| Name: | Earlene Ast | Phone: | 530-903-1865 |
| Email: | julesearl7894@gmail.com | Address: | 3316, Hazel St, Pollock Pines, 95726 |
| APN: | 009513004000 | Nearest Cross Street: | Granite |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :4, Total length :8, Total height :1 | Material location: | Shoulder of Road |
| Alternative disposition of material: | Take it to El Dorado Disposal | How material was cut and stacked: | I hired someone to cut and stack the material |
| Number of hours required to do the job: | | Hired someone, how much did it cost: | 200 |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/19/2019 |
| Travel Time (in minutes): | 43 | Chipping Time (in minutes): | 29 |
| Actual Pile Size (in feet) | | Total Pile Width: | 15 |
| Total Pile Length: | 8 | Total Pile Height: | 2 |
| Supervisor: | Jose | Crew ID : | |
