| Name: | Rickey Jones | Phone: | 916-505-9216 |
| Email: | rajones78@gmail.com | Address: | 5646, Lupin lane, Pollock Pines, 95726 |
| APN: | 07720407100 | Nearest Cross Street: | Sierra Springs |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :10, Total length :10, Total height :6 | 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: | 2 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 07/09/2019 |
| Travel Time (in minutes): | 12 | Chipping Time (in minutes): | 12 |
| Actual Pile Size (in feet) | | Total Pile Width: | 4 |
| Total Pile Length: | 8 | Total Pile Height: | 2 |
| Supervisor: | Tristan | Crew ID : | |
