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S x <br /> File Edit Tools ftelp Monday,August 05,2013 <br /> 41111 A 6 <br /> Back Forward Home Refresh Print Reports <br /> Enter service request details <br /> Enter details for the service request in the fields below.Click Save and Continue when you are finished. <br /> Contact Information —— -----— CA:*here to shorn&t.* <br /> Service Request type: .Service Request <br /> ^ Service Request Information <br /> Facility ID: Billing Account ID: <br /> Record ID; SR0067711 ❑Update address <br /> Facility Name; ROBERTS ISLAND 81 DREDGED MATERIAL PLACEMENT SITE <br /> Site location: W HOUSE ROAD <br /> Copy Address With; <br /> (�-D Add a service request comment <br /> Entered date: 81512013 - Entered by: IYOAKUh Update date: - Update by: <br /> ^ Location and Owner Information <br /> Property owner: PORT OF STOCKTON <br /> Number: Direction: W - Street name: HOUSE Street type: ;RD <br /> Unit type: Unit: APN: 13123001 <br /> City: STOCKTON State: CA ZIP Code: 29206 <br /> Country: USA - Location: STOCKTON - District code:,BESTOLARIDES <br /> Phone 1: (209)946-0246 Phone 2: (925)938-1600 1 <br /> Requestor Information <br /> Rnnnratnr: 11 FSI IF SHIMnS-PROT (-TSCTFNTTST.IIRS frw <br /> B Save - 9ptions Copy Service Request Save and Continue <br /> Workflow:Add a Service Request Connected User;]YOAKUM Database:Production Server;localhost <br /> !�J Start U�Inbox-]Yoakum@sjceh.., I J RE:Robert's Island Well...I d Check a License-Licens... I Envision[onnect «® 9:34 AM <br /> Monday,Aug 05,2013 09:34 AM <br />