinent medical advice that was issued and describe the land use around the site.
14. List the utilities investigated during the incident response, such as water, sewer, and telephone services.
15. Continue by detailing the environmental media impacted, including soil and water systems.
16. Note the proximity to the closest surface water or drainage features, and specify distances to aquifers and drinking water wells.
17. Indicate the amount of soil excavated or treated, confirm the presence of free phase or pooled products, and provide excavation dimensions.
18. Identify the disposal site for contaminated materials and the date these materials were disposed of.
19. Convey immediate corrective actions that were taken and any additional work that is planned following the incident.
20. Complete the form by signing your name and including the date it was completed. Ensure all information is accurate before submission.
21. Finally, use the options at the bottom of the form to send it electronically or print for mailing.

Complete your Written Contamination Incident Follow-up Report online today for an efficient and easy submission process.