| Name: | Jill Keith | Phone: | 530-621-2260 |
| Email: | jill@jillbluekeith.com | Address: | 2690, Nevada Court, Placerville, 95667 |
| APN: | 32314035100 | Nearest Cross Street: | Lost Lane |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :10, Total length :4, Total height :2 | Material location: | Shoulder of Road |
| Alternative disposition of material: | Leave it on Property | How material was cut and stacked: | I hired someone to cut and stack the material |
| Number of hours required to do the job: | | Hired someone, how much did it cost: | 20 |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/13/2019 |
| Travel Time (in minutes): | 20 | Chipping Time (in minutes): | 18 |
| Actual Pile Size (in feet) | | Total Pile Width: | 5 |
| Total Pile Length: | 13 | Total Pile Height: | 4 |
| Supervisor: | Brian K | Crew ID : | |
