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-x <br /> Fie Edt Tools Help Mondry,January 13,2014 <br /> 0 4 A S i � <br /> Back Forward Home Refresh PrintReports QWdeLaurch <br /> 'a Enter Service Request Details <br /> JEnterdetailsfortheservice request in the fields bah w.Click Save and Continue when you are finished. <br /> Contact Information C6rkheatDshowoefads <br /> I— Service Request Type: Service Request <br /> Service Request Information <br /> Facility ID: <br /> .---_----- <br /> Billing Account ID: <br /> Record ID: SR0068813 ❑Update address <br /> Facility Name: 3 M EQUIPMENT COMPANY <br /> Site location: 11245 W CHARTER WAY,ST TON <br /> Copy Address With: ', Add a Service Request Comment <br /> Entered date: '111312014 Entered by: JYOAKUh Update date: - Update by: F <br /> I <br /> Location and Owner Information <br /> Property owner: GEO PROPERTIES INC <br /> Number: 11245 Direction: W Streetname: CHARTER Streettype: IWA� Y <br /> Unit type: Unit: APN: 16323034 <br /> City: ISTOIXTON - State: CA ZIP Code: 95206 <br /> Country: USA Location: STOCKTON _ - District code: VILLAPUDUA <br /> Phone 1: (209)848-3272 Phone 2: (209)522-4119 <br /> A Requester Information <br /> Requestor. RAYNOLD DABLANOW I I,E GROUND ZERO ANALYSIS INC for <br /> B Save - [j Options CLI Copy Service Reque v#Save and Continue <br /> Workflow:Add a Service Request Connected User]YOAKUM I Database:EC PROD I Server EH-ENVC <br /> [(t,5tanh JJ Inbox-iYoakum@sjceh... I EnvlslonCo nett 1245 W Charter Way,St...I «® 10:13 AM <br /> Monday,Jan 13,2014 10:13 AM <br />