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Service Request <br />Down Time <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 />Left Time /D " a-0 <br />Comments <br />Date: <br />Completed By: <br />(name ..... &employee #) <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold Harmless \SR_9raffiti_v3.doc <br />fime t-w <br />Request Information <br />Request No Date, <br />Time <br />Status OP <br />Recorded By <br />Billing Code <br />Customer Information <br />Customer Name <br />Apartment No <br />Address <br />City <br />Z(p <br />Ext <br />Second Phone <br />( ) Ext <br />Phone No ( ) <br />E -Mail Address <br />Problem Information <br />Address <br />Street <br />Cross Street <br />City <br />Problem Details <br />t1_11 L <br />0D <br />Down Time <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 />Left Time /D " a-0 <br />Comments <br />Date: <br />Completed By: <br />(name ..... &employee #) <br />P:\ TrafficOperations \TrafficMaintenance \Graffiti \Graffiti Hold Harmless \SR_9raffiti_v3.doc <br />fime t-w <br />