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Service Request <br />Problem Details % <br />Problem Code SGRFT1 <br />Down Date Down Time <br />[Assignment information <br />Assigned To Randal Dale <br />r Responded Date Time <br />Left Date <br />Work Order No. <br />Comments <br />Completed By: Date: <br />p <br />—L (name ..... &emnip oyee <br />U <br />P:\TrafficOperations\TrafflcMaintenance\Graffiti\draffiti Hold Harmless\SR <br />Left Time <br />Request NoD5ate <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 <br />Ext <br />Second Phone Ext <br />E-Mail Address <br />Problem Information <br />Address <br />Street <br />Cross Street <br />City <br />Problem Details % <br />Problem Code SGRFT1 <br />Down Date Down Time <br />[Assignment information <br />Assigned To Randal Dale <br />r Responded Date Time <br />Left Date <br />Work Order No. <br />Comments <br />Completed By: Date: <br />p <br />—L (name ..... &emnip oyee <br />U <br />P:\TrafficOperations\TrafflcMaintenance\Graffiti\draffiti Hold Harmless\SR <br />Left Time <br />