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Work Activity Work Order <br />ISSU@d By CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Page 1 <br />7/18/2016 12:16 <br />Date Issued 11l9/2015 <br />Fund ao� Account s Program ��o Function 119 Activity s�s <br />Program <br />Title REPLACE TEST STATION 1210 WALL ST 710119675 <br />Work Order No 20152480 Project Activity Type CORRECTIVE MAINTENANCE StBtUs CL <br />Status 11/9/2015 Time �s:26 Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) - <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />C rew <br />Contractor <br />Assigned To <br />Assigned By <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street <br />Map Book <br />Called Date <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence_,, <br />Comments INVENTORY MATERIAL IN THE AMOUNT OF'$36.95 WAS JOURNALIZED <br />IN 2015 — - -- <br />Action Taken REPLCAED TEST STATION AND LINE TO MAIN, REPAIRED BOX. <br />Recommended Action <br />Approved By RJP RAPELYEA, �asorv P. Job Cost Information(Y/N) <br />Start Date � i Time Date Completed 11/9/2015 Permit No <br />Completed By Time Follow Up? <br />