| CASE NUMBER | I-200-24129-973995 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 5/8/2024 |
| DECISION DATE | 7/15/2024 |
| ORIGINAL CERT DATE | 5/15/2024 |
| VISA CLASS | H-1B |
| JOB TITLE | Staff Toxicologist Specialist |
| SOC CODE | 19-2041.00 |
| SOC TITLE | Environmental Scientists and Specialists, Including Health |
| FULL TIME POSITION | Y |
| BEGIN DATE | 6/1/2024 |
| END DATE | 5/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Office of Environmental Health Hazard Assessment |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1001 I Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Sacramento |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95814 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +19163277327 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541715 |
| EMPLOYER POC LAST NAME | Sun |
| EMPLOYER POC FIRST NAME | Meng |
| EMPLOYER POC MIDDLE NAME | NA |
| EMPLOYER POC JOB TITLE | Senior toxicologist, Chief of Cancer Toxicology and Epidemio |
| EMPLOYER POC ADDRESS1 | 1001 I Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Sacramento |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95814 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +19163277327 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | meng.sun@oehha.ca.gov |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Morioka |
| AGENT ATTORNEY FIRST NAME | Kristi |
| AGENT ATTORNEY MIDDLE NAME | Asami |
| AGENT ATTORNEY ADDRESS1 | 1001 I Street |
| AGENT ATTORNEY ADDRESS2 | 23rd Floor |
| AGENT ATTORNEY CITY | Sacramento |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95831 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +19163225624 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | kristi.morioka@oehha.ca.gov |
| LAWFIRM NAME BUSINESS NAME | Office of Environmental Health Hazard Assessment |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1001 I Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Sacramento |
| WORKSITE COUNTY | SACRAMENTO |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 95814 |
| WAGE RATE OF PAY FROM | 8,630.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Month |
| PREVAILING WAGE | $8,605.98 |
| PW UNIT OF PAY | Month |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Morioka |
| PREPARER FIRST NAME | Kristi |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | OEHHA |
| PREPARER EMAIL | kristi.morioka@oehha.ca.gov |
| BEGIN DATE CONVERTED | 2024-01-06 |
