Desktop Activity - Template

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Desktop Action ID:

Program Type:

Program ID:

Action Type:

Date:

Staff:

Compliance Determination:

Status:

Activity Report

Attached Files/Reports

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
4/24/2015	Conditions have changed since the 2012 inspection, an on-site should be conducted based on information during the desktop assessment.	ALISON MANZ

Comment:

Action Type	Date	Completed Date	Comment	Delete

Field Office Compliance - Desktop Activity