Work Request - Template

Work Request ID - 1338

Lantow Site 2 - 310687479

2796 260TH ST. Fredericksburg, IA 50630

Chickasaw County

FO 1

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
9/14/2011	Conduct site survey and review MMP for finisher site expansion. No matrix site. No karst. Site is in alluvial however NRCS soil scientist provided info showing not in alluvial. CDS submitted. No waivers reqd.	PAUL PETITTI

Describe Request:

Request Files

Attached Files

File Name	File Type	File Date

Work Request Resolution

Action Date:

Status:

Report

Attached Files/Reports

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
9/22/2011	Site Survey and MMP are ok	TOM MCCARTHY

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

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Field Office Compliance - Work Request

Work Request ID - 1338

Lantow Site 2 - 310687479

2796 260TH ST. Fredericksburg, IA 50630

Chickasaw County

FO 1

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Compliance Tracking