Assistance - Template

Site Name:

Address:

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County:

State:

Zip:

Directions:

Section:

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Range:

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Lat:

Assistance ID:

Staff Assisting:

Program Type:

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Action Date:

Report

Attached Files/Reports

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
11/20/2012	Note: called - he spoke to IDALS and he said the owers will be able to obtain a 200A license and submit proof of such to FO 3 by December 1	BRANDON MINER

Assistance Details:

Field Office Compliance - Assistance