FACILITY MAINTENANCE REQUEST Requestor Requestor (Phone Number)- (Name - Phone Number) Requestor (E-Mail)- ((Emergency or Date Service Needed) Location Alan Building Blaine Clinic (235) Bracing & Orthotics-Wooddale Dr. (185) Bracing & Orthotics-Woodwinds Dr. (231) Corporate Office Downtown Clinic (238) Downtown Hand Therapy (239) Eagan Clinic (128) Eagan PT (211) Eagan HT 216) Eagan Open MRI (214) Forest Lake (136) Gallery Professional Bldg. (123) Hastings Medical Bldg. (124) Landmark ASC (51) Maplewood (20) Maplewood PT (180) Maplewood HT (165) OrthoQuick (228) Midway MRI (221) Midway PT (161) MN Occupational Health (196) Vadnais Heights (204) Vadnais Heights Therapy (208) Woodbury ASC (79) Woodbury Open MRI (163) Woodlake Clinic (225) Woodlake MRI (227) Woodlake PT (229) Woodlake HT (230) Woodlake Spine Care (223) Woodlake Procedure Room (234) Woodlake Spinecare PT (232) Woodwinds Department (Floor) Work Request Urgency Prompt Urgent Emergency Date Needed Additional Instructions/Comments for contacting us, we will review your submission shortly and someone from our office will contact you.   Brett Foss Principal/Broker Direct Dial: 651-503-1864 Boup Foss Manager Direct Dial: 612-232-6136 Renee Foss Accountant Direct Dial: 952-431-1095

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