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0101 <br /> Page 1 <br /> Service Request 8/1/2019 9:31 <br /> Request Information <br /> Request No 00188382 Date 81112019 Time 09:29 Status PR <br /> Recorded By BML BAUER,MACKENSY L. <br /> Billing Code <br /> Customer Information <br /> Customer Name EPD 1032 Customer Id <br /> Address <br /> Apartment No City Zip <br /> Phone No ( ) Ext Second Phone ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 3811 Street GRAND AVE <br /> From Cross Street To Cross Street <br /> Initiated From OCD OTHER CITY DEPARTMENTS <br /> City Subdivision <br /> Problem Details REPORT OF 2.5'WIDE SINKHOLE IN FRONT OF 3811 GRAND,NO OTHER DETAILS PROVDED. <br /> Problem SEWER SEWER <br /> Sub Problem <br /> Down Date Down Time <br /> Assignment Information <br /> Assigned To OBS OLHAVA,BRAD S. <br /> Responded Date Responded Time <br /> Left Date Left Time <br /> Work Order No. .„ <br /> Action Taken BML CALLED OBS,PRINTED <br /> Completed By: Date: i I <br /> Logged By <br /> ((eS 0J/rocki, <br />