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LARS ANDERSEN & ASSOCIATES, INC.

CIVIL ENGINEERS • LAND SURVEYORS • PLANNERS
4694 W JACQUELYN AVENUE
FRESNO, CA 93722
PH (559) 276-2790 FX (559) 276-0850

SCOTT A. MOMMER, P.E.
PRESIDENT

DANIEL J. ZOLDAK, P.E.
VICE PRESIDENT

JOVI R. TORIO, P.E.
ARTHUR L. LUCAS, ARCHITECT

SAMUEL L. BEEGHLY, P.E.

Request for Re-Staking Services or Overtime Staking Services

Job Number :
Job Name :
Contractor :
Authorized By :
Re- Staking Requested :
Reason for Request :
Date work to begin :
Date Requested :
Field Time :
Total Re-Staking :

Re-staking due to negligence or vandalism and additional staking requirements will be billed on
a time and material basis at a rate of $140 per hour. Requests for staking should be made 48
hours in advance to ensure staking needs are met.

4694 W. Jacquelyn Ave.

Fresno, CA 93722

Phone: 559.276.2790

Fax: 559.276.0850

Email: lainfo@larsandersen.com