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Work Activity Work Order <br />ISSl1Bd BY CSG CAVANAH, SHANE G. <br />Issued DepartmentPw PUBLICWORKS <br />Datelssued v9no�a <br />Fund a0� Account 5 Program �fo <br />`' i, � <br />Program i>c� �� <br />TItl2 REPAIR G INCH MAIN 2i25 120 TH 710119G7J <br />Function i�g <br />Work Order No 20100106 Project Achvity Type SERVIC[ REOUEST <br />Status ii3rzoio Time u�o Original WO Billing <br />Customer Informatfon <br />Customer Name SMITH, DICK <br />Address zxzs <br />Apartment No <br />State <br />Subdivision <br />Phone No � azs 1 �79�8717 <br />Second Phcme � � - <br />[-Mail Address <br />Problem Information <br />,lddress Z2Z5 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem WATER WATER <br />Sub Probiem LEAK LEAK <br />Requested 8y s�r sicncFN, �Err��r_r r <br />Agency <br />IniUated From PUBLIC �uouc <br />Utihty Locate (USA) No <br />Assignment Informatlon <br />Dept PW �uouc wor�Ks <br />Crew <br />Con�raclor <br />Assigned To csc <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Street tzorH P� s� <br />City <br />Zip <br />Ext <br />Ext <br />Streel �yOTH PL SE <br />Map Book <br />Called Date <br />CAJANAH.SHAN[ G <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Cuslomer ld <br />Zip <br />Change Map Y/N <br />Map Reference <br />Expiretion Date <br />=�; 1 <br />Activity en <br />St8fU5 CL <br />Date Requested v9noto <br />Related Request 000eesaz <br />Pnonty Estimaled Hours <br />Action Taken INSTALLED 6 F[ET OF 6 INCH DI PIPE WITH ROMAC COUPLINGS <br />Recomrnended Action <br />Approved By csc cnvnNni+ sii.�N� a Job Cos� Information(Y/N) <br />Start Date � , Time Date Completed ve�zoso Permil No <br />Completed [3� Time Follow Up� <br />