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I <br /> _]E <br /> File Edit Tools Help Monday,February 03,2014 <br /> Back Forward Home Refresh Print Reports QulckLaunch i <br /> Enter Service Request Details <br /> Enter details forthe service request in the-fields below.Click Save and Continue when you are finished <br /> ..� ._ _R -._ _..... _ a•�� ��.....w .. ._ ..n_. ._ .- r �q� ._ ._. ._ •r <br /> i <br /> Contact Information CGokheretoshow <br /> afetads <br /> f <br /> Service Request Type: 15ervice Request + i <br /> I <br /> ' I <br /> Service Request Information <br /> ' Facility ID: ( - , Billing Account IDi 1• Y — ` <br /> r Record ID [M00Ci897S ( Update address n <br /> Facility Name: 76 STOCKTON 11192 <br /> n _ P I <br /> } Site location 1403 COUNTRY GM BLVD,STOCKTON , <br /> Copy Address With.I + Add a Service Request Comment <br /> Entered date:12�3J2014 Y + Entered by: JYOAKUh Update date: �� Update by: �� w <br /> " I <br /> A Location and Owner Infonnaton <br /> Property owner: 1COWMMYCEAtTAILERSLLC <br /> Number: 11403I Direction: r��.�Street name: (COUNTRY CLUB I Street type: 8LV0 <br /> Unit type: 1 Unit: I APN: 12323246 1 <br /> City: ISTOCKTON + State: CA; ZIP Code: 95204 <br /> Country: USA -'Location STOCKTON * District code.IRUNSTALL�ER,LARRY + <br /> Phone 1: (510)245-4423 I Phone 2:1(209)579-2221 <br /> -------------- <br /> Requestar Information �... __._... ... _._...____.�.u._... <br /> Requester: JEANNEHOM5E1f-CARDNOATC far <br /> Save [ Options J Copy Service Request Save and Continue <br /> Workflow:Add a Service Request I Connected I User JYOAKUM 1 Database.EC PROD Server EH MC I <br /> v <br /> ,5t t Inbox_lYoakum�sjceh 57C Parcel Yrewer-1+9cr I��l 1403 Country dub Bfvd, I Envision[onnett, I K Q® 11 00 <br /> . a — <br /> I <br /> i <br /> i <br /> Monday,Feb 03,2014 11:00 AM <br />