2004_0520 T H E• C I T T• o F Department of Public Works
COPPELL Initial Date: May 19, 2004
X..* 0
_ - --mo Final Date:
X j 5 B 9 Created By: Michael Corder
Sewer WOSS -04 -1686 Sewer Backup
Name Mr. Halvanik (H) 972 - 462 -7749 ❑ ft Door Knocker
Resident (W) Spoke to Resident
Address 205 Bayou Ct. ❑ Called Resident
Cross Street ❑ Notify Water Billing
Location Unknown
Description Res. says he is having backup problem. No one is home. Please check & leave door
knocker.
Office Comments Old Meter #
Reading
New Meter #
Reading
Assigned To Joe Garza
Personnel Assigned Hours Quantity Parts - Equipment Used
30v" e7C6--- , off T(
Field Comments:
Signature: Date: '?2:) Time:
P.O. Box 9478 - 816 S. Coppell Rd - Coppell, TX 75019 - Phone (972) 462 -5150 - Fax (972) 462 -5155