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
9/28/2010	rembrandt enterprises has proposed to construct a new lagoon cell to their WWTP and add two additional land application sites for their wastewater disposal system. Would you please conduct a site separation distance survey for the proposed wastewater treatment and disposal systems?	KENNETH HESSENIUS
10/5/2010	Site survey completed 9/29/10	TOM ROOS

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
11re0930-req.doc.pdf	Inspection Report (public)	09/29/2010	Site Survey 9-29-10

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
10/5/2010	Site Survey Completed 9/29/10	TOM ROOS

Comment:

Action Type	Date	Completed Date	Comment	Delete

Field Office Compliance - Work Request