Work Request - Template

Work Request ID - 2072

3177 Llc - 312060192

3177 180TH AVE. Ryan, IA 52330

Delaware 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
2/5/2013	Conduct site survey and review MMP for new 4960 head finisher site. Matrix site. No karst or alluvial concerns. CDS submitted.	PAUL PETITTI
2/27/2013	County Contacted and accepted on 2/20/2013	AMBER SAUSER

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
28 afo ryan 67673 3177 llc 022613 ss als.pdf	Inspection Report (public)	02/26/2013	28 AFO Ryan 67673 3177 LLC 022613 ss als

File Name	File Type	File Date	Note

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

Multiple Results Found

Field Office Compliance - Work Request

Work Request ID - 2072

3177 Llc - 312060192

3177 180TH AVE. Ryan, IA 52330

Delaware County

FO 1

Edit Facility Location

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Facility Note

Work Request Resolution

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Compliance Tracking