Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reverse) U.S. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Marin J. Corporation 2148 North Torrington Rd. Avon Park, FL 33825 2. HOUSING LOCATION 48 State Hwy Unit #16 Senath, MO 63876 3. HOUSING DESCRIPTION Wood Frame House 4. SLEEP ROOMS a. Dormitory Type b. Famin Type MeasureUSE ONLY Length 212 17'8 10'REGULATIONS COMPLIANCE Width 12 4 12 610 box) Yes No Ceiling Height 3 8 8 Water Square Feet 262.8 213.6 61 Electricity I: No. of Rooms 1 1 1 Site No. of Beds, . Single 4 4 1 Screen'"9 '2 El No. of Beds or . Bunks, Double 1 1 Heatmg 7. FACILITIES (Number of each} Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. 8. typeCOMMENTS Large trash container for weekly pickup 3 smoke alarms Will take workers to local laundry mat once a week. 9. CERTIFICATION: the housing described herein meets I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employnlent and TrainirWinistration regional of?ce to inspect the above housing at any reasonable time. Joyce Hahn, Program Coordinator Employer?ss ai?fe? Typed Name and Title Date e/Kf? I oWsm??so??: Joyce Hahn Signature of Authorized Official Typed Name and Title Date Joyce Hahn, Program Coordinator $013.43 WAIQPROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date 5?231? V0 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) . NAME AND ADDRESS Marin J. Corporation 2148 North Torrington Rd. Avon Park, FL 33825 3 smoke alarms Large trash container for weekly pickup Will take workers to local laundry mat weekly. 2. HOUSING LOCATION . HOUSING DESCRIPTION 4346 State Hwy Unit #11 Brick House Senath, MO 63876 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. 8. MeasureUSE ONLY . . . . 5. CAPACITY Length 143 141 132 9 9 (AdmREGULATIONS COMPLIANCE Width 227 10 1410 1311 (yupmperbox) Yes No Ceiling Height 8 8 8 a Water Square Feet 324.61 141 186.12 130 Electricity El El No. of Rooms 1 1 1 1 Site No. of Beds, . Single 6 3 4 1 Screening No. of Beds or . Bunks. Double 1 Heat?? 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 2 2 2 1 a?bc 8. COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housin the housing described herein PE meets of?ce and/or Employment and Trainiog gamini regulations of the U.S. Department of Labor. U.S. Training and Employment Service. and that does not meet such standards. I hereby authorize representatives of the State Employment Service strati? regional of?ce to inspect the above housing at any reasonable time. Employer?s tof? Typed Name and Title Date a? {2143 Moo Anita Dixson Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, FLC Program Coordinator 313-? 3 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, FLC Program Coordinator [8 FORM R-JULY 1969 AI