| Name: | Trudy Theiss-LOGTOWN | Phone: | 650-868-9003 |
| Email: | gnats@prodigy.net | Address: | 7200, Mica St (the pile is NOT on Mica), El Dorado, 95623 |
| APN: | 09243022 | Nearest Cross Street: | HWY 49 |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :8, Total length :24, Total height :4 | Material location: | Located on Ramales Lane before gates/cross st. Hwy 49 |
| Alternative disposition of material: | Take it to El Dorado Disposal | How material was cut and stacked: | I cut and stacked the material myself |
| Number of hours required to do the job: | 30 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/10/2019 |
| Travel Time (in minutes): | 48 | Chipping Time (in minutes): | 39 |
| Actual Pile Size (in feet) | | Total Pile Width: | 10 |
| Total Pile Length: | 15 | Total Pile Height: | 4 |
| Supervisor: | Jose | Crew ID : | |
