StateLine Coop - South Burt Facility - Registration

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Source Identification

Facility Name:StateLine Coop - South Burt Facility
Parent Company #1:StateLine Coop
Parent Company #2:

Submission and Acceptance

Submission Type:First-Time Submission
Description:
Receipt Date:1999-06-01
Postmark Date:1999-05-27
Next Due Date:2004-05-27
Completeness Check Date:1999-06-04
Complete RMP:Yes
De-Registered Date:
De-Registered Effective Date:
Certification Received:Yes

Facility Identification

EPA Facility Identifier:1000 0001 7689
Other EPA Systems Facility ID:070722-IA-001

Dun and Bradstreet Numbers (DUNS)

Facility DUNS:
Parent Company #1 DUNS:
Parent Company #2 DUNS:

Facility Location Address

Address: 102 Walnut Street
Burt, IA
50522
County:Kossuth County

Facility Latitude and Longitude

Lat. (dd mm ss.s):
Long. (ddd mm ss.s):
Latitude (decimal):
Longitude (decimal):
Lat/Long Method:Address Matching - Street Centerline
Lat/Long Description:Storage Tank

EPA Default Map Value Latitude/Longitude

Latitude (decimal):43.196944
Longitude (decimal):-94.2175
Lat/Long Method:
Lat/Long Description:Storage Tank

Owner or Operator

Operator Name:StateLine Coop - South Burt Facilit
Operator Phone:5159243241
Street 1:P.O. Box 97
Street 2:
City:Burt
State:IA
ZIP:50522
ZIP4:
Foreign State:
Foreign ZIP:
Foreign Country:United States (US)

Person or Position Responsible for Part 68 (RMP) Implementation

Name:Linda Petersen
Title:Safety Coordinator

Emergency Contact

Name:Janice Reimers
Title:Bookkeeper
Phone:5159243241
24-Hour Phone:5159243387
Extension or Pin:

Other Points of Contact

Facility or Parent Company E-mail:
Facility Public Contact Phone:
Facility or Parent Company Web Site:

Local Emergency Planning Committee

LEPC:Kossuth County LEPC

Full Time Equivalent Employees

Number of full time employees (FTE) on site:4
FTE Claimed as CBI:No

Covered By

OSHA PSM:No
EPCRA 302:Yes
CAA Title V:No
Air Operating Permit ID:

OSHA Ranking

OSHA Star or Merit Ranking:No

Last Safety Inspection

Date Performed:1998-04-01
External Agency:Tri State Insurance

Predictive Filing

Did this RMP involve predictive filing?No

Confidential Business Information (CBI)

CBI Claimed:No
Substantiation Provided:No
Unsanitized RMP Provided:No

Reportable Accidents

Reportable Accidents:No
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