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Y, <br /> �� �f a�� 9� F �:�' C/�� `�t <br /> � .> ,• � � �, <br /> Work Activity Work Order ��9� 1 <br /> 12/11/2012 8:56 <br /> ISSU2d By AGA AHLES,CREGORY A. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 5iai2otz <br /> Fund aot Account s Program �to Function iz3 Activity s» <br /> Program <br /> TItIB REPAIR 11707 FREEWAY PL 710123671 <br /> Work Order No 20120639 Project Activity Type SERVICE REQUEST Status c� <br /> Status 5/4I2012 Time ia:oa Original WO Billing <br /> Customer Information <br /> Customer Name GAXIOLA,SHELLY Customer ld <br /> Addf855 ��707 SffBB� FREEWAY PL <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( az5 1 770-3553 Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �»p� Street FREEWAYPL <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem DRAIM DRAINAGE <br /> Sub Problem CB'S ALL CB EXCEPT CLEAN <br /> Requested By �2RM ROLFE,ROBERT M. D8f0 RBqUBSIEd 1 111 812 01 1 <br /> Agency Related Request oo�o3ssa <br /> Initiated Frcm Pueuc PUBLIC <br /> Ulility Locate (USA) No �zoestaz Cailed Date Expiration Date <br /> Assignment Information <br /> Dept PW PUBLIC WORKS Priority Estimated Hours <br /> CfOW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To IJM IMHOF,JAMES h7. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken EXCAVATED SINK HOLE,PIPES OK.BAD INSTALL.BACK FILLED WITH CDF.PREP FOR <br /> ASPHALT. <br /> Recommended Action EXCAV�ITE CAVE IN AT VAULT AND REPAIR PROBLEM <br /> Approved By IJM IMHOF,Jr�MES M. JOb COSt II1fOfrtiatlOfllY/N) <br /> Start Date i i Time Date Compteted swi2o�z Permit No <br /> Completed By Time Follow Up? <br />