| Name: | Mark Madden | Phone: | 530-620-1008 |
| Email: | shortfall@att.net | Address: | 6861, Flat Creek Drive, Mount Aukum, 95656 |
| APN: | 046690013000 | Nearest Cross Street: | Brinkwood |
| Owner of Property: | Yes | Number of Piles: | 2 |
| Pile Size in Feet: | Total width :6, Total length :60, Total height :4 | Material location: | Driveway |
| 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: | 40 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/25/2019 |
| Travel Time (in minutes): | 56 | Chipping Time (in minutes): | 86 |
| Actual Pile Size (in feet) | | Total Pile Width: | 8 |
| Total Pile Length: | 100 | Total Pile Height: | 4 |
| Supervisor: | Jose | Crew ID : | |
