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� <br /> VI/ork Acti�ity Work Order <br /> ISSU�d BY AGA AHLES,GREGORY A. <br /> Issued Depardnent Pw PUBLIC WORKS <br /> Date Issued s�3izooe <br /> Fund aoi Account 5 Program »o Function �p� Activity s�a <br /> Program <br /> TiIIB REPAIR 7917 LOM�ARD AVE 710109674 <br /> Work Order No 20080776 Projecl Activily Type coaieecrr�e r.t�,ir�rerd�racE Sfatus c� <br /> Da(e 9i3izooa Time t2:oa Original WO Billing <br /> Custamer Inform :� •�n <br /> Customer Nam: Customer ld <br /> AddfE55 1917 SlfeBl LOMBARD AVE <br /> Aparfinent No City <br /> State Zip <br /> Subdivision Change P�!�p Y/N <br /> Phone No ( i • Exl <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �g» Street LOMBARD AVE <br /> From Cross Street <br /> To Cross Streel <br /> City ZiP <br /> Subdivision Map Book h1ap Reference <br /> Problem SEWER SEWER <br /> Sub Problem MAIN MAINS <br /> Requested By <br /> Dale Requested <br /> Agency Related Request <br /> Iniliated From <br /> Utilily Locate (USA) No 8286729 Called Date Expiration Date <br /> Assignment Informaticn <br /> Dept Pw r'ueuC woRi<& Priority Estimaied �iours <br /> CfCW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To SR SIERRA,RA�dON <br /> Assiqn�� By AGA AHLES, GREG(1RYA. <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken FOU.VD BAD PIPE,REPLAC�D 72'OF SEWER MAIN AND BACK FILLED WIiH CDF. <br /> Completed By sR SIERRA,RAMON Approved By <br /> Start Date i i Time Date Completed 9/10/2008 Time <br /> Job Cost Information(Y/N) Follow Up? Permit No <br /> Problem Details <br /> CAVE-IN OVER SEWER MAIN <br />