| Name: | Bruce Butler | Phone: | 510-366-2652 |
| Email: | 21superair@gmail.com | Address: | 6308, Terrace dr., Pollock Pines, 95726 |
| APN: | 101402005000 | Nearest Cross Street: | Sherman |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :4, Total length :20, Total height :2 | 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: | 1 | 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): | 28 | Chipping Time (in minutes): | 10 |
| Actual Pile Size (in feet) | | Total Pile Width: | 3 |
| Total Pile Length: | 10 | Total Pile Height: | 4 |
| Supervisor: | Juan | Crew ID : | |
