Complaint - Template

	Name
Select	Shannon Siems

Complaint ID - 14690

Iowa City Excavating - 311412192

219 & 305 East 11th Street Coralville, IA 52241

Johnson County

FO 6

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Complaint ID:

14690

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

Document Name	Type	File Date	Note
3 12-28.pdf	Letter (public)	03/27/2012	3/12-28 form, memo, and NOV

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
4/2/2012	Investigated on 3/27/2012 and 3/30/2012. Refer to the attached memo and NOV.	JIM KACER

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

Multiple Results Found

Field Office Compliance - Complaint

Complaint ID - 14690

Iowa City Excavating - 311412192

219 & 305 East 11th Street Coralville, IA 52241

Johnson County

FO 6

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