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NO i��f `b� alA��� <br />Work Activity Work Order <br />ISSll2d By AGA AHLES, GREGORY A. <br />Issued Departmentaw PUBLICWORKS <br />Date Issued 9123I2070 <br />Fund ao� Accounts Program �io Function �os <br />Program <br />Tlll@ REPAIR 6520 WILLOW RD 710109671 <br />Work Order No 20102495 Project Activity Type SERVICE REQUEST <br />Status v2�rzoio Time �o:zt _Original WO __ _Billing <br />Customer Informatton <br />Customer Name MOORE, KIM <br />Address Street <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( ) • Ext <br />Second Phone ( 1 • Ext <br />E-Mail Address <br />Problem Iniortnation <br />Address Street WILLOW RD <br />Customer ld <br />From Cross Street E BEECH ST <br />To Cross Street <br />City Z�P <br />Subdivision Map Book <br />Problem SEWER SEWER <br />Sub Problem MANHOL MANHOLES <br />Requested 8y HSR HOFFN:4N, STEVcN R. <br />Agency <br />Initiated From INTER INTERNAL <br />Utility Locate (USA) No �o2oeae� Called Date <br />Assignment Information <br />Dept PW PUBLICWJRKS <br />C�BIV SCONST S: WER CONSTRUCTION (AHLES) <br />Contractor <br />Assigned To oss OLHAVA, BRAU S. <br />Assigned By AGA AHLES, GREGORY A. <br />Assigned Date _ _ To Be Comp Date <br />Scheduled Date Scheduled Time _ <br />Route Route Sequence <br />Comments <br />Change Map Y/N <br />Map Reference <br />Paga 1 <br />10/28/2010 9:38 <br />Activity fi�t <br />Status c� <br />Date Requested 9naitoto <br />Related Request 00091Y58 <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken EXCAVATED SINK HOLE FOUND POOR COMPACTION. COMPACTED FILLEO WITH CDF. <br />Recommended Action EXCAVATE SINK HOLE AT MAN HOLE AND REPAIR PROBLEM <br />Approved By <br />Start Date <br />Completed By <br />OBS OLHAVA, BRAD S. <br />� i Time <br />Job Cost Information(YIN) <br />Date Compieted y�znso�o <br />Time Follow Up? <br />Pertnit No <br />�3 <br />