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MOM <br /> x <br /> File Editt Tools Help Tuesday,October 29,2013 <br /> a 11 i <br /> Back Forward Home Refresh Print Reports <br /> Activdfe, s _ Enter service request details <br /> Envision Orme Enter details for the service request in the fields below.Click save and Continue when you are finished. <br /> u ,Common Tasks � Contact Information Utdrharetcshowa6talr <br /> Print page Service Request type: Service Request <br /> Cancel workflow Billing Account ID: <br /> Facility ID: <br /> Record ID: SR0068372 El Update address <br /> _ Attac"nts A <br /> Facility Name: BLUE STAR <br /> Service Request <br /> Site location: 4040 E MAIN STREET,STOCKTON <br /> ^. Copy Address With: <br /> View Related Records () Add a service request comment <br /> Service Request Entered date: 1012912 + Entered by: JYOAKUN Update date: Update by: <br /> Location and Owner Information <br /> Property owner: ANBER,KHALED <br /> Number: 4040 Direction: E Street name: MAIN Street type: -ST <br /> Unit type: Unit: APN: 15727503 <br /> City: STOCKTON State: CA ZIP Code: 95215 <br /> Country: USA Location: STOCKTON District code: RUHSTALLER,LARRY <br /> Phone 1: (415)383-4008 Phone 2: (707)523-1010 <br /> Requestor Information <br /> Requestor: DAVID V055LER-GHD FOR CVRWQCB for <br /> Business name: WOODWARDDRILLING COMPANY <br /> aSave Qptions �j]Copy Service Requestrf Save and Continue <br /> Workflow:Add a Service Request �j Connected User:JYOAKUM Database:Production Server:localhost <br /> ieStart A Inbox-]Yoakum@sjceh.,. I �SJC Parcel Viewer-Micro...i e`EnvisionConnect « ® 2:07 PM <br /> Tuesday, Oct 29,2013 02:07 PM <br />