| Name: | Fred Pilot | Phone: | 530-295-1473 |
| Email: | fpilot@dreaminglucid.net | Address: | 2900, Observatory Drive, Camino, 95709 |
| APN: | 085470046000 | Nearest Cross Street: | Hassler Road |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :8, Total length :30, Total height :3 | Material location: | On right shoulder 50' past intersection with Toomes |
| 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: | 2 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/24/2019 |
| Travel Time (in minutes): | 35 | Chipping Time (in minutes): | 36 |
| Actual Pile Size (in feet) | | Total Pile Width: | 8 |
| Total Pile Length: | 26 | Total Pile Height: | 4 |
| Supervisor: | Jose | Crew ID : | |
