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Request Information <br />Request No oo�tas�a <br />Recorded By HSR <br />Billing Code <br />Customer Information <br />Customer Name soRca,N, eoe <br />Address <br />Service Request <br />Date 4l312013 Time os:35 Status wo� <br />HOFFMAN,STEVEN R. <br />Apartment No City <br />Phone No (azs ) z10-7aot Ext <br />Customer ld <br />Zip <br />Second Phone ( ) <br />E-Mail Address <br />Problem Information <br />Address 3332 Street FEDERALAVE <br />From Cross Street To Cross Street <br />Initiated From PUBLIC PUBLIC <br />City Subdivision <br />Pfoblem Details STR=ET CREW HIT SERVICE LINE RESULTING IN WATER LEAK. <br />Problem WATER <br />Sub Problem LEAK <br />Down Date <br />Assignmer,Y Information <br />Assigne� To csc <br />Responded Date <br />Left Date <br />Work Order No. 2o�3o7t� <br />Action Taken <br />WATER <br />LEAK <br />Down Time <br />CAVANAH, SHANE G. <br />Responded Time <br />Left Time <br />a37o 1 <br />r13/20!3 ::4G <br />Completed By: Date: i � <br />Logged By <br />Ext <br />