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What is your request
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Turn off water
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Turn Off Water – Meter Reading Required
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123.45
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Turn Off Water: Serial # Required
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12,345
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Turn Off Water: Date for requested action Required
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04/27/2023
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Lateral Selection
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0SP
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Turnouts for Lateral 0SP
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1B
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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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This is a test
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