| Name: | Darlene Sedlacek | Phone: | 916-206-0253 |
| Email: | dlsedlacek@comcast.net | Address: | 3202, Cessna dr, Cameron Park, 95682 |
| APN: | 08323204100 | Nearest Cross Street: | Wood |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :10, Total length :20, Total height :4 | Material location: | At street on Left side of 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: | 8 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/11/2019 |
| Travel Time (in minutes): | 20 | Chipping Time (in minutes): | 23 |
| Actual Pile Size (in feet) | | Total Pile Width: | 4 |
| Total Pile Length: | 30 | Total Pile Height: | 4 |
| Supervisor: | Jose | Crew ID : | |
