Work Request - Template

Work Request ID - 696

City View Farms East - 311291624

4135 Yellow Ave Sutherland, IA 51058

O'Brien 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
7/20/2010	Site survey, MMP review, Matrix and earthen basin inspection while on site. Review and track during construction process.	CINDY MARTENS

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
City View East.doc.pdf	Inspection Report (public)	08/03/2010	Work Request

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
10/7/2010	Site survey performed. No issues noted.	DON CUNNINGHAM

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

Multiple Results Found

Field Office Compliance - Work Request

Work Request ID - 696

City View Farms East - 311291624

4135 Yellow Ave Sutherland, IA 51058

O'Brien County

FO 3

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Facility Note

Work Request Resolution

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