Assistance - Template

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

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
8/10/2021	Tiffany's email is: [email protected]	BENJAMIN STRACUZZI
8/10/2021	Tiffany had questions about where to send WS MORs and WW DMRs. I provided her both emails. Tiffany also had questions about how and what needed to be filled out on the WW DMR. We discussed the form and the reporting requirements in the permit. I emailed Tiffany a copy of the WW Permit, a copy of the DMR template for the facility, and the DMR instructions.	BENJAMIN STRACUZZI
8/10/2021	Tiffany had questions about where	BENJAMIN STRACUZZI

Assistance Details:

Field Office Compliance - Assistance