| Name: | Paul Lucero | Phone: | 408-799-0999 |
| Email: | erlen@pacbell.net | Address: | 4861, Trotter Lane, Shingle Springs, 95682 |
| APN: | 09033007100 | Nearest Cross Street: | French Creek |
| Owner of Property: | Yes | Number of Piles: | 25 |
| Pile Size in Feet: | Total width :6, Total length :6, Total height :4 | Material location: | Driveway and shoulder |
| Alternative disposition of material: | Take it to El Dorado Disposal | How material was cut and stacked: | I cut and stacked the material myself |
| Number of hours required to do the job: | 6 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/26/2019 |
| Travel Time (in minutes): | 21 | Chipping Time (in minutes): | 20 |
| Actual Pile Size (in feet) | | Total Pile Width: | 5 |
| Total Pile Length: | 150 | Total Pile Height: | 2 |
| Supervisor: | Jose | Crew ID : | |
