| Name: | Lisa Couper-SRRHOA | Phone: | 530-677-6358 |
| Email: | lcouper@fastkat.com | Address: | 4610, GRAZING HILL RD, Shingle Springs, 95682 |
| APN: | 08724027100 | Nearest Cross Street: | SRR HOA Saddlehorn |
| Owner of Property: | Yes | Number of Piles: | 3 |
| Pile Size in Feet: | Total width :10, Total length :50, Total height :4 | 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): | 07/08/2019 |
| Travel Time (in minutes): | 9 | Chipping Time (in minutes): | 37 |
| Actual Pile Size (in feet) | | Total Pile Width: | 20 |
| Total Pile Length: | 10 | Total Pile Height: | 3 |
| Supervisor: | Tristan | Crew ID : | |
