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What is your request (Please select one)
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Turn off water
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Turn Off Water – Meter Reading (Optional)
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123
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Turn Off Water: Serial #
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12,345
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Turn Off Water: Date for requested action
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04/28/2022
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Lateral Selection
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36
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Turnouts for Lateral 36
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126
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| Contact information |
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Name
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test
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Email
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test@gmail.com
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Phone #
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(123) 456-7890
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Remarks
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turn off water
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