| Name: | Shelly Klinkhammer | Phone: | 530-903-6979 |
| Email: | chilihorze@gmail.com | Address: | 5088, Deerwood Dr, Shingle Springs, 95682 |
| APN: | 319300006000 | Nearest Cross Street: | Sleepy Hollow |
| Owner of Property: | Yes | Number of Piles: | 2 |
| Pile Size in Feet: | Total width :80, Total length :8, Total height :4 | Material location: | Shoulder of Road |
| Alternative disposition of material: | Burn it | 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: | 500.00 |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/26/2019 |
| Travel Time (in minutes): | 12 | Chipping Time (in minutes): | 37 |
| Actual Pile Size (in feet) | | Total Pile Width: | 8 |
| Total Pile Length: | 100 | Total Pile Height: | 4 |
| Supervisor: | Jose | Crew ID : | |
