Incoming Report - Template

Incoming Report ID - 364288

Great Rivers Coop - 310266921

US Highway 34 and County Rd W40 Lockridge, IA 52635

Jefferson County

FO 6

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Incoming Report ID:

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Incident Start:

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Impact Water Of The State:

Quantity (# of gallons, % opacity):

Impacted Water Name:

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Why did the occurrence happen:

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Date Report Received:

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Incomplete:

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Attached Files/Reports

Document Name	Type	File Date	Note
great river coop 2019 insp.pdf	Report	01/08/2020	2019 annual cover report

File Name	File Type	File Date	Note

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Field Office Compliance - Incoming Report

Incoming Report ID - 364288

Great Rivers Coop - 310266921

US Highway 34 and County Rd W40 Lockridge, IA 52635

Jefferson County

FO 6

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