| Name: | John Davis | Phone: | 530-344-8201 |
| Email: | singinpines@yahoo.com | Address: | 4740, Grannan Way, Placerville, 95667 |
| APN: | 099090032000 | Nearest Cross Street: | Serenity |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :15, Total length :10, Total height :3 | 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: | 8 | 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): | 24 | Chipping Time (in minutes): | 17 |
| Actual Pile Size (in feet) | | Total Pile Width: | 7 |
| Total Pile Length: | 20 | Total Pile Height: | 6 |
| Supervisor: | Jose | Crew ID : | |
