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Page 1 <br /> Work Activiiy Work Order 4/19/2012 �5:�� <br /> ISSUBd By � AGA AHLES,GREGORY A. <br /> Issued Department Pw FUBLIC WORKS <br /> Date Issued v5izo�z Activi <br /> Fund ao� Account s Program ��o Function �2s �Y 673 <br /> Program <br /> TIIIC' REPAIR 7010 PARK DR 710123673 <br /> Work Order No 20120183 Project Activity Type SERVICE REQUEST Status c� <br /> Status______ usrzolz _ Time �s:53 Original WO Biiling _ <br /> Customer Information Customer ld ' <br /> Customer Name CITI2EN <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext _ _ <br /> Second Phone ( 1 - Ext <br /> E-Mail Address — <br /> Problem Information � <br /> Address Street RAINIER DR <br /> From Cross Street <br /> To Cross Street pARK DR ZiP <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem ORAIN DRAINAGE <br /> Sub Problem DL DRAIN LINES Date Requested 91812011 <br /> Requested By GGW GR4VES,GARY W. <br /> Related Request oo�o�esa <br /> Agency <br /> Initiated From rueuc Pueuc Ex iration Date <br /> Utility Locate (USA) No 11271808 Called Date P <br /> Assignment Intormation <br /> Dept Pw PueuCwoFKs Priority Estimated Hours <br /> Cf@W SCONST SEWER CONSTRUCT�ON(AHLES) <br /> Contractor <br /> Assigned To IJM IMHOF,JAMES M. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date __ _ _ _ To Be Comp Date _ __ __ <br /> Scheduled Date _.. Scheduled Time _ _ _ _ . <br /> Roule Route Sequence <br /> Comments <br /> Action Taken VACTORED TO 12 INCH CO��CRETE PIPE.FOUND OPEN JOINT.FILLED JOINT WITH OAKUM 8 <br /> MORTAR.WRAPPED WITH FIBERGLASS MESH AND MORTAR.BACK FILLED WITH CDF.PREP FOR <br /> ASPHALT PATCH.AWVJD ON SITE. <br /> Recommended Action EXCAVATE CAVE-IN AND FEPAIR PROBLEM <br />