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Work Activity Work Order <br />Page 1 <br />11/12/2010 8:06 <br />ISSUOd By AGA AHLES, GREGORY A. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued �oieizo�o <br />Fund aot Account 5 Program �to Function �z3 Activity 673 <br />Program <br />TitIE REPAIR 8130 XAVIER WAY 710123673 <br />Work Order No 20��Z54� Project Activiry Type CORRECTIVE MAINTENANCE $18�U5 CL <br />Status___ _ �oieizoio Time toz� Original WO _ _ _____ Billing_ _ __ __ _ <br />Customer Information <br />Customer Name <br />Address 8130 $I(0EI XAVIER WAY <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( ) • Ext <br />Second Phone ( ) • Ext <br />E-Mail Address <br />Problem Information <br />Address 8130 Street XAVIER WAY <br />From Cross Street <br />To Cross Street <br />City ZiP <br />Subdivision Map Book <br />Problem DRAIN DRAINAGE <br />Sub Problem DL DRAIN LINES <br />Requested By <br />Agency <br />Initiated From <br />Ulility Locate (USA) No io22otos Called Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />Cf�W SCONST SEWER CONSTRUCTION (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 />Route Route Sequence <br />Comments <br />Customer ld <br />Priority <br />Change Map YIN <br />Map Reference <br />Date Requested <br />Related Reyuest <br />Expiration Date <br />Estimated Hours <br />Action Taken REPAIRED 8" D.L. REMOVED �AMAGED PIPE REPLACE WIPVC. BACKFILLED WIGRAVEL <br />COMPACTED FOR ASPHALT. ADDEO TOP SOIL AND SEEDED SHOULDER. <br />Recommended Action EXCAV�TE BROKEN PIPE AND REPAIR <br />Approved By IJM IMHOF, JAMES M. JOb COSi IflfOffTlati0fl(YIN) <br />Start Date � � Time __ _ Date Completed torenoto __ Permit No __ <br />Compleled By Time Follow Up9 <br />