Work Request - Template

Work Request ID - 2979

180 Iowa Layer Llc - 310714877

4563 180TH AVE. Marathon, IA 50565

Buena Vista County

FO 3

Site Name:

Address:

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State:

Zip:

Directions:

Section:

Tier:

Range:

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Lat:

Work Request ID:

Program Type:

Program ID:

Type:

County:

Requested By:

Due Date:

Assigned To:

Assigned Date:

Describe Request

Date	Comment	Commenter
3/24/2015	Conduct site survey and review MMP(200A) for chicken site expansion. Matrix size. No karst or alluvial concerns. PE plans 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
11180407-req.docx	Inspection Report (public)	04/06/2015	Separation Distances

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
4/7/2015	All separation distances appear to have been met.	BEN SHUBERG

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

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Field Office Compliance - Work Request

Work Request ID - 2979

180 Iowa Layer Llc - 310714877

4563 180TH AVE. Marathon, IA 50565

Buena Vista County

FO 3

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Facility Note

Work Request Resolution

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Compliance Tracking