| Name: | Denis Stroup | Phone: | 530-919-3320 |
| Email: | Denis.stroup@outlook.com | Address: | 4403, Cash Boy Road, Diamond Springs, 95619 |
| APN: | 33134103100 | Nearest Cross Street: | Patterson |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :10, Total length :13, Total height :6 | Material location: | Shoulder of Road |
| 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: | 8 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/18/2019 |
| Travel Time (in minutes): | 9 | Chipping Time (in minutes): | 20 |
| Actual Pile Size (in feet) | | Total Pile Width: | 10 |
| Total Pile Length: | 13 | Total Pile Height: | 5 |
| Supervisor: | Brian K | Crew ID : | |
