Complaint - Template

	Name
Select	JEFFERSON COUNTY HEALTH CENTER
Select	JEFFERSON CO HEALTH CENTER
Select	Dan Miller
Select	CARL A. NELSON & COMPANY
Select	JEFFERSON COUNTY HOSPITAL
Select	JEFFERSON COUNTY HOSPITAL
Select	LARRY MITCHELL
Select	HIGHLAND PLAZA LLC
Select	Jefferson County Hospital
Select	JEFFERSON COUNTY HOSPITAL

Complaint ID - 34643

Jefferson County Health Center - 310202072

2000 S MAIN ST Fairfield, IA 52556

Jefferson County

FO 6

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Complaint ID:

34643

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
3/17/2025	This was referred to Shawn Worley, Superintendent of the City of Fairfield's POTW. Shawn state he has been working with the Hospital on an Emergency Action Plan to address spills of all kinds, including antifreeze. Shawn indicated they have seen no impact at the plant and continue working with the Hospital on this matter.	TERRY JONES

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

Multiple Results Found

Field Office Compliance - Complaint

Complaint ID - 34643

Jefferson County Health Center - 310202072

2000 S MAIN ST Fairfield, IA 52556

Jefferson County

FO 6

Edit Facility Location

Generate Letter Template

Facility Note