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REQUEST FOR DISPATCH OF AN APPRENTICE — DAS 142 FORM Wi DO NOT SEND THIS FORM TO DAS You may use this form to request dispatch of an apprentice from the Apprenticeship Committee in the craft or trade in the area of the public work. Go to: http://www.dir.ca.gov/DAS/PublicWorksForms.htm for information about programs in your area and trade. You may also consult your local Division Apprenticeship Standards (DAS) office whose telephone number may be found in your local directory under California, State of, Industrial Relations, Division of Apprenticeship Standards. Except for prolects with less than 40 hours of journeyman work, you must request and employ apprentices in no less than 8 hour increments Date: Contractor Requesting Dispatch: 5/23/19 Name: EBS General Engineering, Inc. ToAppucable—Apprenticeship Committee: E. Sixth St. #100 Southern CA JAC Name:Laborers Address:1320 Address:1385 West Sierra Madre Ave Corona, Ca. 92879 Azusa CA 91702 License No. 720016 626-610-1700 626-633-0204 Tel. No. Fax No. 951279-6869 951279-6832 Tel. No. Fax No. Project Information: PROJECT NOS. 18-7526, 18-7527 & 18-6910 Contract No. Name of the Project: RESIDENTIAL STREET REPAIR PROGRAM AND ALLEY IMPROVEMENT FY17/18 Address:Various, City of Santa Ana Dispatch Request Information: Number 1 LABORER of Apprentice(s) Needed: Craft or Trade: Date A to Report: 6/10/19 7:30 AM Apprentice(s) hrs. s notice required) Time to Report: () p (72 Dave Suilk Name of Person toReportto: 1320 E. Sixth St., Ste 100 Address to Report to: Corona CA 92879 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. Proof of submission may be required. Please take note of California Code of Regulations, Title 8, § 230.1(a) for all applicable requirements regarding apprenticeship requests and/or visit http://wwwdirca.00v/DAS/DASAaprenticesOnPublicWorksSummarvOfReouirements htm DAS 142 (Revised 12111)