| Name: | Dianna Kennedy | Phone: | 530-644-6844 |
| Email: | kaylcampbell53@gmail.com | Address: | 4432, Sierra Springs Dr., Pollock Pines, 95726 |
| APN: | 07751120100 | Nearest Cross Street: | Shooting Star |
| Owner of Property: | Yes | Number of Piles: | 2 |
| Pile Size in Feet: | Total width :26, Total length :16, Total height :6 | Material location: | Driveway |
| 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: | 4 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/20/2019 |
| Travel Time (in minutes): | 37 | Chipping Time (in minutes): | 19 |
| Actual Pile Size (in feet) | | Total Pile Width: | 10 |
| Total Pile Length: | 20 | Total Pile Height: | 7 |
| Supervisor: | Juan | Crew ID : | |
