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Page i <br /> Service Request o8�22�Zoo1 9:53 <br /> Request Informa8on Time <br /> Request No 00020876 Date oei2zizooi o9:zs <br /> RCCOtdP.d By HSR HOFFMAN, STEVEN R. SLSIUS OP <br /> Deparcment <br /> Initiated From p�LIC PUBLZC <br /> Billing Code <br /> Customer Wormation ��N�e een <br /> First Name <br /> Address EVERETT AVE <br /> Building Aparcment No <br /> City Zip <br /> Phone ( � <br /> Ext Alternate Phone ( ) Ext <br /> Problem Information <br /> Address �� A`� <br /> Cross Street Yi MARZNE VIEW DR <br /> C�ry EPD REPORTS VEHICLE HIT HYDFtANT AT THE ABOVE <br /> Problem Details �DRESS. <br /> Problem W2ATER w� <br /> Sub Problem 7'� <br /> Down Datc Down Time <br /> Assignment Information <br /> Serviced By � W�• MICNAEL W. <br /> Dispatched By <br /> Responded Date $ '�Z�� Responded 1'ime <br /> Work Order No <br /> Activity Information <br /> Completed By � Z�� <br /> Completed Date � -� �j -o� <br /> Action Taken <br /> User Defined ��L�� V��„u� <br /> -�---- - - <br /> �� � /J � � D�S/ <br /> /�Y <br />