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r <br />- - - - -1 ,_t_-- _a:.... . n <br />Service Request <br />�- <br />Imo' <br />Problem Details 1 G-_ -\ e—' �'� _ <br />" <br />3 <br />Problem Code SGRFTI <br />Down Date <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date <br />Left Date <br />Work Order No. <br />Comments <br />Down Time <br />Left Time <br />j/ <br />l Date: �(! <br />Completed By: <br />(name ..... &employee #) <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold HanTdess\SR_graffiti_v3.doc <br />Time <br />_F Request No <br />Date� s _ <br />Time <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 ( ) Ext <br />Second .Phone ( ) Ext <br />E -Mail Address <br />Problem Information <br />Address <br />Street <br />Cross Street <br />City <br />h n <br />Imo' <br />Problem Details 1 G-_ -\ e—' �'� _ <br />" <br />3 <br />Problem Code SGRFTI <br />Down Date <br />Assignment Information <br />Assigned To Randal Dale <br />Responded Date <br />Left Date <br />Work Order No. <br />Comments <br />Down Time <br />Left Time <br />j/ <br />l Date: �(! <br />Completed By: <br />(name ..... &employee #) <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold HanTdess\SR_graffiti_v3.doc <br />Time <br />