EMLCFM 00001A USAS 01/01/19 13:23:45 A121231234-00A NEW NORM POLY LREQ

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Ticket: A121231234 Rev: 00A Created: 01/01/19 13:22 User: JSCHWILK  
Type: NEW Priority: NORM Category: LREQ Chan: WEB

Work Start: 01/03/19 17:01 Legal Start: 01/03/19 17:01 Expires: 01/29/19 23:59
Response Required: Y Priority: 2

Excavator Information
Company: ABC COMPANY Type: CONT
Co Addr: 123 MAIN ST
City   : SOMEWHERE State: CA Zip: 12345-1234 
Created By: JIM SCHWILK Language: ENGLISH
Office Phone: 123-123-1234 x12345 SMS/Cell: 123-123-1234
Office Email: JIM@DOMAIN.COM

Site Contact: JAMES WINGATE
Site Phone: 123-123-1234 x12345 Site SMS/Cell: 123-123-1234
Site Email: JAMES@DOMAIN.COM

Excavation Area
State: CA County: LOS ANGELES Place: CARSON 
Zip: 90001,90002
Address: 12345 Street: MAINE ST
Cross 1: 1ST ST
Cross 2: 
Location: DOG IN YARD
Searchable Tags: #pipe-burst #microtrench 
Job Size: sq-feet: 5700.00 sq-miles: 0.000204

Delineated Method: WHITE PAINT
Work Type: REPAIR AND REPLACE SOMETHING
Work For: JOES RESTAURANT
Permit: 123456789ABC Job/Work Order: AB123456
Project ID:  
Project Name: 
1 Year: N Boring: N Street/Sidewalk: Y Vacuum: Y Explosives: Y Pavement Only: N

Lat/Long
Center Generated (NAD83): ##.######/-###.###### ##.######/-###.######
                        : ##.######/-###.###### ##.######/-###.######
Excavator Provided: ##.######/-###.###### ##.######/-###.###### ##.######/-###.######
                  : ##.######/-###.###### ##.######/-###.###### ##.######/-###.######
                  : ##.######/-###.###### ##.######/-###.###### ##.######/-###.######
                  : THIS FIELD DOES NOT HAVE A HAVE A PREDETERMINED MAXIMUM LENGTH.  
                  : PLEASE SET SQL TO TEXT. EACH LINE WILL HAVE A MAXIMUM OF 3
                  : LAT/LONGS.

Map Link:
https://somelink.doamin.com/linkinformationhereandthiscouldbealongstring

Members:
MEMBERCODE1 MEMBER NAME               CONTANCT NAME            123-123-1234
MEMBERCODE2 MEMBER NAME               CONTANCT NAME            123-123-1234
MEMBERCODE3 MEMBER NAME               CONTANCT NAME            123-123-1234
MEMBERCODE4 MEMBER NAME               CONTANCT NAME            123-123-1234
MEMBERCODE5 MEMBER NAME               CONTANCT NAME            123-123-1234
MEMBERCODE6 MEMBER NAME               CONTANCT NAME            123-123-1234
MEMBERCODE7 MEMBER NAME               CONTANCT NAME            123-123-1234
MEMBERCODE8 MEMBER NAME               CONTANCT NAME            123-123-1234

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