Complaint - Template

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Select	JOHN DERNER
Select	JOHN DERNER
Select	JOHN DERNER
Select	John Derner
Select	Brad Derner
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Complaint ID - 26309

Derner's Of Milford, Inc. - 311573025

2351 213TH AVE. Milford, IA 51351

Dickinson County

FO 3

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Complaint ID:

26309

Date Received:

Date Assigned:

Received By:

Assigned To:

Complainant

Anonymous

DNR Observation

Name:

(F)

(L)

Address:

Phone:

Ext.

Email:

City\State\Zip:

Statement of Complaint:

Complaint Type:

Complaint Location

Sec:
Tier:
Range:
Lat:
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Complaint Resolution

Action Date:

Status:

Compliance Determination:

Responsible Party

Report

Attached Files/Reports

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
12/13/2018	I observed smoke coming from the site at under 40% opacity and therefore, did not investigate.	AMBER WOLF

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

Multiple Results Found

Field Office Compliance - Complaint

Complaint ID - 26309

Derner's Of Milford, Inc. - 311573025

2351 213TH AVE. Milford, IA 51351

Dickinson County

FO 3

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