| Name: | Bernie Dowse | Phone: | 530-622-1564 |
| Email: | calton@csus.edu | Address: | 1564, Lotus Road, Placerville, 95667 |
| APN: | 1052702410 | Nearest Cross Street: | Luneman |
| Owner of Property: | Yes | Number of Piles: | 2 |
| Pile Size in Feet: | Total width :8, Total length :30, Total height :4 | Material location: | Driveway |
| Alternative disposition of material: | Leave it on Property | How material was cut and stacked: | I cut and stacked the material myself |
| Number of hours required to do the job: | 20 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 07/07/2019 |
| Travel Time (in minutes): | 35 | Chipping Time (in minutes): | 45 |
| Actual Pile Size (in feet) | | Total Pile Width: | 12 |
| Total Pile Length: | 42 | Total Pile Height: | 5 |
| Supervisor: | David Justice Sr | Crew ID : | 18007 |
