| Name: | Thomas Carlson | Phone: | 925-784-7557 |
| Email: | tndcarl@gmail.com | Address: | 4440, Stodick Lane, Placerville, 95667 |
| APN: | 04641032100 | Nearest Cross Street: | Sandridge |
| Owner of Property: | Yes | Number of Piles: | 3 |
| Pile Size in Feet: | Total width :40, Total length :15, Total height :8 | Material location: | accessible area on property |
| 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): | 07/11/2019 |
| Travel Time (in minutes): | 45 | Chipping Time (in minutes): | 77 |
| Actual Pile Size (in feet) | | Total Pile Width: | 5 |
| Total Pile Length: | 75 | Total Pile Height: | 13 |
| Supervisor: | Tristan | Crew ID : | |
