Work Request - Template

Work Request ID - 3916

Jade 6 - 310674178

3638 370th Avenue Ruthven, IA 51358

Palo Alto County

FO 3

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Work Request ID:

Program Type:

Program ID:

Type:

County:

Requested By:

Due Date:

Assigned To:

Assigned Date:

Describe Request

Date	Comment	Commenter
5/4/2017	Conduct site survey and review MMP for swine site expansion. Matrix site. No karst or alluvial concerns. CDS and MMP submitted.	PAUL PETITTI

Describe Request:

Request Files

Attached Files

File Name	File Type	File Date

Work Request Resolution

Action Date:

Status:

Report

Attached Files/Reports

Document Name	Type	File Date	Note
Jade 6 ID 64665 Site Survey.pdf	Inspection Report (public)	05/12/2017	2017 site survey

File Name	File Type	File Date	Note

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

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Field Office Compliance - Work Request

Work Request ID - 3916

Jade 6 - 310674178

3638 370th Avenue Ruthven, IA 51358

Palo Alto County

FO 3

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