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Service Request <br />I <br />r. <br />Rpoupst Information % <br />Problem Details <br />Problem Code SGRFTI <br />Down Date I 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 />(riame ..... &empioyee #) <br />Date: <br />P:\TrafficOperations\Traff-IcMaintenance\Graffiti\Graffiti Hold Harmless\SR_graffiti_v3.doC <br />Request No <br />Date <br />Time <br />St atus 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 E.xt <br />E-Mail Address <br />— Fr — obiem information <br />Address <br />Street <br />Cross Street <br />City <br />Problem Details <br />Problem Code SGRFTI <br />Down Date I 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 />(riame ..... &empioyee #) <br />Date: <br />P:\TrafficOperations\Traff-IcMaintenance\Graffiti\Graffiti Hold Harmless\SR_graffiti_v3.doC <br />