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Work Activity Work Order <br />ISSUBd By SJT2 SPOONER, JAMES T. <br />Issued DepartmentPW rueucwoRKS <br />Date Issued snn2o�t <br />Fund aot Account s Program »o Function ��5 <br />Program <br />TIfIB REPAIR .751NCH 3714 22ND ST 710119675 <br />Work Order No L0110926 Project Activity Type SERVICE RE�UEST <br />Status smnot t Time ta:aa Original WO _ _ _ _ _ _Billing_ _ __ _ _ <br />Customer Information <br />Customer Name NELSON, GEORGE <br />Address z2t5 <br />:apartment No <br />State <br />Subdivision <br />Phone No ( az5 ) 2zoaoz5 <br />Secand Phone ( > - <br />E-Mail Address <br />Problem Information <br />Address 3714 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />S�t22t CLEVELAND AVE <br />City <br />Zip <br />Ext <br />Ext <br />Street pZND ST <br />Problem WATER WATER <br />Sub Probiem LEAK LEAK <br />Requesled By HSR HOFFMAN, STEVEN R. <br />Agency <br />Initiated From Pueuc Pusuc <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To SJT2 <br />Assigned By <br />Assigned Date <br />Scheduled Date ,____ ._ <br />Route <br />C�mments <br />Map Book <br />Called Date <br />SPOONER, JAMES T. <br />To Be Comp Date <br />Sched��led Time <br />Route Sequenc�� <br />Customer ld <br />Zip <br />Change Map YIN <br />Niap Reierence <br />Expiration Date <br />Page 1 <br />7/?3/2011 10:36 <br />Activity s�5 <br />Status c� <br />Dale Requested 6�y7�zot� <br />Related Request 000952z2 <br />Priority Estimated Hours <br />Action Taken pINHOLE LEAK ON .751NCH SERVICE NEAR MAIN. CUT OUT OLD POLY AND PUT IN 5 FEET <br />OF NEW .751NCH POLY FRCM MAIN EAST. <br />Recommended Action <br />Approved By s�c SnnirH, anvio c. Job Cost Information(YIN) <br />Start Date i � Time Date Completed s�in2m1 Permit No__ <br />Completea Ry Time Follow Up? <br />