| Name: | Rob Janzen | Phone: | 916-541-6325 |
| Email: | r_janzen@hotmail.com | Address: | 4795 Sciaroni Rd., Sciaroni Rd., Grizzly Flats, 95636 |
| APN: | 04189104100 | Nearest Cross Street: | Quietwood |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :8, Total length :80, 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: | 40 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 07/12/2019 |
| Travel Time (in minutes): | 7 | Chipping Time (in minutes): | 95 |
| Actual Pile Size (in feet) | | Total Pile Width: | 10 |
| Total Pile Length: | 90 | Total Pile Height: | 4 |
| Supervisor: | Tristan | Crew ID : | |
