Complaint - Template

	Name
Select	Malcolm Miller

Complaint ID - 22782

Miller Farm Inc. - 310688607

32421 K Avenue Beaman, IA 50609

Grundy County

FO 2

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Complaint ID:

22782

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:
Long:

Complaint Resolution

Action Date:

Status:

Compliance Determination:

Responsible Party

Report

Attached Files/Reports

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
5/4/2016	This facility was scheduled for inspection this quarter. See inspection memo and letter.	JEREMY KLATT

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

Multiple Results Found

Field Office Compliance - Complaint

Complaint ID - 22782

Miller Farm Inc. - 310688607

32421 K Avenue Beaman, IA 50609

Grundy County

FO 2

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