Phone: 916-683-3605
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Entity Name
Entity name
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Email
Your email
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Patrol Hit
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Officer Standby (Keep the Peace)
Full address of the location
Where is it?
Start Date and Time (mm/dd/yyyy HH:MM)
When should the service start (mm/dd/yyyy HH:MM)
Duration
How long do you need the service for? Example: 1 year starting Jan 1 2016
Known Incidents/ Potential Issues
Issues or incidents you are aware of
On-Site Point of Contact Name
Who is the on-site Contact?
On-Site Point of Contact Phone
On-site Contact Phone Number?
Additional Comments (optional)
any additional comments including service hours
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