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Service Request <br />Problem Details iA. <br />Problem Code SGRFTI <br />Down Date Down Time <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date Time <br />Left Date Left Time <br />�a <br />Work Order No. <br />Comments cl• 4� <br />Completed By: ' <br />/ "Ir Date: <br />name ..... &employee U <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold Harmless \SR_graffiti_vIdoc <br />Request No <br />Date ' ` 3 n <br />Time Status OP <br />� <br />Recorded By <br />Billing Code <br />Customer Information <br />Customer Name <br />Apartment No <br />Address <br />City <br />Zip <br />Phone No ( ) <br />Ext <br />Second Phone ( ) Ext <br />E -Mail Address <br />Problem Information <br />Address <br />Street <br />Cross Street <br />Problem Details iA. <br />Problem Code SGRFTI <br />Down Date Down Time <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date Time <br />Left Date Left Time <br />�a <br />Work Order No. <br />Comments cl• 4� <br />Completed By: ' <br />/ "Ir Date: <br />name ..... &employee U <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold Harmless \SR_graffiti_vIdoc <br />