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�� P <br /> 08/I 5/00 uli rry I-MU r1¢e.•nl: <br /> Page I of I PHONE 800-8H-1042 <br /> MARK AND STANDBY AUTHORIZATION <br /> Date; Lou icicct 1/; Jog;!/; <br /> C.sl l a—t <br /> Name of Excavating Company: U.k.t,s Dc- L5A,,aho <br /> r <br /> Address of Excavation; <br /> Await <br /> Type of Excavation: <br /> 1 C..A.7v-.,..„..A. A <br /> Date ofExcavation! <br /> it i, <br /> Type and Size of Qwest Facilities to be Monitored: <br /> VI) <br /> Is Excavation Crossing Qwest Facilities; <br /> Yes ❑No <br /> Is Excavation Paralleling Qwest Facilities: • <br /> • ❑Yes No <br /> Estimated Time Involved: <br /> Approving Qwest Local Field Manager Name: <br /> Telephone Number: I Date Approved: <br /> Remarks; <br /> CODE:3009 <br />