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x <br /> File Edit Tools Help Monday,January 13,2014 <br /> 4W 9110 1 f& & V <br /> Back Forward Home Refresh Print Reports Qukklaunch <br /> p Enter Service Request Details <br /> NEnter details for the service request in the fields below.Click Save and Continue when you are finished. <br /> i <br /> Contact Information <br /> Gfick here to s>•ao+v detadr v <br /> Service Request Type: Service Request - <br /> Service Request Information <br /> Facility ID: Billing Account ID: <br /> Record ID: 5R0068815 <br /> ❑Update address <br /> Facility Name: WEST CLAY PROPERTIES <br /> Site location: 639 W CLAY STREET <br /> Copy Address With: n Add a Service Request Comment <br /> Entered date: 111312014 Entered by: JYOAKUh Update date: Update by: <br /> Location and Owner Information <br /> Property owner: DSS COMPANY CORP <br /> Number: 639 Direction: W Street name: CLAY Street type: ST <br /> Unit type: Unit: APN: 14707107 <br /> City: STOCKTON - State: CA ZIP Code: 95206 <br /> Country: USA - Location: STOCKTON - District code: VILLAPLK)UA <br /> Phone 1: (209)948-0302 - Phone 2: (209)467-1006 -- <br /> Requestor Information <br /> Requestor: WILLIAM LITTLE-ADVANCED GEO ENVIRONMENTAL for - <br /> ®Save - I,_,j Options J Copy Service Request 6+Save and Continue <br /> Workflow:Add a Service Request Connected User:JYOAKUM Database:EC PROD Server:EH-ENVC <br /> 41YStart , Inbox-JYoakum@siceh... I LL EnvisionConnect SJC Parcel Viewer-Micro...( cc m 11:38 AM <br /> Monday,Jan 13,2014 11:38 AM <br />