| Name: | Cynthia Miller | Phone: | 530-333-0288 |
| Email: | DrMiller@Cielemel.com | Address: | 2640, Tinsel Trail, Georgetown, 95634 |
| APN: | 062481078000 | Nearest Cross Street: | Wentworth Springs |
| Owner of Property: | Yes | Number of Piles: | 7 |
| Pile Size in Feet: | Total width :200, Total length :4, Total height :2 | Material location: | both Driveway and Shoulder of Road |
| Alternative disposition of material: | Leave it on Property | How material was cut and stacked: | I cut and stacked the material myself |
| Number of hours required to do the job: | 87 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/07/2019 |
| Travel Time (in minutes): | 77 | Chipping Time (in minutes): | 184 |
| Actual Pile Size (in feet) | | Total Pile Width: | 85 |
| Total Pile Length: | 8.5 | Total Pile Height: | 3 |
| Supervisor: | Jose | Crew ID : | |
