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MOM <br /> Friday,Apr 12 2013 u® <br /> Fde Adit Tods Help <br /> 4H 11 0 <br /> Bade Forward Home Rehash Pdnt Reports _. <br /> �En�visionCOOIRI <br /> Enter service request detai s <br /> Enter details far the service request in the fields below.Click Save and Continue when you are f nished. <br /> CBdrlwe roshow deralb v I <br /> U <br /> Common Tasks .. Conttttlrformatlon <br /> service Request type: ',Servke Request <br /> Print page <br /> Billing Account[D: <br /> Cancel workflow Facility ID: <br /> Record 10: 5R0066968 ❑Update address <br /> Facility Name: JB.L hLARI�T <br /> Service Request Site location: 81505 EL DORPDO STREET,FRENCiCM1P <br /> ---- ® ^^d a •vI a Mst comment <br /> Copy Address With: <br /> Vleix Related Records <br /> ---- A <br /> Update by I � <br /> 5ervke Request Entered date: 4Ji�, Update date: <br /> Location and Owner IffOrmatkn <br /> Property owner: VALDEZ,EUGENIA D-TR <br /> Direction: ❑ �I Street name: SEL DORADO Street type: 5T <br /> Number: 8150 <br /> Unit: PPN: 119317033 <br /> Unit type: <br /> City: ,FRENCH CAMP State: CA ZIP Code: 195231 <br /> Country: USA— --------�Location: ,LNINCORPORATm AREA � Districtcode: VIUAPUNU4 <br /> Phone 1: (2D9)9e2-M7 Phone 2: ;(209)S79-2221 <br /> Requester Information <br /> Requester: TODD HAMER GEOLOGIST,CARDNO ATC for <br /> Business name: CASCADEDRILI-M <br /> GO gave and Continue <br /> ®Saye Oytkns a 5opy Service Request <br /> Connected User:JVOAKUM - Database:Production '�. Server:lecalhost <br /> Workflow:Add a Service Request <a J-tl® 9:OS PM <br /> ld5tart � �` n <br /> Inhox-]Yoakum@sjceh... I EnsronCannect <br /> 53C Parcel Viewer-Micro... <br /> Friday,Apr 12,2013 04:05 PM <br />