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Work Activity Work Order <br />Page 1 <br />9/21/2013 11:38 <br />ISSU2d By SJT2 SPOONER, JAMES T. <br />Issued Department aw PUBLIC WORKS <br />Date Issued 818/2013 <br />Fund ao� Account s Program �io Function »y Activity 664 <br />Program <br />TIllO INSTALL SAMPLE STN 3005 GRF�ND AVE 710119664 <br />Work Order No 2��3�799 PfOJECt Activity Type CORRECTIVE MAINTENANCE $fBfUS CL <br />Status 818/2073 Time �z:i5 Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) <br />Second Phone ( ) <br />E-Mail Address <br />Problem Information <br />Address 3005 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Ulility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Street <br />Cily <br />Zip <br />Ext <br />Ext <br />Street GRAND AVE <br />Map Book <br />Called Date <br />To Be Comp Dale <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priori;y Estimated Hours <br />Action Taken NSTAIL .75 INCH SAMPLE STATION WITH GREEN TAMPER RESISTANT BOX ON 12 INCH WATER <br />MAIN AT WALL ST AND GRAND AVE. SAMPLE STATION IS APPROX. 80 FEET EAST OF GRAND <br />AVE BEHIND THE SIDEWALK ON THE SOUTH SIDE OF WALL ST. <br />Recommended Action <br />Appreved By WDL WEAVER. DEAN L. <br />Start Date i � Time <br />Job Costlnformation(YIN) <br />Date Completed BI8I2013 Permit No <br />