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REQUEST FOR DISPATCH OF AN APPRENTICE — DAS 142 FORM <br />6W <br />DO NOT SEND THIS FORM TO DAS <br />You may use this form to request dispatch of an apprentice from the Apprenticeship Committee in the craft or <br />trade in the area of the public work. Go to: http://www.dir.ca.gov/DAS/PublicWorksForms.htm for information <br />about programs in your area and trade. You may also consult your local Division Apprenticeship Standards <br />(DAS) office whose telephone number may be found in your local directory under California, State of, Industrial <br />Relations, Division of Apprenticeship Standards. Except for projects with less than 40 hours of journeyman <br />work, you must request and employ apprentices in no less than 8 hour increments <br />Date: <br />Contractor Requesting Dispatch: <br />5/23/19 <br />Name: EBS General Engineering, Inc. <br />To Applicable Apprenticeship Committee; <br />1320 E. Sixth St. #100 <br />Southern CA Cement Mason JAC <br />Name: <br />Address: <br />Address:5417 Peck Rd <br />Corona, Ca. 92879 <br />Arcadia CA 91006 <br />720016 <br />License No. _ <br />626-444-4600 Fax No. 626-258-4092 <br />Tel. No. <br />951279-6869 951279-6832 <br />Tel. No. Fax No. <br />Project Information: <br />PROJECT NOS. 18-7526, 18-7527 & 18-6910 <br />ContractNo. <br />Name of the Project: RESIDENTIAL STREET REPAIR PROGRAM AND ALLEY IMPROVEMENT FY17118 <br />Various, City of Santa Ana <br />Address: <br />Dispatch Request Information: <br />Number of Apprentice(s) Needed: 1 CraftorTrade: Cement Mason <br />Date Apprentice(s) to Report: 611 0/1 9 7.30 AM <br />hrs. <br />(72 notice required) Time to Report: <br />Dave Sulk <br />Name of Person to Report to: <br />E. Sixth St., Ste 100 <br />Address to Report to:1320 <br />Corona CA 92879 <br />You may use this form to make your written request for the dispatch of an apprentice. Requests for dispatch must be in <br />writing and submitted at least 72 hours in advance (excluding weekends and holidays) via first class mail, fax or email. Proof <br />of submission may be required. Please take note of California Code of Regulations, Title 8, § 230.1(a) for all applicable <br />requirements regarding apprenticeship requests and/or visit <br />htfp.//www.dirca.gov/DAS/DASApprenticesOnPublicWorksSummarvOfRequirements htm <br />DAS 142 (Revised 12111) <br />