DAS 142 050523 LABORERepartri,� ;,: REQUEST FOR DISPATCH OF AN APPRENTICE — DAS 142 FORM
nd.-.I i- RelawnE OF a 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/databases/das/pwaddrstart.asp 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 projects with less than 40 hours of journeyworkers
work, you must request and employ apprentices in no less than 8 hour increments.
List one occupation/craft per form
Date: 05/05/2023
Contractor Requesting Dispatch:
GB GENERAL ENGINEERING
To Applicable Apprenticeship Committee:
Name:
PO BOX 7858
Name:
Address:
Address:
SOUTH LAKE TAHOE, CA 96158
792014
License No.
Tel. No. Fax No.
1000049509
PWC Registration Number:
(530) 541-3797
Tel. No. Fax No.
100011277 463064
Project Information: PWC Project Number Contract Number
$469,540.00 0.00
Total Contract Amount. Sub -Contract Amount
2023 ASPHALT PATCHING & TRENCH PAVING
Name of the Project:
STPUD 1275 MEADOW CREST DRIVE SOUTH LAKE TAHOE, CA 96150
Address:
Dispatch Request Information:
LABORER
Number ofApprentice(s) Needed:l Craft or Trade:
08/07/2023 7:30am
Date Apprentice(s) to Report: (72 hrs. notice required) Timeto Report:
DAVE GALICIA
Name of Person to Reportto:
2064 JEWELL ROAD
Address to Report to:
SOUTH LAKE TAHOE, CA 96150
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 reauired. Please take note of California Code of Regulations, Title 8, § 230.1 (a) for all applicable
requirements regarding apprenticeship requests and/or
visit https://www.dir.ca.gov/das/PublicWorksForms.htm
DAS 142 (Revised 10118)