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X <br /> Ede edit Ioals telp Thursday,September 05,2013 <br /> Back Forward Home Refresh Print Reports <br /> Enter service request details <br /> 9 Enter details forthe service request in the fields below.Click Save and Continue when you are finished. <br /> Contact Information �rkhcre M slwar detaLr <br /> Service Request type: Service Request <br /> Service Request Information <br /> - - - -- <br /> Facility ID: Billing Account ID: <br /> Record ID: SR0067958 Update address <br /> Facility Name: WILLIAMSTANKLINE-ACCIDENT —� <br /> Site location: 22934 E MARIPOSA ROAD <br /> Copy Address With: 19 <br /> Add a service request comment <br /> Entered date: 9512013 - Entered by: I3Y0AKLWI Update date: - Update by: <br /> A Location and Owner Information <br /> Property owner COUNTY OF SAN 30AQUIN <br /> Number: 22934 Direction: E Street name: MARIPOSA Street type: RD <br /> Unit type: Unit: APN: ROW <br /> City: ,ESCALON - State: ; ZIP Code: 95320 <br /> Country: USA - Location: ESCALON District code: VOGEL,�KEN <br /> Phone 1: (209)468-3057 Phone 2: 1(916)851-0174 <br /> q I <br /> � Re uestor Information <br /> P eni irctnr: MT(-HAFI VAN r)FN FNDFN-APFX FNVTR()NMFNTAI frw <br /> 8 Save � [�J gptions LJ Copy Service Request Save and Continue <br /> Workflow:Add a Service Request Connected i User:]YOAKUM Database:Production Server:localhost <br /> 'Start Inbox-]Yoakum@sjceh... I J RE:Encroachment Permi... I k��EnvisionConnect Sic Parcel Viewer-Micro...I « :,' U® 2:34 PM <br /> Thursday,Sep 05,2013 02:34 PM <br />