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�� �� T���� � <br /> Work Activity Work Order ` �'r ' <br /> Eiz,;zo;�E �:s� <br /> ISSUBd By CAG CRUM,GERRY <br /> Issued Departmentrw PUBUC WORKS <br /> Date Issued 6r2nzooe Aclivib <br /> Fund aot Accounl s Program »o Function »y I 677 <br /> Program <br /> TiIIC TAP 81NCH 2300 PACIFIC AVE 710119673 <br /> WOfk O�dOf NO Z�06��3� PfOJBGI Activily Type CORRECTIVE MAINTENANCE $f8fU5 PR <br /> Date s�znzoo� Time or52 Of191f181 WO 20061132 Billing <br /> Customer Information <br /> Cuslomer Name Cuslomer ld <br /> Address Street <br /> P,partment No City <br /> State Z�p <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 2300 Street pqCIFIC AVE <br /> From Cross Streel <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Probiem <br /> Sub Problem <br /> Requested By Date Requested <br /> Age�cy Related Request <br /> Initiated From <br /> Utility Locate (USA)No Called Date Expiration Date <br /> Assignment Infortnation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dafe To 8e Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Roule Sequence <br /> Comments x+ <br /> Action Taken <br />