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
8/7/2014	Informed Dave he needs to take a make-up exam and either attend another training or pass another test prior to application in 2015. License expires 12/31/14, but missed 2013 training.	JEFF PRIER

Assistance Details:

Field Office Compliance - Assistance