| Name: | Duane Miller | Phone: | 530-219-4785 |
| Email: | dmiller1209@gmail.com | Address: | 2140, Winding Lane, Camino, 95709 |
| APN: | 100060037000 | Nearest Cross Street: | apple vista lane |
| Owner of Property: | Yes | Number of Piles: | 2 |
| Pile Size in Feet: | Total width :12, Total length :14, Total height :3 | 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: | 3 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/12/2019 |
| Travel Time (in minutes): | 30 | Chipping Time (in minutes): | 70 |
| Actual Pile Size (in feet) | | Total Pile Width: | 15 |
| Total Pile Length: | 7 | Total Pile Height: | 3 |
| Supervisor: | Brian L | Crew ID : | |
