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06/1168 - Change a Development Approval [As Published] · 132006.1168.02

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SITE ACTIVITIES COMPLAINTS FORM

Prepared By: 0.02.0... 0. cece cece cee ec ec eeeeaseeeeeen ones Date: oo... cece cee eee cece Time: ............ ee
Position: ...0. 0. eee cece cee eneceeceeteneeeeereceeeeeees Report No: .......c cece cee eee eee eee ese een ees
Complaint By: .......... ccc. cece ccc cc cece cece eet ceececuccucecueeeueesscausueeans [1 Not Identified

Tick box if complainant does not wish
to be identified.

Of alee cece ec eee eee ee eeccececeueeeaueeeeeeeesseeseeeeesue esa eeesesceeseugeeeeessegeersutaaesterevenersetaaenees

COMPLAINT DETAILS

Method of Complaint: {_] Phone CO Letter CL] Facsimile (J Verbal/Personal

 

Date of Complaint: ......... 00. ecccc cee eceeeeeceeeaeeaeees Time: oe... ccc eecc eee anes

Date Incident Occurred: ............ccc ce eceecceeeceeeeeena eee eeeeuees Time: 0.0.0.0... cece

Location: 0.0.0... cccccceee cece ceec cece eee c eee n ena e eee neeeeeeeeeeeeeeeeeeeeeceeeeeeeeeeuaaaasasesauesauanness

Description of Complaint: .......... 0.0... cccecccecccceeceuneeeeueceeeecesueecesueetsersseaeeseeuneevnnes |
nnn |
Response Action and Investigation Undertaken: ..........0......ccccccceecceeeeccueeeesaneeeeeeseeeueess |
Response Action/Investigation Authorised By: ...................ccccccccecceccc cece eeneetseccreceueeuaas |
Results of Initial Investigation: 2.0.2.2... .......ccccccecc ccc ecccceceeeeu ccs eccueccuecusecneeaccuecensenenes :
Complainant Notified: .....................00.00 By/Signed: 2.20.00... cece ee eeeeeeeene

GHD Pty Ltd ABN 39 008 488.379 4-6 Innovation Parkway Kawana Busmess Vilage Birtinya Old 4575

PO Box 1540 Budding Qld 4575 Australia Cc

T 617 5413 8100 F 61 7 5413 8199 E [email protected] W weww.ghd com.au

 

 

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