| Name: | William Gilbert | Phone: | 916-747-4123 |
| Email: | wdgilbert@surewest.net | Address: | 2505, Seeblick Ct, El Dorado Hills, 95762 |
| APN: | 126250044000 | Nearest Cross Street: | Rainbow View |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :15, Total length :6, 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: | 4 | 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): | 36 | Chipping Time (in minutes): | 24 |
| Actual Pile Size (in feet) | | Total Pile Width: | 14 |
| Total Pile Length: | 8 | Total Pile Height: | 4 |
| Supervisor: | Jose | Crew ID : | |
