Apprenticeship Training Fund Invoice3/24/2021 Apprenticeship Training Fund Invoice
https://www.dir.ca.gov/das/tf/CAC2-INV.asp?action=captcha 1/1
Remittance for the Following Projects
COUNTY CLASSIFICATION HOURS CONTRIBUTION
RATE AMOUNT
RIVERSIDE LABORERS 8.00 $0.70 $5.60
Submitter Contact Information
Submitter's name Submitter's title Email address Phone #
JENNIFER RIVERA CERTIFIED PAYROLL
SPECIALIST LABORCOMPLIANCE@ONYXPAVING.NET 714-632-6699
Generated: 3/24/2021
TRAINING FUND
CONTRIBUTIONS
California Apprenticeship
Council
Please Mail this form and your check payable to the
California Apprenticeship Council to:
State of California
Department of Industrial Relations
California Apprenticeship Council
P.O. Box 511283
Los Angeles, CA 90051-7838
Report Period: 1/25/2021 to 1/31/2021
Contract/Project No: 2020-04
Jobsite: 20-117 La Quinta Washington St
Pavement Rehab
Transaction ID: 1075449
Total Amount:$5.60
Contractor License: 630360
Contractor's Name & Address:
ONYX PAVING COMPANY, INC
2890 E La Cresta Ave
Anaheim, CA 92806