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Home My WebLink AboutDas Forms Welch and Concord F a x From: (951) 801-4334 To: (626) 633-0204 Sender: Joel Marlow Attention: Laborers J.A.C. Company: Southern California Road Slurry UAWy 09/09/2021 Subject: Das 140 360086 Pages: 2 Message: Please see attached DAS 140 PUBLIC WORDS CONTRACT AWARD INFORMATION Contract award information must be sent to your Apprenticeship Committee it you are approved to train. It you are not approved to train, you must send the Information (which may be this form) to ALL applicable Apprenticeship Committees In your craft or trade in the area of the site of the public work, Go to: http:llwww.d€r.ca,gov/databasesidas/pwaddrstart.asp for information about programs in your area and trade, You may also consult your local Division of Apprenticeship Standards (DAS) office whose telephone number may be found in your local directory under California, State of, Industrial Relations, Division of Apprenticeship Standards. Do not send this form to the Division of Apprenticeship Standards. NAME OP YOUR COMPANY CON TRACTOR'S STATE LICENSF NO Southern California Road Slurry Company 997400 WA!LINGADCRein-NUb'BERSSTREET,CITY&COOE — --�—� AREA CODE 3TELrPHOSENO. 8432 63rd Avenue, Riverside, Ca 92509 951-360-5510 NtVdE hACpRESS OF PVELIG ih'ORKS PROJECT ..._..._. CATE YOUR CONTRACT----- —.... City Road Asphalt Maintence Services 9/2/2021 Welch Dr& Concord Ave DATFc ExpecrspoRAcr 2 ARrorPao cr-- Lake Elsinore, Ca 92532 NA 9/20/2021 ME 3!�DCRESS CF PUBLIC AGENCY AWARDING CONTPAC ----.-......7 � ES]'IAWED NUMBER OF JOURNEYMENI{CsURS City of Lake Elsinore 40 130 South Main Street -- --•••••••••- Labe Elsinore, Ca 92.530 OCCUPATION OF APP:RENTM:E _ Laborers ORM IS BEING SENT T0:(NAME&ACDRIESS OF APPREN'rICFSHIP PROGRAb1(S) £STWATF0 NUMBER OF ArPRENTiCE HOURS Southern California Pavement Striper,Road Slurry,Sea!Coat&Highway Maintenance J.A.C. 8 1074 East La Cadena Dr.#9 APPROYWATE DATES TOBEFMPL.OVEO Riverside Ca,92507 P 951-248-4841 9/20/2021 F 991-784.0463 Laborers Southern California Joint Apprenticeship Committe 1385 West Sierra Madre Avenue Azusa,Ca 91702 P 626-610-1700 F 626-633-0204 This is not a request for dispatch of apprentices. Contractors must make a separate request for actual dispatch,in accordance with Section 230,f('a)California Code nr Regulations Check One Of The Boxes Below 1, we are already approved to train apprentices by the Apprenticeship Committee.We will employ and train under their Standards. Enter name of the committer:: 2. We will comply with the standards of Apprenticeship Committee for the duration of this job only._ Enter name of the Committee 3. We will employ and train apprentices in accordance with the California Apprenticeship Council regulations, including §230.1 (c)which requires that apprentices employed on public projects can only be assigned to perform work of the craft or trade to which the apprentice is registered and that the apprentices must at all times work with or under the direct supervision of journeyman/men. Signature �`, `'_ ,fr•_ , Date Typed N� JOel Marlow ------------ Tine Office Admin -- State of California-Department of Industrial Relations DIVISION oAs Ian iHev vaal OF APPRENTICESHIP STANDARDS .....................................—.......,,,.............................................................--,,...,,,.....,.................,..................................._..........------------ -- F a x From: (951) 801-4334 To: (626) 633-0204 Sender: Joel Marlow Attention: Laborers J.A.C. Company: Southern California Road Slurry 1DUaWy 09/09/2021 Subject: Das 140 360086 Pages: 2 Message: Please see attached DAS 140 PUBLIC WORKS CONTRACT AWARD INFORMATION Contract award information must be sent to your Apprenticeship Committee it you are approved to train. It you are not approved to train, you must send the information (which may be this form) to ALL applicable Apprenticeship Committees In your craft or trade in the area of the site of the public work, Go to: http:Ilwww,dir,ca.gov/databasesidaslpwaddrstart.asp for information about programs in your area and trade, You may also consult your local Division of Apprenticeship Standards (DAS)office whose telephono number may be found in your local directory under California, State of, Industrial Relations, Division of Apprenticeship Standards. Do not send this form to the Division of Apprenticeship Standards. i A01:OF YOUR COMPANY CGN IKACTOR'S STATE LIC7NSF NO Southern California Road Slurry Company 997400 MAi UNG ADOR=3S-NUV 8ER S STREET,CITY,ZIP CODE --•-•--T AREA CODE K TELEPHONE LO. 8432 63rd Avenue, Riverside, Ca 92509 951-360-5510 NIVJE AADDRESS OF PUELIC WQRK�PROJECT CATE YOUR CONTRACT E'{ECUTCO City Road Asphalt Maintence Services 9/2/2021 Welch Dr& Concord Ave DATE CY EXPECTEDGHACTUALS"ARTUPPROFCT�— Lake Elsinore, Ca 92532 9/20/2021 ",',E&ADDRESS OF FUB;IC AGENCY ANARtDING CONI PACT ESTiA NEED NUMBER OF JOURNEYMEN HOURS City of Lake Elsinore 40 130 South Main Street -- - - - OCCUPATION OF A?PRENTCE Lake Elsinore, Ca 92530 _ Laborers THIS CORM IS BEING SENT TO:(NAME u ADDRESS OF APPRFN-I ICFBNIP PROGRAN7(S)) ESTIMATED NUMBER OF ArPRENTfCE HOURS Southern California Pavernent Striper,Road Slurry,Sea;Coat&Highway Maintenance J.A.C. 0 1074 Gast La Cadena Dr.#9 APPROXIMATE DATES TO 8E EMPLOYED Riverside Ca, 92607 9/20/2021 P 951-248-4841 F 9.51-784-0463 Laborers Southern California Joint Apprenticeship Committe 1385 West Sierra Madre Avenue Azusa,Ca 91702 P 626-610-1700 F 626-633-0204 This is not a request for dispatch of apprentices. Contractors must make a separate request for actual dispatch,in accordance with Section 230.1(a)California Code of Regutations Check One Of The Boxes Below 1, We are already approved to train apprentices by the Apprenticeship Committee.We will employ and train under their Standards. Enter name or the Committee: 2. We will comply with the standards of Apprenticeship Committee for the duration of this job Only._ Enter name of the committee 3. VWe will employ and train apprentices in accordance with the California Apprenticeship Council regulations, including §230.1 (c)which requires that apprentices employed on public projects can only be assigned to perform work of the craft or trade to which the apprentice is registered and that the apprentices must at all times work with or under the direct supervision of journeyman/man. Signature �'•; :: �,fr• Date Typed NVO--""Joel Marlow Titre Office Admin ^- State of California-Department of Industrial Relations DIVISION PAS tan(Rev v041 OF APPRENTICESHIP STANDARDS ..............................................................,,,...... .......................... - ---------- F a x From: (951) 801-4334 To: (951) 784-0463 Sender: Joel Marlow Attention: Highway J.A.C. Company: Southern California Road Slurry 6MWy 09/09/2021 Subject: Das 142 360086 Pages: 2 Message: Please see the attached Das 142 F a x From: (951) 801-4334 To: (626) 633-0204 Sender: Joel Marlow Attention: Laborers J.A.C. Company: Southern California Road Slurry UMWy 09/09/2021 Subject: Das 142 360086 Pages: 2 Message: Please see the attached Das 142 REQUEST FOR DISPATCH of AN APPRENTICE- DAS 142 FORM ;• '```' DO NOT SEND THIS FORM TO DAS You may use this form to request dispatch of an apprentice from the Apprenticeship Committee in the crafIn trade in the area of the public work. Go to: htt��;(1�vvrav,ci� _c<�.i;Uy datE�l asp sr`c#as �vaki s a�t..t for informatio about programs in your area and trade. You may also consult your local Division Apprenticeship Standards(DA office whose telephone number may be found in your local directory under California, State of, Industrial Relations, Division of Apprenticeship Standards. Except for projects with less than 40 hours of journeyman work�Youmust request and emp�apprentices in no less than 8 hour increments. -------------- ------------_ Date: Contractor Requesting Dispatch: 9/9/2021 To Applicable Apprenticeship Committee: Name: Southern California Road Slurry Company Name:Laborers Southern California J.R.C. Address: 8432 63rd avenue Address-, 1385 West Sierra Madre Avenue Riverside, Ca Azusa, Ca 91702 997400 License No. Tel.No. 625-610-1700 Fax No. 626-633-0204 Tel.No. 951-360-5510 Fax No. 951-703-8625 Project Information: Contract No. 360086 Name of the Proiect:City Road Maintence Services Address:Welch Dr & Concord Ave. Lake Elsinore, Ca 92532 Dispatch Request Information: Number of Apprentice(s) Needed: 1 Craft or Trade: Laborers Date Apprentice(s)to Re ort. 9/20/202 08;00a p (72 his.notice required) Time to Report: Name of Person to Report to. Carlos Gomez Address to Report to,Welch Dr & Concord Ave. Lake Elsinore, Ca 92532 You may use this form to make your written request for the dispatch of an apprentice, Requests for dispatch must be in writing and submitted at least 72 hours in advance (excluding weekends and holidays) via first class mail, fax or email, ELQg„f of subinbs ion rnav bg required. Please take note of California Code of Regulations, Title 8, §230.1 (a) for all applicable requirements regarding apprenticeship requests andlor visit htt s ;s�v�vvcIr.ea&fiYJik4L� lfc_Vo�, s#orrns.t�'-n DAS 142(Revised 12111)