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X <br />Service Request <br />Rcmioct Infnrmatinn /1 ;1 /1 "1 1 J, n -z 1 A 1 1 1 <br />Problem Details G <br />Problem Code SGRFTI <br />Down <br />�L <br />1 - 7 <br />Down Time <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date Time <br />Left Date Left Time <br />Work Order No. <br />Comments <br />Completed By: <br />(name ..... &employee #) <br />Date: / <br />P:\ TrafficOperations \TrafficMaintenance\ Graffiti \Graffiti Hold Harmless\SR graffiti_O.doc <br />Request No <br />Date ��Time <br />ug <br />Status OP <br />Recorded By <br />Billing Code <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />City <br />Zip <br />Phone No ( ) <br />Ext <br />Second .Phone ( ) Ext <br />&Mail Address <br />Problem Information <br />Address <br />Street <br />Cross Street <br />City <br />Problem Details G <br />Problem Code SGRFTI <br />Down <br />�L <br />1 - 7 <br />Down Time <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date Time <br />Left Date Left Time <br />Work Order No. <br />Comments <br />Completed By: <br />(name ..... &employee #) <br />Date: / <br />P:\ TrafficOperations \TrafficMaintenance\ Graffiti \Graffiti Hold Harmless\SR graffiti_O.doc <br />