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DAS 142 050523 OPERATORepartri,� ;,: 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: OPERATOR Number ofApprentice(s) Needed:l Craft or Trade: 09/04/2023 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)