Assistance - Template

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

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Lat:

Assistance ID:

Staff Assisting:

Program Type:

Contact:

Action Date:

Report

Attached Files/Reports

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
1/14/2021	Mr. Goddard notified FO4 that he was working on collecting the data from his applicator but would not be able to complete the report by January 15th and requested an extension on his required report. I notified Mr. Goddard that I would extend his compliance date to February 1, 2021.	WENDY WITTROCK

Assistance Details:

Field Office Compliance - Assistance