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Location / Address of Incident
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Test Notification
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Trouble Order Number
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1234567
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Business Group
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Central District
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Date of Incident
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08/12/2021
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Time of incident:
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01:00 pm
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Are media on-site?
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No
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Major cross street:
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N/A
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Size of main:
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N/A
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Type of main:
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Cast iron
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System elevation zone
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N/A
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Description of Incident
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This is only a test.
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Action taken:
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N/A
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Injuries:
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No injuries observed
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Property damage?
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No
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Describe property damage if any:
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N/A
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Describe street damage if any:
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N/A
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Street closure required?
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No
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Describe street closure and anticipated duration if needed:
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N/A
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Estimated date and time of service repair/restoration:
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1:01 PM
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Area and number of customers affected:
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N/A
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Type of customers affected:
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Boil water notice required?
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No
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Incident Commander (IC)
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John Doe
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IC cellphone number:
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(213) 456-7890
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Responsible Manager:
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Jane Doe
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Manager phone number:
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(213) 765-4321
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This report submitted by:
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Jim Doe
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Submitter's contact phone:
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(213) 654-3210
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Enter an alternate Email address:
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1628798231860
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