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
1/13/2017	Hy-Line called because they received a late letter and wanted to make sure they had the right documents to send in for a 200A site. They need the 200A form, IDALS license, fee form and fee.	PHYLLIS MASKARINA

Assistance Details:

Field Office Compliance - Assistance