| CASE NUMBER | I-200-24348-540669 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/12/2024 |
| DECISION DATE | 12/19/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Biomedical Service Engineer |
| SOC CODE | 17-2031.00 |
| SOC TITLE | Bioengineers and Biomedical Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2025 |
| END DATE | 12/31/2027 |
| 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 | PACIFIC BIOMEDICAL SERVICES, INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | P.O. Box 315209 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Tamuning |
| EMPLOYER STATE | GU |
| EMPLOYER POSTAL CODE | 96931 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16714770566 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 811219 |
| EMPLOYER POC LAST NAME | BENAVENTE |
| EMPLOYER POC FIRST NAME | Estanislao |
| EMPLOYER POC MIDDLE NAME | K. |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | PO Box 315209 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Tamuning |
| EMPLOYER POC STATE | GU |
| EMPLOYER POC POSTAL CODE | 96931 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16714770566 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ekb@pacbiomed.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Xu |
| AGENT ATTORNEY FIRST NAME | Nelson |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 238 Archbishop Flores Street |
| AGENT ATTORNEY ADDRESS2 | Suite 903 |
| AGENT ATTORNEY CITY | Hagatna |
| AGENT ATTORNEY STATE | GU |
| AGENT ATTORNEY POSTAL CODE | 96910 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16714779084 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | nelson.xu@baumannguam.com |
| LAWFIRM NAME BUSINESS NAME | BAUMANN, XU and BLACK, LLC |
| STATE OF HIGHEST COURT | GU |
| NAME OF HIGHEST STATE COURT | Supreme Court of Guam |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 122 W. Attorney Lamorena St., Micropac Building |
| WORKSITE ADDRESS2 | Unit 1A |
| WORKSITE CITY | Tamuning |
| WORKSITE COUNTY | TAMUNING |
| WORKSITE STATE | GU |
| WORKSITE POSTAL CODE | 96913 |
| WAGE RATE OF PAY FROM | $72,779.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $73,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $72,779.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 Employment |
| PREPARER LAST NAME | XU |
| PREPARER FIRST NAME | Nelson |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Baumann, Xu and Black, LLC |
| PREPARER EMAIL | nelson.xu@baumannguam.com |
| BEGIN DATE CONVERTED | 2025-01-01 |
