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_ s <br /> Fla Edd Tools Help Tuesday,May 27,2014 <br /> 40 w A 6 ea 9 <br /> Back Froward Ib, Refresh Print Reports QteckLaL ch <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 /> Service Request Type I Servke Request <br /> ej Contact Information <br /> -- — _-. - [6FMmros6arabrob . I <br /> ^ <br /> Service Request information -- <br /> Facility ID: Billing Account ID: <br /> Record ID: 5ROD69712 ❑Update address <br /> Facility Name: CITYFOODQLIQUOR <br /> Site location: 16470 CAMBRIDGE DRIVE,LATHLOP <br /> Copy Address With: <br /> {� Add a Service Raouest Comment <br /> Entered date: 5 1 Entered by; FNOA".J Update date: F Update by: <br /> ^ Lacatbn and Owner lnfarmalbrt -'- <br /> Property Owner: HRDEVA!DAMAR7lTKINpA - <br /> Number: 16470 !Direction: I�(rom) �;Street name: CAMBRIDGE Street type: DR <br /> Unit type: Unit: APN: 564 <br /> 3033 <br /> City: LATHtOP State: ',CA ZIP Code: 95330 <br /> Country: USA .I Location: LATHIOP . District code: BESTOLARIDES <br /> Phone 1: (209)321-4134 _ Phone 2: (209)579-2221 <br /> ^ Requester lnfarmatbn - - — <br /> Requester: JEANNE HOMSEY-CgRDND ATC for --- <br /> BSave - d Options ]Copy Service Request 64 <br /> Save and Continue <br /> Workflow:Add a Service Request Connected I User:]YOAKIMI '.. Database:EC PROD i Sarver;EH-ENVC <br /> d!'Start Inbox-]YoakumC4lsjceh... 116470 Cambridge Drive, EnvlsionConnect 8:05 AM <br /> Tuesday,May 27,2014 08:06 AM <br />