| Name: | John Rogers | Phone: | 530-558-0762 |
| Email: | jrroger_99@sbcglobal.net | Address: | 5068, Mt Pleasant Dr, Grizzly Flats, 95636 |
| APN: | 041381012000 | Nearest Cross Street: | Creekside |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :6, Total length :60, Total height :4 | Material location: | Shoulder of Road |
| Alternative disposition of material: | Burn it | How material was cut and stacked: | I cut and stacked the material myself |
| Number of hours required to do the job: | 20 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/13/2019 |
| Travel Time (in minutes): | 57 | Chipping Time (in minutes): | 11 |
| Actual Pile Size (in feet) | | Total Pile Width: | 85 |
| Total Pile Length: | 7 | Total Pile Height: | 4 |
| Supervisor: | Brian K | Crew ID : | |
