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<div class="modal fade" id="update_service_homing" tabindex="-1" role="dialog"
aria-labelledby="update_service_homing_label" aria-hidden="true">
<div class="modal-dialog">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
<h4 class="modal-title">Update Service Homing</h4>
</div>
<div class="modal-body">
<form name="updateForm" role="form" action="/gamma/updateServiceHoming" method="POST">
<div class="form-group">
<label for="uf_service_type">*Service Type</label>
<input readonly type="text" class="form-control" name="uf_service_type" id="uf_service_type">
</div>
<div class="form-group">
<label for="uf_lata">*LATA</label>
<input type="text" class="form-control" name="uf_lata" id="uf_lata" maxlength="12" placeholder="int(3)">
</div>
<div class="form-group">
<label for="uf_hubbing_city_type">*Hubbing City Type</label>
<input type="text" class="form-control" name="uf_hubbing_city_type" id="uf_hubbing_city_type" maxlength="40" placeholder="varchar(40)">
</div>
<div class="form-group">
<label for="uf_latitude">Latitude</label>
<input type="text" class="form-control" name="uf_latitude" id="uf_latitude" maxlength="24" placeholder="float">
</div>
<div class="form-group">
<label for="uf_longitude">Longitude</label>
<input type="text" class="form-control" name="uf_longitude" id="uf_longitude" maxlength="24" placeholder="float">
</div>
<div class="form-group">
<label for="uf_primary_aic_site_name">*Primary Site Name</label>
<input type="text" class="form-control" name="uf_primary_aic_site_name" id="uf_primary_aic_site_name" maxlength="100" placeholder="varchar(100)">
</div>
<div class="form-group">
<label for="uf_secondary_aic_site_name">Secondary Site Name</label>
<input type="text" class="form-control" name="uf_secondary_aic_site_name" id="uf_secondary_aic_site_name" maxlength="100" placeholder="varchar(100)">
</div>
<div class="form-group">
<label for="uf_tertiary_aic_site_name">Tertiary Site Name</label>
<input type="text" class="form-control" name="uf_tertiary_aic_site_name" id="uf_tertiary_aic_site_name" maxlength="100" placeholder="varchar(100)">
</div>
<div class="form-group">
<input type="hidden" name="uf_action" id="uf_action">
<input type="hidden" name="uf_key_service_type" id="uf_key_service_type">
<input type="hidden" name="uf_key_lata" id="uf_key_lata">
<input type="hidden" name="uf_key_hubbing_city_type" id="uf_key_hubbing_city_type">
<button type="button" class="btn btn-primary" onclick="submitServiceHoming(this.form);">Submit</button>
<button type="button" class="btn btn-default" data-dismiss="modal">Cancel</button>
</div>
</form>
</div>
</div>
</div>
</div>
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