Emergency Response Section - Initial Pollution Incident Report (IPIR

)
7/17/2013 Spill Id Number: 1307-60-1619//0 Reported By: Title: Telephone: Affiliation: County: Did Spiller Report ? Received By: Local EPC ? Business: District: SE 07/17/2013 07/13/2013 00/00/0000 N 09:21 12:00

TREVOR IRWIN Reported: OSC Discovered: (740) 380-5443 ext: Occurred: AGENCY/PERSON CALLING - IN DIST. OFF/ER Chronic: MUSKINGUM City/Township: N Complaint ? HOLMES, CHRIS Priority: Did you tell the Spiller to Call the N.R.C ? N SARA Report: N

FRAZEYSBURG N 3 N N

Suspected Spiller: SHEEHAN PIPELINE CONSTRUCTION Mailing Address: 48000 US RT 36 EAST COSHOCTON, OH 43812 Telephone: (000) 000-0000 ext: Location: 12225 ALPINE HIGHWAY NEAR Source: OIL & GAS - N GAS (GENERAL) Cause: DA / CUT OR BREAK Waterways Affected: WAKATOMIKA CREEK Reason: BREAK OR BROKEN Media Affected 1: LAND OR LAND SURFACE IMPACT

Media Affected 2: SURFACE WATER/STORM SEWERS Media Affected 3:

Product(s) Spilled
Product DRILLING SLURRY Amount .0 UOM UNK RQ .0 Size L Type O EHS N

Other Agencies Notified
Agency ODNR O&G DSW/WW Person PAT SHREVE SEDO Date 07/17/2013 07/17/2013 Time 09:51 09:51

Remark
SEDO RECEIVED A COMPLAINT OF DRILLING SLURRY AT THE ABOVE LOCATION. OSC IRWIN RESPONDED AND NOTED A LARGE AMOUNT OF MATERIAL. AN UNKNOWN AMOUNT OF MATERIAL HAS ENTERED THE WAKATOMIKA CREEK.

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