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X <br /> File Edt Tools Help �g Monday,January 13,2014 A <br /> 41 W 1 $ • - <br /> Back Forward Home Refresh Print Reperts Qulcklaunch <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 /> 64 Contact Information Cickhere to-MowaWab v <br /> Service Request Type: 'TSvvlce Request <br /> Service Request Information <br /> Facility ID: Billing Account ID: <br /> Record ID: SR0068621 ❑Update address <br /> Facility Name: jSTOCKTON SOLVENT PLUME <br /> Site location: PACIFIC AYEMIE AT BEN HOLT <br /> Copy Address With: Add a Service Request Comment <br /> Entered date: 111312014 Entered by: FNQAKL&� Update date: - Update by: <br /> Location and Owner Information <br /> Property owner: LINCOLN PROPERTIESLTD <br /> Number: ,864 Direction: i(mne� Streetname: BEN3AMINHOLT Street type: DR <br /> Unit type: Unit: APN: :09741073 <br /> City: STOCKTON - State: iA ZIP Cade: 95207 <br /> Country: USA Location: STOCKTON iii District code: RUHSTALLER,LARRY <br /> Phone 1: (209)478-9200 1 Phone 2: (916)924-9378 <br /> Requester Information <br /> Requestor SARAHPIPFR-ERMfor <br /> 8 Save - [j Option Copy Service Request 6t#Save and Continue <br /> Workflow:Add a Service Request Connected I User:JVOAKUM I Database:EC PROD I Server:EH-ENVC <br /> (Jn Stent L01Inbgx-JYeakum@siceh... I LEnvisfonConrrect aCheck a license-Llcers... I «u® 1:37PM <br /> Monday,Jan 13, 2014 01:37 PM <br />