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What is your request (Please select one)
  Turn off water
Serial #
  12,345
Date for requested action
  04/29/2022
Lateral
  15
Turnout for Laterals starting with 15
  79
Contact information
Name
  test
Email
  test@gmail.com
Remarks
  This is a test to see if Ditch Rider 2 receives text on phone.