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Work Activity VV�'ork C)rder Page � <br /> iz/ii/�oi2 y:�� <br /> ISSl1Qd By AGA AHLES,GREGORY A. <br /> Issued Department Pw PUBLIC WORICS <br /> Date Issued siav2otz <br /> Fund aot Account s Program ��o Function �2a Activity a�3 <br /> Program <br /> Title REPAIR 1902 LOMBARD AVE 710123673 <br /> Work Order No 2��2�722 PfOJOCf Activity Type CORRECTIVE MAINTENANCE Sf9IUS CL <br /> Status 5/31/2012 Time ia:n Original WO Billirg <br /> Customer Information <br /> Customer Name Customer ld <br /> Address 1902 Sif82t LOMBARD AVE <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Probiem Information <br /> Address lgpZ Street LOMBARDAVE <br /> From Cross Street <br /> To Cross Street <br /> Ciry Z'p <br /> Subdivision Map Book Map Reference <br /> Problem DRAIN DP.A/NAGE <br /> Sub Problem DL DRA/N LINES <br /> Requested By HMP HALE,MICHAEL P. D8I8 RBGU25I2d <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> CfeW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To IJM IMHOF,JAMES M. <br /> r:ssigned By AGA AHLES,GREGGi;Y A. <br /> Assigned Date To Be Corcp Date <br /> Sche�'uled Date Scheduied Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED BAD SECTION OF PIPE.PREP FOR CONCRETE AND ASPHALT. <br /> Recommended Action REPAIR DRAIN LINE <br /> Approved By IJM IMHOF,JAMES M. JOb COSt If1fO�f118fi0f1(YIN) <br /> Start Date i � Time Date Completed 5�avza�z Permit No <br /> Completed By Time Follow Up? <br />