| Name: | Philip Briggs | Phone: | 530-363-8397 |
| Email: | bribugsmomma@gmail.com | Address: | 6681, MaryAnn, Placerville, 95667 |
| APN: | 04640014100 | Nearest Cross Street: | Sandridge |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :5, Total length :7, 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: | 10 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/27/2019 |
| Travel Time (in minutes): | 17 | Chipping Time (in minutes): | 15 |
| Actual Pile Size (in feet) | | Total Pile Width: | 7 |
| Total Pile Length: | 13 | Total Pile Height: | 3 |
| Supervisor: | Jose | Crew ID : | |
