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Work Activity Work Order 12�12�Za92 8:,6 <br /> ISSUCd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Datelssued �vt�2o�x <br /> Fund so� Account s Program »o FuncGon ttf Activiry eu <br /> Program <br /> Title �NSTALL SAMPLE STATION 1019 PACIFIC AVE 710 7 1 9661 <br /> Work Order No 2���� Prol� Activity Type CORRECTIVE MAINTENANCE SiBiUS CL <br /> Status unsno�z Time oe:os _Original WO _ Billing ____..________ <br /> Customer Informatlon <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��b <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext --------- —--- <br /> Second Phone ( > • EM <br /> E-Mail Address <br /> Probl�m Infortnation <br /> Address 101D �S PACIFICAVE <br /> From Cross Sireet <br /> To Cross Street <br /> ry Zi <br /> Subdivision Map Book P Map Refsrence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> IniHated From <br /> Utiliry Locate(USA) No Called Date Expiration Date <br /> Assipoment Infortnation <br /> �P� Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date __ __ To Be Comp Date ____ <br /> Scheduled Date ___ Scheduled Time __ <br /> Route Route Sequence <br /> Commenb <br /> Action Taken INASTALL.761NCH SAMPLE ETATION.USED EXISi1NG DORMANT SEFVICE OLO ADDRESS FOR <br /> SERVICE WAS 1011 PACIFIC AVE.PLEASE NOTE:TUMMS ID STILL SMOYVS 10t1 PACIFIC AS <br /> THE ADDRES8. <br /> RecommendAd Action <br /> Approved By soct SMITH,DAVID G. JOb COSt IOfOtirl8tlOf1(YM) _ <br /> Start Date � � Time Date Completed ttrenotz Pertnk No <br />