Work Request - Template

Work Request ID:

Program Type:

Program ID:

Type:

County:

Requested By:

Due Date:

Assigned To:

Assigned Date:

Describe Request

Date	Comment	Commenter
9/28/2020	A site separation survey is requested for Gelita USA Inc. for the new components to their existing wastewater facility. The facility is located in Sec. 18, T87N, R47 Woodbury County, IA. The site separation survey must be conducted in accordance with the IAC Chapter 64 subrule 64.2(3). Thank you	THABIT HAMOUD

Describe Request:

Request Files

Attached Files

File Name	File Type	File Date

Action Date:

Status:

Report

Attached Files/Reports

Document Name	Type	File Date	Note
Gelita USA Inc NPDES 9700101 WW Site Survey.pdf	Inspection Report (public)	09/29/2020	Gelita Site Survey 9-20

File Name	File Type	File Date	Note

Comment:

Action Type	Date	Completed Date	Comment	Delete

Field Office Compliance - Work Request