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Utility Locate Request Form Date: Friday, July 30, 2010 12:39:42 PM Contact Person:   Contact Phone Number: (xxx) xxx-xxxx    Alternate Contact Person: Alternate Phone Number: (xxx) xxx-xxxx  Company Name: Fax Number: (xxx) xxx-xxxx  Email Address:   Type of Work:   Location/Address/Boundries of Excavation:   Nearest Intersection or Address: Desired Locate Date/Time:  mm/dd/yyyy     AM PM