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K X <br /> E0e Fdit Loris Lielp Monday,August 05,2013 0 <br /> Back Forward Home Refresh Print Reports <br /> T 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 Cliotheretoa5arrdelau� <br /> Service Request type: Service Request <br /> Service Request Information <br /> Facility ID: Billing Account ID: <br /> Record ID. SR0067716 ❑Update address <br /> Facility Name: ROBERTS ISLAND*1 DREDGED MATERIAL PLACEMENT SITE <br /> Site location: W HOUSE ROAD <br /> Copy Address With: Q Add a service reauestcomment <br /> Entered date: 8512013 - Entered by: JYOAKUh Update date: - Update by: �— <br /> Location and Owner Information <br /> Property owner: RIPKIN,ROBERT L.TRUST ETAL <br /> Number: Direction; W - Street name: HOUSE Street type: RD <br /> Unit type: Unit: - � APN: 13122010 <br /> City: STOCKTON - State: CA ZIP Code: 95206 <br /> Country: USA - Location: STOCKTON - Districtcode: 1BESTOLARIDES �I <br /> Phone 1: (209)946-0246 Phone 2: (925)938-1600 <br /> Requestor Information <br /> R P n i i r.ctn r. I F51 TF 5HTFI DS-PR01FCT SCTFNTTST.I IRS fnr <br /> 8 save - [�options [ appy Service Request fry have and continue <br /> Workflow:Add a Service Request Connected User:3YOAKUM Database:Production Server:localhost 1 <br /> j'Start Inbox-JYoakum@sjceh... J RE:Robert's Island Well...I of EnvisionConnect SJC Parcel Viewer-Micro...I «® 10:13 AM <br /> Monday,Aug 05,2013 10:13 AM <br />