Field Office Compliance - Complaint

	Name
Select	Kreg Kantak
Select	Twin Lakes Environmental Services LLC

Complaint ID - 4169

Burke Farm - 310731429

2727 Erickson Ave Webster City, IA 50595

Hamilton County

FO 2

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Complaint ID:

4169

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

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

"

"