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Home My WebLink AboutRedacted - Waterline 91436 Week 21 ended 02.09.19{ 1) NAME, ADDRESS AND SOCIAL SECURITY NUMBER OF EMPLOYEE Bryce Crespin 4355 Cayucos Ave Atascadero, CA 93422 George Llamas 800 E. Cook Santa Maria, CA 93454 Iran A Nieves 1628 Village Ct Santa Maria, CA 93454 Jacob D Rexford 2761 Chaparral Lane Paso Robles, CA 93446 Jacob D Rexford 2761 Chaparral Lane Paso Robles, CA 93446 James Douglas 612 Laura Way Paso Robles, CA 93446 James Yanez 538 County Lane San Luis Obispo, CA 93401 xxx Jose Sanchez Garcia 558 Ferro Lane Paso Robles, CA 93446 xxxx Juan Manuel Barrios 1021 Gaylene Dr Santa Maria, CA 93458 xxxx Manuel Robledo 9694 Birmingham Ave Riverside, CA 92509 Philip C Brainard Ill 1355 13th St Los Osos, CA 93402 Ronnie Ramsey PO Box 141 Cayucos, CA 93430-0410 FORM A-1-131 (New 2-80) ( 2) Number ot diR C.lifom<a Department of Industrial Relations PUBLIC WORKS PAYROLL REPORTING FORM NAME OF CONTRACTOR 0-KAL Engineering CONTRACTOR'S LICENSE # 653307 ADDRESS OR SUBCONTRACTOR SPECIAL1Y LICENSE # PAYROLL NUMBER FOR WEEK ENDING SELF-INSURED CERTIF1CATE # PROJECT OR CONTRACT # 21 J/912019 WORKERS' COMPENSATION POLICY # 7J45679A18 PROJECT & LOCATION 4lDAY ( 5) ( 6) ( 7) { 8) { 3) Sun Mon Tue Wed Thu Fri Sat GROSS AMOUNT DATE HOURLY EARNED PAGE PO Box 1919 San Luis Obis� CA 93406 Waterline Replace Spec 91436 San Luis Obisnn ( 9) NET WAGES Wlthhold1ng WORK 2/3 2/4 2/5 2/6 2/7 718 2/9 TOTAL RATE THIS ALL DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS PAID FOR CLASSIFICATION Exemptions 0 Equip. Opers. 0 Teamsters Apprentice 0 Laborer 0 Carpenters 0 Laborer 0 Laborer 0 Foreperson 0 Laborer 0 Laborer 0 Laborer 0 Laborer 0 Equip. Opers. HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS WEEK FWH MCA RE f1CA STTAX SDI VAC/HOL HEA!.TH/WELF PENSION s 0 0 7 8 8 7.5 0 30.5 <: 75.23 $ 410.00 ( 44.79 t 191.53 t 257.96 $ $ $ <t . D 0 0 0 s 0 0 D 0 s 0 0 D 0 0 0 s 0 0 D 0 s 0 0 D 0 0 0 s 0 0 D 0 0 0 s D 0 9 0 s 0 0 D 0 0 0 s 0 0 D 0 0 0 s 0 0 D 0 0 0 s 0 0 D 0 s 0 0 D 0 0 0 s = Straight time 0 = Overtime D = Doubletime 0 0 5 0 0 0 0 0 0 8 0 0 0 0 5 0 0 0 0 $ 3,089.16 $ 3,089.16 TRAINING FUNDADM!N DUES TRV/SUBS 5 3 0 0 8 < 99.33 $ . t -t < - FWH MCARE FICA ST TAX 0 0 8 0 8 $59.91 $ 302.00 t 27.83 $ 119.00 $ 142.19 $ 479.28 $ 1,919.28 TRAINING FUNDADM!N DUES TRV/SUBS $ t -$ $ FWH MCARE f1CA ST TAX 8 8 7 0 28 <20.48 $ 72.00 ,t 11.42 $ 48.84 $ 27.89 $ 680.96 $ 680.96 TRAINING FUNDADMIN DUES TRVISUBS 1.5 2 0 0 3.5 $30.72 $ 'i $ $ FWH MCARE f1CA ST TAX 4 0 0 0 4 <62 .02 $ 248.00 $ 34.12 $ 145.89 $ 175.30 $ 248.08 $ 2,353.04 TRAINING FUNDADMIN DUES TRVISUBS $ -$ $ $ . FWH MCARE FICA ST TAX 4 0 0 0 4 $58.73 $ 248.00 t 34.12 $ 145.89 $ 175.30 $ 2,104.96 $ 2,353.04 TRAINING FUNDADM!N DUES TRV/SUBS 5.5 0 0 0 5.5 $77.35 $ -t -$ $ . FWH MCARE f1CA ST TAX 0 8 7 0 15 $ 55.73 $ 166.00 t 27.67 $ 118.32 $ 78.92 $ 1,908.29 $ 1,908.29 TRAINING FUNDADM!N DUES TRVISUBS 5 0 0 0 5 $77.35 $ . t -$ $ - FWH MCA RE f1CA ST TAX $ 393.00 t 41.13 t 175.85 $ 241.54 13 11 8 0 49 salary $ 2,950.00 $ 2,950.00 TRAINING FUNDADM!N DUES TRV/SUBS $ t -$ $ - FWH MCARE f1CA ST TAX 8 8 7 0 23 $55.73 $ 93.00 t 27.03 $ 115.60 $ 52.54 $ 1,864.59 $ 1,864.59 TRAINING FUNDADM!N DUES TRV/SUBS 5 3 0 0 8 $ 72.85 $ . t . $ $ . FWH MCARE FICA ST TAX 8 8 0 0 16 t 55.73 $ 200.00 $ 25.96 $ 111.04 $ 111.85 $ 1,510.91 $ 1,790.91 TRAINING FUNDADM!N DUES TRV/SUBS 5 3.5 0 0 8.5 t 72.85 $ $ -$ $ FWH MCARE f1CA STTAX 8 8 7 0 28 �62.02 $ 138 .00 $ 28.11 $ 120.19 $ 66.49 $ 2,392.16 $ 2,392.16 TRAINING FUNDADM!N DUES TRV/SUBS 5 3 0 0 8 < 81.95 $ $ $ $ FWH MCA RE f1CA ST TAX 0 0 8 0 8 � 55.73 $ 130.00 $ 20.17 $ 86.23 $ 75.36 $ 445.84 $ 1,390.84 TRAINING FUNDADMIN DUES TRV/SUBS $ .$ $ $ . FWH MCARE f1CA ST TAX 8 8 6.5 0 22.5 $ 75.23 $ 298.00 t 28.87 $ 123.43 $ 141.26 $ 1,990.67 $ 1,990.67 TRAINING FUNDADM!N DUES TRV/SUBS 1.5 1.5 0 0 3 $99.33 $ -t -< $ • OTHER -Any other deduction s, contributions and/or payments whether or not included or required by prevailing wage determinations must be separate ly listed. Use extra sheet if necessary. SAVINGS OTHER TDTALDED CHKNUM $1,992.38 $ $ 192.50 $ 1 096.78 003048 SDI VAC/HOL HEAL TH/WELF PENSION $ $ -$ -,i; SAVINGS OTHER TDTALDED CHKNUM $1,288.26 $ $ 40.00 t 631.02 003052 SDI VAC/HOL HEALTHIWELF PENSION $ $ -t t SAVINGS OTHER TDTALDED CHKNUM $ 520.81 $ $ -t 160.15 003053 SDI VAC/HOL HEALTHIWELF PENSION $ -$ t $ SAVINGS Olli ER TOTALDED CHK NUM $ 1,529.87 $ $ 219.86 t 823.17 003054 SDI VAC/HOL HEALTH/WELF PENSION $ $ t ,t - SAVINGS OTHER TOTAL OED CHK NUM $1,529.87 $ $ 219.86 t 823.17 003054 SDI VAtiHOL HEAL THIWELF PENSION $ $ t t . SAVINGS OTHER TOTALDED CHK NUM $1,362.38 $ $ 155.00 t 545.91 003055 SDI VAC/HOL 1-iEAL TH/WELF PENSION $ $ t -'I; - SAVINGS OTHER TDTALDED CHKNUM $1,884.85 $ $ 213.63 < 1 065.15 003056 SDI VAC'JHOL HEAL TH/WELF PENSION $ $ t -( SAVINGS OTHER TOTAL OED CHKNUM $ 1,421.42 $ $ 155.00 t 443.17 1907 SDI VAC/HOL HEAL TH/WELF PENSION $ $ t t - SAVINGS OTHER TOTALDED CHK NUM $ 1,219.56 $ $ 122.50 t 571.35 003057 SDI VAC/HOL HEALTH/WELF PENSION $ -$ $ $ - SAVINGS OTHER TOTALDED CHKNUM $1,405.69 $ $ 633.68 t 986.47 1908 SDI VACIHOL HEAL TH/WELF PENSION $ $ •-$ - SAVINGS OTHER TOTALDED CHKNUM $ 1,039.08 $ $ 40.00 t 351.76 1909 SDI VAC/HOL HEAL TH/WELF PENSION $ $ t t . 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