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_ s x <br /> File Edit Tools Help �q Tuesday,April 29,2014 <br /> 1-4 1t % 7 <br /> Back Fomard Home F'4tesh Print Reports Quick Launch <br /> p Enter Service Request Details <br /> Enter details for the service request in the fields below.Click Save and Continue when you are finished. <br /> N B 1 of 1 1 Service Request Type 1 Service Request <br /> J. <br /> Contact Information Cdckhere to show deta,3s <br /> h Service Request Information <br /> Facility ID: Billing Account ID: <br /> Record ID: SR0069529 r❑PJ 74eaddressi <br /> Facility Name: RALPHS SQUARE <br /> Site location: 2122 5 AIRPORT WAY,STOCKTON <br /> Copy Address With: Add a Service Request Comment <br /> Entered date: 412912014 Entered by: JYOAKUhi Update date: 4J29J: Update by: JYOAKUM <br /> n Location and Owner Information <br /> Property owner: ,WHITE,RALPH LEE <br /> Number: 2122 Direction: 5 Street name: (AIRPORT Street type: WAY <br /> Unit type: Unit: APN: 16916201 <br /> City: -5TOCKTON State: CA ZIP Code: 195026 <br /> Country: !USA Location: 5TOCKTON - District code: VILLAPUDUA <br /> Phone 1: ;(209)464-8526 Phone 2: :(209)467-1006 <br /> RequestorInformation <br /> Requestor: DANIEL VILLANUEVA-AGE for <br /> 8 Save - [j Options -J Copy Service Request 9#Save and Continue <br /> Workflow:Add a Service Request [ Connected user:JYOAKUM Database:EC PROD Server:EH-ENVC <br /> [f}Start v i Inbox-JYoakum@sjceh... 1 6 Check a License-Licens... I L�Envision[onnect «; ® 10:24 AM <br /> Tuesday,Apr 29,2014 10:24 AM <br />