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Service Request <br />Reauest Information <br />Problem Details fi;j a7 -2 q�� <br />Ar ., / <br />n e. i ` ✓ '' { l � « �` s J r k. I <br />Problem Code SGRFTI <br />Down Date <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 />.� <br />Completed By: .r Date: <br />(name ..... &employee #) <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold Harmless\SR_graffiti _ v1doc <br />Request No <br />Date <br />_ lq�,!� <br />Time <br />Status OP <br />Recorded By <br />Billing Code <br />Customer Information <br />-eyo-r ,, <br />Customer Name <br />Address (� <br />Apartment No <br />City <br />Zip <br />Phone No ( ) <br />Ext <br />Second Phone ( ) Ext <br />E -Mail Address <br />Problem Information <br />Address <br />S eet <br />Cross Street <br />City <br />Problem Details fi;j a7 -2 q�� <br />Ar ., / <br />n e. i ` ✓ '' { l � « �` s J r k. I <br />Problem Code SGRFTI <br />Down Date <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 />.� <br />Completed By: .r Date: <br />(name ..... &employee #) <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold Harmless\SR_graffiti _ v1doc <br />