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1. MARK APPROPRIATE BLOCK 2. COMPANY NAME, CITY, STATE:3. PROJECT NUMBER:4. DOLLAR AMOUNT OF CONTRACT:□ Contractor□ SubcontractorThis collection of information is required by law and regulation 23 U.S.C. 140a and 23 CFR Part 230. The OMB control number for this collection is 2125-0019 expiring in August, 2019.6. WORKFORCE ON FEDERAL-AID AND CONSTRUCTION SITE(S) DURING LAST FULL PAY PERIOD ENDING IN JULY 20___ (INSERT YEAR)TABLE AJOB CATEGORIESTOTAL EMPLOYEDTOTAL RACIAL/ ETHNIC MINORITYBLACK or AFRICAN AMERICANHISPANIC OR LATINOAMERICAN INDIAN OR ALASKA NATIVEASIANNATIVE HAWAIIAN OR OTHER PACIFIC ISLANDERMFMFMFMFMFMFMOFFICIALS=F11+H11+J11+L11+N11+P11+R11=G11+I11+K11+M11+O11+Q11+S11=F11+H11+J11+L11+N11+P11=G11+I11+K11+M11+O11+Q11SUPERVISORS=F12+H12+J12+L12+N12+P12+R12=G12+I12+K12+M12+O12+Q12+S12=F12+H12+J12+L12+N12+P12=G12+I12+K12+M12+O12+Q12FOREMEN/WOMEN=F13+H13+J13+L13+N13+P13+R13=G13+I13+K13+M13+O13+Q13+S13=F13+H13+J13+L13+N13+P13=G13+I13+K13+M13+O13+Q13CLERICAL=F14+H14+J14+L14+N14+P14+R14=G14+I14+K14+M14+O14+Q14+S14=F14+H14+J14+L14+N14+P14=G14+I14+K14+M14+O14+Q14EQUIPMENT OPERATORS=F15+H15+J15+L15+N15+P15+R15=G15+I15+K15+M15+O15+Q15+S15=F15+H15+J15+L15+N15+P15=G15+I15+K15+M15+O15+Q15MECHANICS=F16+H16+J16+L16+N16+P16+R16=G16+I16+K16+M16+O16+Q16+S16=F16+H16+J16+L16+N16+P16=G16+I16+K16+M16+O16+Q16TRUCK DRIVERS=F17+H17+J17+L17+N17+P17+R17=G17+I17+K17+M17+O17+Q17+S17=F17+H17+J17+L17+N17+P17=G17+I17+K17+M17+O17+Q17IRONWORKERS=F18+H18+J18+L18+N18+P18+R18=G18+I18+K18+M18+O18+Q18+S18=F18+H18+J18+L18+N18+P18=G18+I18+K18+M18+O18+Q18CARPENTERS=F19+H19+J19+L19+N19+P19+R19=G19+I19+K19+M19+O19+Q19+S19=F19+H19+J19+L19+N19+P19=G19+I19+K19+M19+O19+Q19CEMENT MASONS=F20+H20+J20+L20+N20+P20+R20=G20+I20+K20+M20+O20+Q20+S20=F20+H20+J20+L20+N20+P20=G20+I20+K20+M20+O20+Q20ELECTRICIANS=F21+H21+J21+L21+N21+P21+R21=G21+I21+K21+M21+O21+Q21+S21=F21+H21+J21+L21+N21+P21=G21+I21+K21+M21+O21+Q21PIPEFITTER/PLUMBERS=F22+H22+J22+L22+N22+P22+R22=G22+I22+K22+M22+O22+Q22+S22=F22+H22+J22+L22+N22+P22=G22+I22+K22+M22+O22+Q22PAINTERS=F23+H23+J23+L23+N23+P23+R23=G23+I23+K23+M23+O23+Q23+S23=F23+H23+J23+L23+N23+P23=G23+I23+K23+M23+O23+Q23LABORERS-SEMI SKILLED=F24+H24+J24+L24+N24+P24+R24=G24+I24+K24+M24+O24+Q24+S24=F24+H24+J24+L24+N24+P24=G24+I24+K24+M24+O24+Q24LABORERS-UNSKILLED=F25+H25+J25+L25+N25+P25+R25=G25+I25+K25+M25+O25+Q25+S25=F25+H25+J25+L25+N25+P25=G25+I25+K25+M25+O25+Q25TOTAL=SUM(B11:B25)=SUM(C11:C25)=SUM(D11:D25)=SUM(E11:E25)=SUM(F11:F25)=SUM(G11:G25)=SUM(H11:H25)=SUM(I11:I25)=SUM(J11:J25)=SUM(K11:K25)=SUM(L11:L25)=SUM(M11:M25)=SUM(N11:N25)TABLE C (Table B data by racial status)APPRENTICES=F29+H29+J29+L29+N29+P29+R29=G29+I29+K29+M29+O29+Q29+S29=F29+H29+J29+L29+N29+P29=G29+I29+K29+M29+O29+Q29OJT TRAINEES=F30+H30+J30+L30+N30+P30+R30=G30+I30+K30+M30+O30+Q30+S30=F30+H30+J30+L30+N30+P30=G30+I30+K30+M30+O30+Q308. PREPARED BY: 9. DATE10. REVIEWED BY: (Signature and Title of State Highway Official)(Signature and Title of Contractors Representative)Form FHWA- 1391 (Rev. 09-13)PREVIOUS EDITIONS ARE OBSOLETE ................
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