HomeMy WebLinkAboutReceived Truck Loads of Fill - GRD Letters / Memos - 6/28/1993 INVESTIGATION REPORT FORM
Revised 12/03/92
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Statement of Policy .................................................. .............................
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"It is the policy of Mason County to provide the highest level of service to our community. This means that
we will investigate and resolve concerns expressed by the public. We will accomplish this in a timely man-
ner and with courtesy, objectivity, and equity."
Mason County Board of Commissioners
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Part A: Nature of Complaint
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• Initiator'B Name:
• Address:
• Telephone:
• Department of Concern:
Clerical Building Health Comm Development Fire
• Area of Concern:
IM
Process Delay Personnel Policy/Fee Code Violation Other
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• Location of ncern:
• Nature of Concern:
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in,-4a
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Part B: Concern Intake and Referral
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Received By: Referred To: Response Date:
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Part C: Findings
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Referral Forwarded to: El N/A
Findings:
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Part D: Resolution
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Intake/File Copy-White Referral Copy-Yellow Referral Copy-Pink Tracking Copy-Gold