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Servi�r.e Request <br />Request Informatiun <br />Request No oo�2z�sa Date 81112073 <br />Recorded By MBR MOSS, BF;1.4N R. <br />Billing Code <br />Customer Information <br />Customer Name DICKENSON, ai;.� <br />Address 4811 GCEAN AVE <br />Apartment No City <br />Phone No ( a25 j 3aa-5972 Ext <br />E-Mail Address <br />Problem Information <br />Time oa:s� Status woc <br />Customer ld <br />Zip <br />Second Phone ( ) <br />Address aett Street OC=P.N AVE <br />From Cross Street <br />Initiated From PUBLIC PUDIIC <br />To Cross Street <br />City Subdivision <br />Problem Details LEAK AT MFTER OR BETWEEI� METER AND STREET <br />Probiem WATER <br />Sub Problem LEAK <br />Down Date <br />Assignment Information <br />Assigned To Cs� <br />Responded Date <br />Left Date <br />Work Order No. zotateoz <br />Action Taken <br />Completed By: <br />Logged By <br />WATER <br />LEAK <br />Down Time <br />CA'/ANAH, SHANE G. <br />Respon�ed Time <br />Left Time <br />Date: � � <br />Ext <br />