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_ sX <br /> Fie Edit Tools Help Thursday,July 03,2014 <br /> 40 '4 4 10 <br /> Back Forward Home Refresh Print Reports Qoicklarnch <br /> Enter Service Request Details <br /> Enter details forthe service request in the fields below.Click Save and Continue when you are finished. <br /> Service Request Type Service Request <br /> ___ <br /> q Contact information _.. Ckckhave to rhory cai J <br /> III - <br /> Service Request Information <br /> Facility ID: Billing Account ID: <br /> Rewrd ID: SR0070000 Update address _ <br /> Facility Name: Cuevas Property <br /> Site location: 504 E CHARTER WAY,STOCKTON <br /> Copy Address With: _. . [� Add a5eryke Request Comment <br /> Entered date: 713JZ014Entered by: IYOAKLF Update date: Update by: <br /> Location and Owner Information <br /> Property owner: Mayra Cuevas <br /> Number: F5504 Direction: E Street name: CNARTER Street type: WAY <br /> Unit type: I Unit: APN: 116715032 <br /> City: STOCKTON - State: CA ZIP Code: <br /> Country: UNITED STATES Location: STOCKTON District code: VILLAPUll ` <br /> Phone 1: ',(209)481-9950 Phone 2: 1(209)4674006 <br /> � Requeztor Information <br /> Requestor: DANIEL VILLAMIEVA-AGE for <br /> a Save • ['�Options ]Copy Service Request i4 Save and Continue <br /> Workflow:Add a Service Request I-p Connected User:JYOAKUM Database:EC PROD Server:EH-ENVC <br /> ±fart _o Inbox-JYoakumcasjceh... I ►1`EnvlslonConnect SIC Parcel Viewer-Micro...I Check a License-Livens... I I« JQ40 8:51AM <br /> Thursday,Jul 03,2014 08:51 AM <br />