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r l <br /> Page 1 <br /> Service Request 10/30/2017 11:10 <br /> Request Information / <br /> Request No 00164053 Date 313112017 Time 08:31 Status ,PR <br /> Recorded By GCR GRENZNER,CHRIS R. 1 <br /> Billing Code lam• <br /> Customer Information <br /> Customer Name Customer Id <br /> Address <br /> Apartment No City Zip <br /> Phone No ( ) Ext Second Phone ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1210 Street PACIFIC AVE <br /> From Cross Street NORTON AVE To Cross Street <br /> Initiated From INTER INTERNAL <br /> City Subdivision <br /> Problem Details TV INSPECTION SHOWS BROKEN STAND PIPE NEEDING REPAIR.SS3095B060. <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Down Date Down Time <br /> Assignment Information <br /> Assigned To OBS OLHAVA,BRAD S. <br /> Responded Date Responded Time <br /> Left Date Left Time <br /> Work Order No. <br /> Action Taken 10128117-AFTER HOURS CALLOUT.OPENED AT TOP OF STAND PIPE.GCR. <br /> 10130/17-TV'ED,HOLE AT TOP OF STAND PIPE.GCR. <br /> Completed By: Date: Q 1 i 117 <br /> Logged By <br /> Pe*ctLrde Sewti <br />