Complaint - Template

	Name
Select	South Central Iowa Solid Waste Agency
Select	Rick Hurt
Select	Jennifer Frampton
Select	Douglas Luzbetak
Select	Jennifer Murphy
Select	South Central Iowa Solid Waste Agency
Select	SOUTH CENTRAL IOWA SOLID WASTE AGENCY
Select	RICK HURT
Select	HLW Engineering Group
Select	Lucas County Supervisor
Select	SCISWA
Select	SOUTH CENTRAL IOWA SOLID WASTE AGENCY

Complaint ID - 20825

South Central Iowa Solid Waste Agency - 311308377

1736 HWY T17 Tracy, IA 50256

Marion County

FO 5

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Complaint ID:

20825

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

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Field Office Compliance - Complaint

Complaint ID - 20825

South Central Iowa Solid Waste Agency - 311308377

1736 HWY T17 Tracy, IA 50256

Marion County

FO 5

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