Complaint - Template

	Name
Select	Chris DeRocher

Complaint ID - 26945

Cd Humbolt - 314933765

2460 Humbolt Ave Anthon, IA 51004

Woodbury County

FO 3

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Complaint ID:

26945

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

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Tier:
Range:
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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
6/20/2019	I visited the site on 6/13/19 - slats were on, I viewed no issues with the concrete. I contacted the complainant and also Chris DeRocher.	BRANDON MINER

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

Multiple Results Found

Field Office Compliance - Complaint

Complaint ID - 26945

Cd Humbolt - 314933765

2460 Humbolt Ave Anthon, IA 51004

Woodbury County

FO 3

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