Assistance - Template

Site Name:

Address:

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Staff Assisting:

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Report

Attached Files/Reports

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
3/4/2014	Facility seeking information on becoming potential water supply. Losing current source of water and looking to either hook up to alternate source or drill own well.	MICHELE SMITH

Assistance Details:

Field Office Compliance - Assistance