ARIZONA DEPARTMENT OF ENVIRONMENTAL QUALITY

EMERGENCY RESPONSE UNIT

INCIDENT REPORT FORM

 

 

 

Report Taken By:

Phone #:

Date Reported:

Time Reported:

Steven Calderon

602-771-4163

9-6-05

1100 Hours

ERU #:

AZSERC #:

NRC #:

Provisional I.D. #:

06-019-J

509061

771608

     

 

CALLER INFORMATION:

Caller Name:

Title:

Organization:

Address:

Bryce Mares

     

Phelps Dodge Sahuarita

6200 W. Duval Mine Road, Green Valley, AZ 85622

Phone #:

Incident Date:

Incident Time:

Other:

(520) 648-8605

9-6-05

0930 Hours

     

 

POTENTIAL RESPONSIBLE PARTY INFORMATION:

Potential Responsible Party Name:

Type of Operation:

Phelps Dodge Sahuarita

     

Address:

City:

County:

State:

Zip Code:

6200 W. Duval Mine Road

Green Valley

Pima

AZ

85622

Phone #: (520) 648-8605

2nd Phone #: (     

Other:      

 

INCIDENT LOCATION/INFORMATION:

Site Location Description/Directions:

     

Street Address:

City:

County:

State:

Zip Code:

6200 W. Duval Mine Road

Green Valley

Pima

AZ

85622

GPS Coordinates:

Highway # & Milepost #:

Railroad Milepost #:

     

�

    

 

INCIDENT DESCRIPTION:

Incident Type/Description:

Sulfuric Acid Release

Incident Source:

Line/Pipe

Incident Cause:

Broken Line

Affected Media (air, soil, water); Extent, Body of Water Name:

soil

 

 

 

 

 

 

 

 

 

MATERIALS INVOLVED:

Material Name:

CAS #:

Physical State:

Container Type:

Quantity:

Units:

Sulfuric Acid

     

Liquid

Pipe

8058

Pounds

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

 

DAMAGE DESCRIPTION:

Responding OSC:

Responsible for Cleanup:

Referred To:

     

     

     

# of Injuries:

# of Deaths:

Property Damage in $:

     

     

     

Evacuation Zone:

     

Remedial Action:

Spill contained in pond area

Environmental Consultant/Cleanup Contractor (Name and Address):

     

 

ADDITIONAL DETAILS/COMMENTS:

The Arizona Department of Environmental Quality Emergency Response Unit (ERU) received a spill phone notification of a sulfuric acid release due to a split electrolyte line at the Phelps Dodge Sierrita Mine, located in Green Valley, Arizona on September 6, 2005.� Approximately 8058 pounds of sulfuric acid was released into a containment pond.� The lost product was recovered and repairs are underway.� No further action is necessary.