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
11/8/2017	Mr. Delaney called, informed me that all tire shreds located outside the permiter of the fence had been removed. He begin evaluating a date the be in compliance with his facility site plan and contact within the next week or so.	CHAD KEHRLI

Assistance Details:

Field Office Compliance - Assistance