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� <br />Service Request <br />Request Informrtion <br />RequestNo 000�so2o Date o3/ia/zooz Time ��°�� <br />RCCOidCa By HSR HOPFMlUJ, STBV�1 R. S1flh1S �p <br />Department <br />Initiated From p�LIC PVBLIC <br />Billing Code <br />Custoroer Informatton <br />Ficst Name cRac <br />Address <br />Building <br />City <br />Phone ( azs ) soe-+o9a <br />Last Name �s DSROOTfiR <br />Apaitment No <br />Zip <br />Ext Altemate Phone ( <br />Problem Intormation <br />Ad�TCSS 2607 HARRISON AVB <br />Cross Street <br />City <br />Problem Details pLUGGBD SIDS SSWSR. STAT6D HIS ROOTER OPBRATOR AT <br />IACATION RfiPORTS ROOTBR HAS NENT OUT 80' STILL <br />PLUGG6D. <br />Problem S6NER SGWER <br />Sub Problem ss SIDS SEWBR <br />Down Date Down Time <br />Assignment Information <br />Serviced By w�x waar�ex, i,axxx x. <br />Dispatched By <br />Responded Date o3/i+/zooz Responded Time <br />Wotk Order No ap p� O�o i� i� <br />Activity Informadon ��_ <br />Completed By S'`'t <br />Completed Date S ' �' - O � <br />Action Taken � ROTO-ROOTSR. VACfOR OPBNSD IN STREET. TV'6D <br />LINfi,NHBDS RfiPAIR6D. GAVE TO ORBG POR RHPAIR3. <br />User Defined <br />) <br />Page 1 <br />03/14/2002 15:39 <br />Ext <br />