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HomeMy WebLinkAboutRedacted - Waterline 91436 Week 7 ended 11.03.18( 1) NAME, ADDRESS AND SOCIAL SECURITY NUMBER OF EMPLOYEE Anthony E Lopez Ramirez 2912 lopez Dr Arroyo Grande, CA 93420 xxxxxxxxx Bryce Crespin 4355 Cayucos Ave Atascadero, CA 93422 xxxxxxxxx Bryce Crespin 4355 Cayucos Ave Atascadero, CA 93422 xxxxxxxxxxx George Llamas 800 E. Cook Santa Maria, CA 93454 xxxxxxxx Jacob D Rexford 2761 Chaparral Lane Paso Robles, CA 93446 xxxxxxxxxx Jacob D Rexford 2761 Chaparral Lane Paso Robles, CA 93446 xxxxxxxxxx James Yanez 538 County Lane San Luis Obispo, CA 93401 xxxxxxxxxxx Jose Sanchez Garcia 558 Ferro Lane Paso Robles, CA 93446 xxxxxxxxxx Juan Manuel Barrios 1021 Gaylene Dr Santa Maria, CA 93458 xxxxxxxxxx Manuel Robledo 9694 Birmingham Ave Riverside, CA 92509 xxxxxxxxx Timothy o Ambrosi 1199 W Hwy 246 #C Buellton, CA 93427 FORM A-1-131 (New 2-80) diR California Deportment of Industrlal Relations PUBLIC WORKS PAYROLL REPORTING FORM NAME OF CONTRACTOR D-KAL Engineering CONTRACTOR'S LICENSE # 653307 ADDRESS OR SUBCONTRACTOR SPEOAL1Y LICENSE# PAYROLL NUMBER FOR WEEK ENDING SELF-INSURED CERTIFICATE # PROJECT OR CONTRACT # 7 11/3/2018 WORKERS' COMPENSATION POLICY # 7J45679A17 PROJECT & LOCATION PAGE PO Box 1919 San Luis Ob isnn CA 93406 Waterline Replace Spec 91436 San Luis Obisoo (4) DAY ( 5) ( 6) ( 7) ( 8) (9) ( 2) ( 3) Sun Mon Tue Wed Thu Fri Sat GROSS AMOUNT NET N\.mbel"ol DATE HOURLY EARNED WAGES WlthholdlnQ WORK 10/28 10/29 10/30 10/31 11/1 11/2 11/3 TOTAL RATE THIS ALL DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS PAID FOR E,c....,.lnn< CLASSIFICATION HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS Apprentice 0 Laborer 0 Equip. Opers. 0 Carpent= 0 Teamst= 0 Carpenters 0 Laborer 0 Equip. Opers. 0 Laborer 0 Laborer 0 Laborer 0 Equip. Opers. s 0 8 D 0 0 2 s 0 0 D 0 s 0 8 D 0 0 0 s 0 2.5 D 0 s 0 3 D 0 0 0 s 0 0 D 0 0 2 s 0 8 D 0 0 1.5 s D 0 0 2 s 0 8 D 0 0 0 s 0 8 D 0 0 2 s 0 8 D 0 0 1.5 s D 0 S = Straight time 0 = Overtime D = Doubletime 8 3 0 8 2 0 8 1 0 2 8 2.5 0 8 3 8 2 8 0.5 FWH MCA RE FICA ST TAX 8 8 8 0 40 $18.62 $ 145.00 $ 15.72 $ 67.20 $ 57.99 $ 926.35 $ 926.35 TRAINING FUND ADMIN DUES TRV/SUBS 0 1 0.5 0 6.5 $27.93 $ . $ . $ . $ . FWH MCA RE FICA ST TAX 0 0 4 0 4 $75.23 $ 312.00 $ 38.22 $ 163.41 S 208.33 $ 300.92 $ 2,635.52 TRAINING FUND ADMIN DUES TRV/SUBS $ . $ $ . $ FWH MCARE FICA ST TAX 7 8 4 0 35 $62.02 $ 312.00 $ 38.22 $ 163.41 $ 208.33 $ 2,334.60 $ 2,635.52 TRAINING FUNDADMIN DUES lRV/SUBS 0 0 0 0 2 $8 1.95 $ . $ -$ . $ FWH MCARE FICA ST TAX 0 0 0 0 2.5 S59.91 $ 270.00 $ 26.84 $ 114.76 $ 129.19 $ 149.78 $ 1,851.06 TRAINING FUND ADMIN DUES TRV/SUBS $ $ . $ $ - FWH MCARE FICA ST TAX 8 8 0 0 27 $62.02 $ 357.00 $ 41.51 $ 177.50 $ 231.33 $ 1,797.47 $ 2,863.04 TRAINING FUNDADMIN DUES TRV/SUBS 0 0.5 0 0 1.5 $81.95 $ -$ -$ . $ FWH MCARE FICA ST TAX 0 0 8 0 8 $ 55.73 $ 357.00 $ 41.51 $ 177.50 $ 231.33 $ 1,065.57 $ 2,863.04 TRAINING FUNDADMIN DUES TRV/SUB5 0 0 0.5 0 4.5 $ 72.85 $ . s $ $ - FWH MCA RE FICA ST TAX 8 8 8 0 40 $75.23 s 588.00 $ 46.41 $ 198.44 $ 272.68 $ 3,400.72 $ 3,400.72 TRAINING FUNDADMIN DUES TRV/SUBS 0 0 0 0 4 $97.88 $ $ $ $ FWH MCARE FICA ST TAX S 153.00 s 34.96 $ 149.51 $ 101.83 $ 145.70 $ 2,411.33 TRAINING FUNDADMIN DUES TRV/SUBS 0 0 0 0 2 $72.85 $ $ . $ . $ . FWH MCARE FICA ST TAX 8 8 8 0 40 $ 55.73 $ 349.00 $ 36.55 $ 156.28 $ 186.65 $ 2,520.60 $ 2,520.60 TRAINING FUNDADMIN DUES TRV/SUBS 0 0.5 0.5 0 4 $ 72.85 $ $ $ $ . FWH MCARE FICA ST TAX 8 8 8 0 40 $62.02 $ 160.00 $ 31.25 $ 133.60 $ 85.69 $ 2,808.60 $ 2,808.60 TRAINING FUNDADMIN DUES TRV/SUBS 0 0 0 0 4 $ 81.95 $ . $ . $ . $ FWH MCARE FICA ST TAX 0 3.5 8 0 27.5 $ 75.23 $ 424.00 $ 35.45 S 151.57 $ . $ 2,264.59 $ 2,444.59 TRAINING FUNOADMIN DUES TRV/SUBS 0 0 0 0 2 $ 97.88 $ $ -$ . $ . FWH MCARE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS *OlliER • Any other deductions, contributions and/or payments whether or not included or required by prevaili ng wage determinations must be separately listed. Use extra sheet if necessary. WEEK SDI VAC/HOL HEAi. TH/WElf PENSION $ . $ . $ . $ SAVlNGS OTHER TOTALDEO CHKNUM $ 640.44 s . $ . $ 285.91 1803 SDI VAC/HOL HEALTHIWELF PENSION $ s . $ $ . SAVlNGS OTHER TOTALDED CHKNUM $1,708.56 $ . $ 205.00 $ 926.96 002902 SDI VAC/HOL HEALTH/WELF PENSION $ -$ $ . $ SAVlNGS OTHER TOTALDED CHKNUM $ 1,708.56 $ . $ 205.00 $ 926.96 002902 SDI VAC/HOL HEAi. TH/WB. F PENSION $ $ . $ $ - SAVINGS OTHER TOTAL OED CHK NUM $ 1,192.77 $ $ 117.50 $ 658.29 002905 SDI VAC/HOL HEAL TH/WELF PENSION $ . $ . $ . $ SAVINGS OTHER TOTALDEO CHKNUM $ 1,798.34 $ S 257.36 S 1 064.70 002906 SDI VAC/HOL HEAL THIWELF PENSION $ s . $ $ . SAVlNGS OTHER TOTALDEO CHKNUM $ 1,798.34 $ S 257.36 $ 1 064.70 002906 SDI VAC/HOL HEAi. TH/WELF PENSION $ $ . $ $ - SAVINGS OTHER TOTAL OED CHKNUM $1,875.19 $ $ 420.00 $ 1525.53 002908 SDI VAC/HOL HEALTMIWElf PENSION $ s $ $ . SAVINGS OTHER TOTAL OED CHKNUM $1,759.53 s $ 212.50 $ 651.80 1806 SDI VAC/HOL HEAL TH/WElf PENSION $ $ . $ $ . SAVlNGS OTHER TOTAL OED CHKNUM $1,572.12 s $ 220.00 $ 948.48 002909 SDI VAC/HOL HEAL TH/WELF PENSION $ -$ . $ . $ . 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