| Name: | Camille Boor | Phone: | 530-620-4888 |
| Email: | camilleboor@gmail.com | Address: | 6561, Gray Rock Rd, Somerset, 95684 |
| APN: | 094060019000 | Nearest Cross Street: | Perry Creek Rd |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :6, Total length :35, Total height :4 | Material location: | Driveway |
| 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: | 6 | 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): | 5 | Chipping Time (in minutes): | 9 |
| Actual Pile Size (in feet) | | Total Pile Width: | 8 |
| Total Pile Length: | 25 | Total Pile Height: | 4 |
| Supervisor: | Jose | Crew ID : | |
