Assistance - Template

Site Name:

Address:

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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
4/14/2015	Travis indicated that they have fixed the water source within 500 feet of the new Building 9 - will email pictures for verification since DNR can't visit chicken sites at this time. See email and photos in Attached Documents.	JEFF THEOBALD

Assistance Details:

Field Office Compliance - Assistance