Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reverse) US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Augusta Wine Company 5601 High Street; PO Box 8 Augusta, MO 63332 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 520 Crow Creek Lane Ranch Home Augusta, MO 63332 "($551235 1 3- . 4 ES Length 12 12 5' -3 Width 11 11 6. ?gg?terrlloous COMPLIANCE Yes No Ceiling Height 8 8 Water ?1 Square Feet 132 132 Electricity No. of Rooms 1 1 Site El ?31.91); Beds, Screening 2 3353;833:1333; ?eating Mg El 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 1 1 tubs Cook Stoves Refrigerators Garbage containers irst-aid Kits Fire Extinguishers 1 1 1 (No. type) 8. COMMENTS 9. CERTIFICATION: the housing described herein CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. US. Training and Employment Service. and that meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce ang/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. Employer?s Signature Typed Name and Title Date . . ebbie - . [W/ac uric-pl 1o. HOUSING INSPECTED BY: Joyce Hahn Signature/of?u orized Official Typed Name and Title Date 61/: . Joyce Hahn, Program Coordinator 11. Housing approved for occupancy by workers recruited interstate. Date Typed Name and Title Joyce Hahn, Program Coordinator 0/14/9/ Officla FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Alewelt Concrete, Inc_ EMPLOYER FURNISHED HOUSING AND FACILITIES 18358 County HWY 0-20 Alden, Iowa 50006 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 430 Paul Lane 16 80 Mobile Home Wayland, MO 63472 1 f. f; I lifQ' 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY . . . 5. CAPACITY Length 136 136 136 (Adam) 12 . 6. REGULATIONS COMPLIANCE Width 11.6 11.6 11.6 (?x?properbox) Yes No Ceiling Height 8 a 8 Water Square Feet Electricity No. of Rooms Site No. of Beds, . Single Scream [1 No. of Beds or Bunks, Double 2 2 2 Heating 7. FACILITIES (Number of each) - - - . 54", - Flush T0ilets Privy Urinals Lav. or Washbasms Showerheads 01.16! I :5 2/Movable Bat tubs Laundry machines Fixed laundry tubs Mgzabe aundry g. t, f/l?f 2 5:721 711", Cook Stoves Refrigerators Garbage containers First?aid Kits Fire Extinguishers 1 1 1 1 (No. 8. type) 2 8. COMMENTS 1 i 3.. . - ?l ?Luf?r . ?xx/?06 \k'l I -ka?sk\?xl?fv? Li: LLCL fl 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. Employer's Signature Typed Name and Title ?u Date I, . I?m 1M 17110. HOUSING BY: Signature of Authorized Of?cial Typed Name and Title Date =1 1? EU Debra Minish, State Monitor Advocate 3/5/2015 11. APPROVAL: HouSing approved for occupancy by workers recruited interstate. ?ignature of Authorized Official Typed Name and Title Date A i Adoate ?v - I in. I-i ?fjh Debra Minish, State Mon tor .5 FORM ES-338-R2 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department Of Labor, Employment and Training Administration 1? EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Alewelt Concrete Inc. EMPLOYER FURNISHED HOUSING AND FACILITIES 18358 County Hwy 0-20 Alden, Iowa 50006 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 5046 Red Maple Lane 16 80 Mobile Home Fulton. MO 62251 41252142232? I 4 1 4 Es Length 13'6 13.6 13.6 5' C?mgrv 12 Width 11.6 11.6 11.6 Yes No Ceiling Height 8 8 8 Water Square Feet 160 160 160 Electricity XI No. of Rooms Site ?131.91); Beds. Screening 2 2 2 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 2 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 2 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS Smoke and Carbon Monoxide Detectors - 4 City trash pick-up Local laundry matt New quality built construction 9. CERTIFICATION: I CERTIFY THATI have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meets I: does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment ancprain?ing Administration regional Of?ce to inspect the above housing at any reasonable time. AX) Typed Name and Title Date -t M?i?f {v e" I 001%? gar/?) 4,7,2015 1o. HOUSING INSPECTED BY: Signature of Authorized Of? ial -. Typed Name and Title Date .m?i?km XL Debra Minish, State Monitor Advocate 4/7/2015 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date . I Debra Minish, State Monitor Advocate 4/7/2015 LL) \rl weQ?A? FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Alewelt Concrete, Inc EMPLOYER FURNISHED HOUSING AND FACILITIES 18358 County Hwy 0-20 (S . Alden, IA 50006 ee Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 5118 Faraon Street Lot #55 16 80 Mobile Home St. Joseph[/51 46 I 4(215234 22:13:? 1 a. E2)orrmtory Type 4 1 b.2FamIIy Type 4 ES USE ONLY Length 13'6 13'6 13'6 5' $2533? 12 Width 11'6 11'6 11'6 6' Eggtg?t'gjj Yes No Ceiling Height 8 8 8 Water Square Feet Electricity No. of Rooms Site gag: Beds. Screening El 3312;83:33; 2 2 2 El 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 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeKIddIe 8. COMMENTS Smoke/Carbon Monoxide New quality built construction 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. Employer?s Signature Typed Name and Title Date ?{Lacv?/x? 591mg.) A. ?Jill I I) "10: Joyce Hahn 8m?? I Signature otAuthorized Official TypegBNanwe and Date . 2 3t-L . . - - Hahn orkforc eCIalist lV Ii ILLJ 1X dey?e Oj/ll/IJ 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. I Signature of Authorized Of?cial Typed Name and Title Date (V \8 p? 2 [k doyceHahn; Workforce Specralist (UK FORM ES-338-R2 R-JULY 1969 Al 7K Housinj InsPec?kton Cmducieco ?or Form Approved Budget Bureau No. 44-R1358 8. COMMENTS US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Marc Alewelt EMPLOYER FURNISHED HOUSING AND FACILITIES 18358 County Hwy 0-20 . 4 Alden, IA 50006 (See Instr IICIIOHS on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 72872 638"1 Ave House Auburn, NE 68305 Capacity =26? 4. SLEEP ROOMS a. Dormitory Type 1). Family Type (No. MeasureUSE ONLY 5. CAPACITY Length 3 3 {3 (Adults) 36' . 6. REGULATIONS COMPLIANCE W'dth I proper box) Yes No Ceiling Height I Water Square Feet ?43 Electricity '3 No. of Rooms I 1 Site (E . . ?3191); eds Screening No. Beds or . Double '2 HeatIng 7. FACILITIES (Number of each) Flush Toilets ?Privy Urinals Lav. or Washbasins [Showerheads I I I Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry Nab FOLS k0. I tubs 9/ Iva-nu. Hot/15' n5 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) I I I Arc 9. CERTIFICATION: the housing described herein . meets I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, 05. Training and Employment Service, and that does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. A Wire Typed Name and Title Date can!? . MA 6 15/11/20]; I 10. NSPECTED Signatur fAuthori ed Official Typed Name and Title Date g4? Paul Elkms - Housmg Inspector 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Official Typed Name and Title Date 8% Steve Porr, FLC Coordinator 62/14/243" FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 1. NAME AND ADDRESS Alewelt Concrete, Inc. 18358 County Hwy D-20 Alden, IA 50006 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 777 E. Yerby St. Lot 86 3. HOUSING DESCRIPTION 16 80 Mobile Home Marshall, MO 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY - .3353, 5. CAPACITY ens ILII #7153 2 (Adults) 11 . 6. REGULATIONS COMPLIANCE New ("x?proper box) Yes No Ceiling Height 8 8 8 Water Square Feet Electricity No. of Rooms Site No. of Beds. . Single 1 Screenlng No. of Beds or . Bunks. Double 2 2 1 HeatIng 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 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 1 (No. type) 2 Kiddie 8. COMMENTS Smoke/Carbon Monoxide New quality built construction 9. CERTIFICATION: the housing described herein meets I CERTIFY THAT I have reviewed the housing regulations of the US. 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 Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Typed Name and Title Date ?Tm 5 Marc Alewelt, President 7.. 10. HOUS Signat re of Authorize cial Typed?ame and Title g/ Date 1 [El/Ca- 53/14 429/4 11. APPROVAL: Housing approved for occupancy by workers recruited intersiate. Signature Authorized/?2! and . Date - (7 '1 .44/1 ?7?j cL/zlx 7 FORM ES-338-R2 R-JULY 1969 AI US. Department of Labor, Em U.S. TRAINING AND EMPL EMPLOYER FURNISHED HOUSING AND FACILITIES and 'I?ruining Administration SERVICE (See on Reverse) Form Approved Budget Bureau No. 44-R1358 1. NAME AND ADDRESS Aieweit Concrete, inc. 18358 County Hwy D-20 Alden, IA 50006 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Smoke/Carbon Monoxide Detectors~--4 New quality built construction 1110 Street Lot #7 16 80 Mobile Home Bethany. MO 64424 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY . . . 5. CAPACITY Length 136 136 136 (AdmREGULATIONS COMPLIANCE 116 116 116 (R?pmperbox) Yes No Ceiling Height 8 8 a Water Square Feet Electricity 8 No. of Rooms Site No. otB . Single 3 Screening 8 No. of Beds or - Bunks, Double 2 2 2 Heat? IE 7. FACILITIES (Number of each) Fiush Toilets Privy Urinals Lav. or Weshbasins Showerheads 2 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Retrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 (N0. type) 2 Kiddie 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have revl the housing described herein of?ce and/or Employment and Training Admlni meets awed the housing regulations of the US. De does not meet such standards. I stration regional of?ce to inspect partment 01 Labor. U.S. Training and Employment Service, and that hereby authorize representatives of the State Employment Service the above housing at any reasonable time. SignatWthorlzed Typed Name and $00 )1 Emplo ature Typed Name and Title Date I 7 3 Marc Aiewelt, President of? r/ 3 10. HOUSING INSPECTED BY: Signa urfol Authorized Of?cial Typed Name and I Date . 5, 5515/9 sz)? @adm? (I) 797d 11. Housing approWor occupancy by workers recruitedInt?rstate. Date Sit/S .77 Of?cial l: I FORM ES-338-R2 R-JULY 1969 AI Form Approved Mai Bureau No. 44421358 U. S. Department of Labor, Employment and Training Administration U. S. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Inslrucltons on Remain) 1. NAME AND ADDRESS Aleweit Concrete, Inc. 18358 County Hwy Alden, IA 50006 2. HOUSING LOCATION 605 E. Fields Blvd. Lot G-12 El Dorado Springs. MO 64744 3. HOUSING DESCRIPTION 16X80 Mobile Home Smoke/Carbon Monoxide Detectors New quality built construction 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . . 5. CAPACITY Length 14 10 11 9 162 (Adam 1 1 . . . 6. REGULATIONS COMPLIANCE Width 113 113 113 box} Yes No Ceiling Height 8 a a Water IE Square Feet 160 135 183 Electricity K4 No. of Rooms Site K4 No. of Beds. Sing to 1 Screening K4 No. of Beds or Banks. Double 2 2 1 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbaslns Showerheada 2 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 2 Cook Stoves Relrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 1 (No. type) 2 Kiddie 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have reviewed the houaln the housing described herein Eottloe and/or Employment and Training meets regulations of the U. S. Department of Labor. ..8 Training and Employment Service and that does not meet such standards. I hereby authorize representatives oi the State Employment Service stration regional owes to lnspect??mvehousing at any reasonable time. Ignature W: and Title Anwui Daze/It) '10 HOUSWPECTED av: Joy? Hahn thorized Oiticlal Typed Name and Title Joyce Hahn. Program Coordinator Data e650er1011 Large 2 story cider farm house. 2 means of regress to outside from upper floor 1 bunk and 10 single beds-?Bedding for 12 Total capacity 22 T1. "5351571311321121116311651.? 4 SLEEP ROOMS a. Dormitory Type -. . b. Fam1ly Type ?312850181 9'Length 1 10 a 22 4 103 11? :35- (MansCOMPLIANCE Width . 123 152 9 216 124 ('x?properbox) 2..-.-- Yes No 1 0911119 He?ght 8 8 I 8 8 Water 1 .. 1 . Square Feet 127? 339' 92' 249' 128 E?eotrsoly g] No. 01 Rooms 1 518 w"5.111011312113, - .1 ?3 Single ., . 3 8 2 6 21 32.19811? No of Beds or . Hunks. Double ?1 Heatrng 7. (Number 0! each) Hush Toi1els EPrevy 1Ursna1s Lav orWashbasms ?Showerheads 1 3 1 3 1111111111115 Movable Bazhtubs {Laundry machmes 1F1xcd 131111111311 11105 Movable laundry tubs 1 1 Cook Stoves 111191 12111913131015 Garbage containers Fast-aid Kits Fwe Extingurshers 1 (NO 8151190} 1 1 1 Zabc 8. I THAT 1 have reviewed the housing reguiatsons ofthe 1.1 5. Depattment of Labor 1.1 8 1131111119 and kmuloyn en: 311mm and that the housing descnbed herein I Lmeets 1 does not meet such 3131111311131 hexeby abkhorize representatwes 01111: State mpIOyn em Service 01108 and Tra: ning Adm n1 (ration reg-1011.111 of?ce to mspect the 3110-. 1e housing 131 an [111391211321 9. :11 Emp oygf?essgnahu . Iyped Name and 1111: 1mm A1 Cordte, Station Manager 1 .1 1 10 31911311116 01 A?uthorized 0111:1111 ,1 {Typed Name and 111113 Date If, In; .- Joyce Hahn, Workforce Specialist 1V 1 ,2 - 11 APPROVAL: Housing approved for? occupancy by workers ?recruited interstate. 3agnatute ofAuthorizeo 011?163 Typed Name and Date 1 Joyce Hahn. Workforce Spec?ahst 1V . . ., a . FORM R-JULY 1969 Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Bonnie Plants #61 67465 Lookout Trail California, MO 65018 1. NAME AND ADDRESS 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 57333 Lookout Trail House 3 California, MO 65018 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . . 5. CAPACITY Length 9 8 13 3 11 9 (Mans) 7 . . . 6. REGULATIONS COMPLIANCE W'dth 10 9 8 9 9 proper box) Yes No Ceiling Height Water I: Square Feet 100 130 118 Electricity No. of Rooms Site No. of Beds, . Single 1 1 Screening No. of Beds or . Bunks, Double 1 1 1 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 1 (No. type) 1 ABC 8. COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Er?plpyer?s Signature Typed Name and Title Date Ben'amin Kru er LIL.) l2?. 1 9 WW7 1o. HOUSING INSPECTED BF Joyce Hahn Signatu Authof' zed Of?cial Typed Name and Title Date . [/0744] v,7% 4 Joyce Hah Program Coordinator 7 . 11. ljzsingv approved for occupancy by workers recrurted Interstate. Signatur A o??zed Of?cial Typed Name and Title Date 44/ J0 ce Hahn, Pro ram Coordinator 517 I l?el?'d 7 FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (Sec Instrucrions on Reverse) Bonnie Plants #61 67465 Lookout Trail California, MO 65018 1. NAME AND ADDRESS 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 57333 Lookout Trail Duplex 1-B California, MO 65018 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . . 5. CAPACITY Length 12 9 910 11 7 (Adults) 9 . . 6. REGULATIONS COMPLIANCE W'dth 10 5 12 4 9 proper box) Yes No Ceiling Height Water Square Feet 126 113 106 Electricity IE No. of Rooms Site No. of Beds. . Single 1 2 ScreenIng I: No. of Beds or . Bunks, Double 1 2 HeatIng El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 (No. type) 1 ABC 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the S. Department of Labor Training and Employment Service and that the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards I hereby authorize representatives of the State Employment Service Employer? 5 Signature Typed Name and Title Date I1 Q3 I/ii' r" Uri/M40; .34'/7 10./ MOUSNGINSPECTED BY: Joyce Hahn Typed Name and Title Date SiWh/orized Of?cial Joyce Hahn, Program Coordinator 91/ 7 11. AP WROVAL /Housing approved for occupancy by workers recruited interstate lSignatureylhorized Of?/c?a?/L Typed Name and Title Joyce Hahn, Program Coordinator Date M124) '7 FORM R-JULY 1969 Al Form Approved Budget Bureau No. US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Bonnie Plants #61 67465 Lookout Trail California, MO 65018 1. NAME AND ADDRESS 2. HOUSING LOCATION 57333 Lookout Trail California, MO 65018 3. HOUSING DESCRIPTION Duplex 1-A 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY Length 1 1 12'4 5. CAPACITY (Adults) 10 Width 10 23'6 6. REGULATIONS COMPLIANCE proper box) 2 es 0 Ceiling Height Water Square Feet 110 266.91 Electricity No. of Rooms Site No. of Beds. Single Screening No. of Beds or Bunks, Double 1 4 Heating DECIDE 7. FACILITIES (Number of each) Flush Toilets Privy Urinals 1 Lav. or Washbasins Showerheads 1 1 Bathtubs Movable Bathtubs Laundry machines 1 Movable laundry tubs Fixed laundry tubs Cook Stoves 1 Refrigerators Garbage containers 1 1 First-aid Kits 1 Fire Extinguishers (No. 8. type) 1 ABC 8. COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signature Typed Name and Title Date 4.4 I I [fan i ll 441 INSPECTED Joyce Hahn Signatu/w/vAuthorized O/f?/ceV Typed Name and Title Date 4r 79/ Joyce Hahn, Program Coordinator ?525) - /7 11. Housing approved for occupancy by workers recruited interstate. SignatureI??aj/Authorized cial Typed Name and Title Date . 4 . Joyce Hahn, Program CoordInator Jr 7 3' FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Bonnie Plants #61 67465 Lookout Trail California, MO 65018 1. NAME AND ADDRESS 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 57333 Lookout Trail Duplex 1-A California, MO 65018 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY . 5. CAPACITY Length 11 12 4 (Mans) 10 . . 6. REGULATIONS COMPLIANCE Width 10 23 6 proper box) Yes No Ceiling Height Water IE Square Feet 110 266.91 Electricity No. of Rooms Site No. of Beds. - Single Screening No. of Beds or . Bunks, Double 1 4 Heat? 8] 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 0 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 1 type) 1 ABC 8. COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service (of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signature Typed Name and Title Date Ben'amin Kru 10. HOUSING INSPECTED BY: Joyce Hahn Sign'a?turelor Authorized Of?cial Typed Name and Title Date I . 7 Joyce Hahn, Program Coordinator . 11. Housing approved for occupancy by workers recruited interstate. Signa Authorized cial Typed Name and Title Date - . . Jo ce Hahn, Pro ram Coordinator .7, 3 mu, . [171" 9 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Bonnie Plants #61 67465 Lookout Trail California, MO 65018 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 57333 Lookout Trail Duplex 1-B California, MO 65018 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY . . . 5. CAPACITY Length 129 910 117 (Adults) 9 . . . 6. REGULATIONS COMPLIANCE Width 10 5 12 4 9 ("x"proper box) Yes No Ceiling Height Water El Square Feet 126 113 106 Electricity IX No. of Rooms Site No. of ds. . Single 1 2 Screening No. of Beds or . Bunks. Double 1 2 ?93""9 IX El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (NO- typeCOMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets of?o?efandmr Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Empl er?s ?ignature Typed Name and Title Date . . ., . Benjamin Kruger I 3 L1 lie 10. HOUSING INSPECTED Joyce Hahn Signatu?thon?zed 022: Typed Name and Title Date WILL La Joyce Hahn, Program Coordlnator ?194; 11. Housing apryoved for occupancy by workers recruited interstate. :Zl/ Typed Name and Title Date in tor [701 Joyce Hahn, Program Coo a /9 #7 5 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) . NAME AND ADDRESS Bonnie Plants #61 67465 Lookout Trail California, MO 65018 2. HOUSING LOCATION 57333 Lookout Trail California, MO 65018 House 3 . HOUSING DESCRIPTION 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY Length 9'8 13'3 11'9 5. CAPACITY (Adults) Width 10 9?8 9'9 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water Square Feet 100 130 118 Electricity No. of Rooms Site No. of Beds, Single Screening No. of Beds or Bunks, Double 1 1 Heating 7. FACILITIES (Number of each) Flush Toilets 1 Privy Urinals Lav. or Washbasins 1 Showerheads 1 Bathtubs 1 Movable Bathtubs Laundry machines 1 Fixed laundry tubs Movable laundry tubs Cook Stoves 1 Refrigerators 1 Garbage containers 1 First-aid Kits 1 Fire Extinguishers (No. type) 1 ABC 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Emhlo er? Signature Typed Name and Title Date .. Kr I ALA 4' Benjamm Uge 1 I (a 10. HWNG INSPECTED Joyce Hahn Sign ure fAuthorizmal/ Typed Name and Title Date (2 Joyce Hahn, Program Coordinator 9/ 71/ 11. Hdusing approved for occupancy by workers recruited interstate. Signat Typed Name and Title Date v/ Joyce Hahn, Program Coordinator 70.1% FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Bonnie Plant #61 57465 Lookout Trail California, MO 65018 2. HOUSING LOCATION 57465 Lookout Trail California, MO 65018 3. HOUSING DESCRIPTION Single Family House 1A 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. &MeasureUSE ONLY 5. CAPACITY Length 11 12 4 (Adults) 10 - . 6. REGULATIONS COMPLIANCE Width 10 23 6 (?x"proper box) Yes No Ceiling Height Water Square Feet 110 266.91 Electricity No. of Rooms Site No. of Beds. - Single Screening No. of Beds or - Bunks. Double 1 4 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 1 tubs Cook Stoves 1 1 Refrigerators Garbage containers 1 First-aid Kits 1 Fire Extinguishers (No. type) 1 abc 8. COMMENTS Laundry machine is located downstairs. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Employer?s Signature Typed Name and Title Date I) INSPECTED BY: Joyce Hahn Signatugmy thorized Of?ci Typed Name and Title Date Joyce Hahn, Program Coordinator 11. APPROWXL: Housing approved for occupancy by workers recruited interstate. Signature 0 thorized Of?cial I Typed Name and Title Date Joyce Hahn, Program Coordinator 4351/; FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Bonnie Plant #61 57465 Lookout Trail California, MO 65018 1. NAME AND ADDRESS 2. HOUSING LOCATION 57465 Lookout Trail California, MO 65018 3. HOUSING DESCRIPTION Single Family House 18 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. a. MeasureUSE ONLY . . . 5. CAPACITY Length 12 9 9 1o 11 7 (Adam) 9 - . . 6. REGULATIONS COMPLIANCE Width 10 5 12 4 9 (?x"pmper box) Yes No Ceiling Height Water Square Feet 126 113 106 Electricity No. of Rooms Site El No. of Beds, . Single 1 2 Screening El No. of Beds or . Bunks. Double 1 2 Hemmg IE 7. FACILITIES (Number of each) 8 Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 1 (No. type) 1 abc 8. COMMENTS Laundry machine is located downstairs. 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional office to inspect the above h0using at any reasonable time. Employer?s Signature Typed Name and Title Date 7/ A 1 . HOUSI BY: Joyce Hahn Signature?o uthorized Of?cia Typed Name and Title Date I L. Joyce Hahn, Program Coordlnator 11. APPRWAL: Housing approved for occupancy by workers recruited interstate. Signatur Authorized Of?cia Typed Name and Title Date . In . Joyce Hahn, Program Coord ato 7/3 a: FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No, 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Bonnie Plant #61 57465 Lookout Trail California, MO 65018 2. HOUSING LOCATION 57465 Lookout Trail California, MO 65018 3. HOUSING DESCRIPTION Single Family House 3 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . . 5. CAPACITY Length 9 8 13 3 11 9 (Adults) 7 - . . 6. REGULATIONS COMPLIANCE Width 10 98 99 ("x"properbox) Yes No Ceiling Height Water I: Square Feet 100 130 118 Electricity No. of Rooms Site No. of Beds. . Singte 1 1 Screenmg IZI El No. of Beds or - Bunks, Double 1 1 1 Hemmg '2 El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 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. type) 8. COMMENTS Laundry machine is located downstairs. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor does not meet such standards. I hereb the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. U.S. Training and Employment Service, and that authorize representatives of the State Employment Service Employer?s Signature Typed Name and Title Date 7/41, 7/ . 10. BY: Joyce Hahn Signat Authorm Typed Name and Title Date Joyce Hahn, Program Coordinator 7., 11. APPRWAL: Housing approved for occupancy by workers recruited interstate. Signatu Authorized Typed Name and Title Date . - 44 Joyce Hahn, Program Coordinato FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Bonnie Plant #61 EMPLOYER FURNISHED HOUSING AND FACILITIES 57455 Lookout Trail (See human-0 California, MO 65018 as on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 57465 Lookout Trail Single Family House 1A California, MO 65018 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . 5. CAPACITY Length 11 12 4 (Adults) 10 - . 6. REGULATIONS COMPLIANCE Width 10 23 6 proper box) Yes No Ceiling Height Water IE I: Square Feet 110 266.91 Electricity No. of Rooms Site No. of Beds. - Single Screening No. of Beds or 1 4 Heating Blinks, Double 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 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. typeCOMMENTS Laundry machine is located downstairs. 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. Emplo ers Signature Typed Name and Title Date WM endemic.? 14?4th 10. AousmIG BY: Joyce Hahn SignatAuthorizew/ Typed Name and Title Date [47/2 Joyce Hahn, Program Coordinato A5 11. AMOVAL: Housing approved for occupancy by workers recruited interstate. Si at of whim: Typed Name and Title Date (974(1 i Joyce Hahn, Program Coordinator 45 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Bonnie Plant #61 57465 Lookout Trail California, MO 65018 2. HOUSING LOCATION 57465 Lookout Trail California, MO 65018 3. HOUSING DESCRIPTION Single Family House 18 Length 129 9'10 117 5? 32mg? Width 10.5 12.4 9 6. ?flgun?rruoou?s COMPLIANCE Yes No Ceiling Height Water Square Feet 126 113 106 Electricity No. of Rooms Site glion. Beds, Screening 3353;815:135; I ,2 Heating El 7. FACILITIES (Numberofeach) 3 Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 1 (No. 8. type) 1 abC 8. COMMENTS Laundry machine is located downstairs. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Depa the housing described herein office and/or Employment and Training Administration regional meets rtment of Labor, U.S. Training and Employment Service. and that does not meet such standards. I hereby authorize representatives of the State Employment Service ffice to inspect the above housing at any reasonable time. Employer's Signature 1 ?2 Mml?. Typed Name and Title 2n,? we Ito-?wt 15V Date NG INSPECTED [?15 Joyce Hahn SignatU/? Authorizem/ Typed Name and Title Date . Joyce ahn, Program CoordInator 11. HotI?sing approved for occupancy by workers recruited interstate. Typed Name and Title Date Joyce Hahn, Program Coordinator CW, I Signa re of AuthoI?taZ/O?icial FORM ES-338-R2 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Bonnie Plant #61 57465 Lookout Trail California, MO 65018 2. HOUSING LOCATION 57465 Lookout Trail California, MO 65018 3. HOUSING DESCRIPTION Single Family House 3 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY . . . 5. CAPACITY Length 98 133 119 (Adults) 7 . . . 6. REGULATIONS COMPLIANCE Width 10 98 99 ("x"properbox) Yes No Ceiling Height Water Square Feet 100 130 118 Electricity No. of Rooms Site No. of Beds, . Single i 1 Screening [3 No. of Beds or . Bunks. Double I I I ?93""9 IXI 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 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. type) 8. COMMENTS Laundry machine is located downstairs. the housing described herein 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US 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 office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time meets Employer?s Signature Typed Name and Title Date . g9 high/Ln Ill/lie: 10. HOUS 6 INSPEC BY: Joyce Hahn I Signa of Authorim?al Typed Name and Title Date ro ram inator vrlIL/ij.? Joyce ahn,P 9 00d 11. R0 AL: I%using approved for occupancy by workers recruited interstate. Typed Name and Title Date . Joyce Hahn, Program Coordinator l/ Si7iat ire Authorizejj-?lcj?/ I FORM R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' i NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE BIBBS TRUCKING EMPLOYER FURNISHED HOUSING AND FACILITIES 14974 STATE HWY 164 (See Instructions on Reverse) HORNERSVILLE. MO 62855 2. HOUSING LOCATION 3 HOUSING DESCRIPTION 57" all Sfr-aj? my cars-5 gawk 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length Hf] (Adults) %0 6. REGULATIONS COMPLIANCE w'dth proper box) Yes No Ceiling Height Water 5/ Square Feet Electricity all: No. of Rooms Site 8/ gin-9?; Beds, Screening 5" No. of Beds or . Bunks?pouble a? To Heating 6/ '3 7V FACILITIES (Number ofeach) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers a a (No. pa) 8. COMMENTS a\a~cm? 32 We raga/isms 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signature Typed Name and Title Date 1/1 4? 3?94? 10. HOUSING INSPECTED BY: Joyce Hahn Signatur thorized Of?ci Typed Name and Title Date Joyce Hahn, Program Coordinator 3 12.41 APPROVAL Housing approved for occupancy by workers recruited interstate. Signature 0 orized Of?cia Typed Name and Title Date Joyce Hahn, Program Coordinator 3, FORM ES-338-R2 R-JULY 1969 AI US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS BIBBS TRUCKING 14974 STATE HWY 164 HORNERSVILLE, MO 62855 Form Approved Budget Bureau No. 44-R1358 2. HOUSING LOCATION 3. HOUSING DESCRIPTION I (No. type) I g; 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length 3 (Adults) . I 6. REGULATIONS COMPLIANCE ?ham 1 I proper box) Yes No Ceiling Height Water 0a El Square Feet Electricity No. of Rooms Site No. of Beds, . Single Screening a; I: of Beds or . bDouble Ci Heatlng a 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 1 IUDS Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 8. COMMENTS a Swab ?hum/s the housing des 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U. Department of Labor, U. Tr does not meet such standards. I hereby authorize represen of?? and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. cribed herein meets aining and Employment Service, and that tatives of the State Employment Service Signature 10. HOUSING INSPECTED BY: Joyce Hahn Name and Title 021% Date utho Typed Name and Title Date Signature Joyce Hahn, Program Coordinator Signatur rized w/ Pr mC ordin tor 3/3/ ?7/1 Joyce Hah 09 a a ?1 Housing approved for occupancy by workers recruited Interstate. rized Of?cial Typed Name and Title Date aw FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See on Reverse) 1. NAME AND ADDRESS Trucking 14974 State Hwy 164 Hornersville, MO 62855 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 303 Mulberry Street Single Home Hornersville, MO 63855 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . 5. CAPACITY Length 11 3 (Adults) 3 - . 6. REGULATIONS COMPLIANCE math 11 4 proper box) Yes No Ceiling Height 8 Water Square Feet 128.82 Electricity No. of Rooms 1 Site No. of Beds, - Single Screening No. of Beds or Bunks, Double 2 bunk Heating El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (N0. typeCOMMENTS 2 smoke alarms the housing described herein 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. 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 Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. meets Signature/of thorized MW in" Joyce Hahn, Program Coordinator Signature Typed Name and Title Date 7H ., M7 10. HOUSING INSPECTED BY: Joyce Hahn Signatur thorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 7 11. APFIROW Housing approved for occupancy by workers recruited interstate. Typed Name and Title Date FORM R-JULY 1969 Al Form Approved Budget Bureau Not 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Bibbs Trucking 14974 State Hwy 164 Hornersville, MO 62855 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 515 Main Street Bunk House Hornersville, MO 63855 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY - 5. CAPACITY Length 47 7 (AdamREGULATIONS COMPLIANCE W'dth 226 I4 (I ("x"pmper box) Yes No Ceiling Height 1o [0 Water Square Feet . 42? 55/ Electricity No. of Rooms Site El No. of Beds. . Single Screening No. of Beds or . . Bunks. Double 10 Bunk 4 him Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 3 3 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (NO- typeCOMMENTS 3 smoke alarms 3 NC Units Recreation Area 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. yers Signature Typed Name and Title Date 0' 10. BY: Joyce Hahn Signature horized Of?c' Typed Name and Title Date 0245? Joyce Hahn, Program Coordinator 7 11. Housing approved for occupancy by workers recruited interstate. Signatrghorized Of?cia Typed Name and Title Date - Pr Coordinator 14% . {44. Joyce Hahn, 09 a ?3 7 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE Brown Brothers Farms EMPLOYER FURNISHED HOUSING AND FACILITIES 985 State Highway (See Instructions on Reverse) Gideon, MO 63857 1. NAME AND ADDRESS 2. LOCATION a Wiggs Street Kennett, MO 63857 3. HOUSING DESCRIPTION 5 bedroom house 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY [9'4 I35 125 '7 ?92 5' 32523W'd?h 5 II I IO ?X"per:Aerbori) OMPUANCE Yes NO Ceiling Height 8 8 {g Water [3 Square Feet Electricity No. Of Rooms Site ?31.97; Beds, Screening I: El I Ab I Heating am 13w 7. FACILITIES (Number of each) Flush Toilets Privy Urinals 2 Lav. or Washbasins Showerheads 0?2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 3 tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (NO. type) i I 8. COMMENTS (SKEW 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service Of?ce a?d/or Employm?eqt and Training Administration regional Of?ce to inspect the above housing at any reasonable time. Employm Typed me and Title Date .. . 10. HOUSING Signature of rized Of?cial Typed Name and Title Date JO ce Hahn, Pro ram Coordinator 7.24 - l? 11. Llousing approved for occupancy by workers recruited interstate. re Typed Name and Title Date 'n 1 Joyce Hahn, ogram Coordi atO Signatt?uthorized Icial 7 0/ FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reverse) US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Lake Fisheries, lnc. Route 2, Box 528 Ava, MO 65608 2. HOUSING LOCATION Route 2, Box 536 Ava, MO 65608 3. HOUSING DESCRIPTION Basement Studio Apartment 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. a. MeasureUSE ONLY 5. CAPACITY Length [9 (Adults) - 6. REGULATIONS COMPLIANCE math ('x?proper box) Yes No Ceiling Height Water I: uare Feet Electrici 9% 0 3 No. of Rooms Site gfng?: Beds, Screening No. of Beds or . Bunks, Double a ?93""9 CI .2 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Movable laundry tubs Fixed laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (N0. type) 8. COMMENTS (Ire/C Togld?zlr 9. CERTIFICATION: the housing described herein meets CERTIFY THAT I have reviewed the housing regulations of the US. 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 Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. SignaTuWhorized Of?cial We; Typed Name and Title Joyce Hahn, Program Coordinator Emplo .gnat re Typed Name and Title Date a 1/ JMKM .7 10. HOUSING INSPECTED BY: goyo?e/ Hahn Signatur uthorized Of?cial Typed Name and Title Date cc :1 Joyce Hahn, Program Coordinator 91?, 11 A ROVA Housing approved/for occupancy by workers recruited interstate. Date 932-121; FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Davault LLC 6288 Hwy 139 Paragould, AR 72450 2 JOJJSING LOCATION 4566 Hollywood St. MO 63821 3. HOUSING DESCRIPTION Mobile Home 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY . . 5. CAPACITY Length 7 8 I 4 (Adults) 3 . 6. REGULATIONS COMPLIANCE W'dth 51? {a I 3 proper box) Yes No Ceiling Height .7 7 '7 Water Square Feet Electricity 74.8 7., 7?i 50% No. of Rooms I Site No. of Beds, i . Single Screening No. of Beds or . Bunksi Double Mom I Jam I V'm ?63??9 I 7. FACILITIES (Number ofeach) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry I tubs Cook Stoves Refrigerators Garbage (iontainers First-aid Kits Fire Extinguishers I i (No. type) I ABC. 8. COMMENTS \"Drudq/ 9. CERTIFICATION. CERTIFY THAT I have reviewed the housing regulations of the S. Department of Labor, U. S. Training and Employment Service and that the housing described herein meets office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Employer's Signature Typed Name and Title 0V0 Date 324? 10. HOUSING INSPECTED BY: Signature of ho zed Of?cial Typed Name and Title Joyce Hahn, Program Coordinator Date 5 at? 11. AL: I?using approved for occupancy by workers recruited interstate. SEWW Authorized Icl Typed Name and Title Joyce Hahn, Program Coordinator Date ?2?34? FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Don Bok Farm 2290 Young Road Pacific, MO 63069 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Hunters Run Frame Home Pacific, MO 63069 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. a. MeasureUSE ONLY . .. . 5. CAPACITY Length 11 8 12 (Adults) 6 W'dth 9 10 1O 7 (?x?properbox) Yes No Ceiling Height 8' 8 Water Square Feet 114.61 126.96 Electricity [2 No of Rooms Site No. of Beds, . Single 2 1 Screening No. of Beds or . Bunks, Double 1 Heating 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 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 (No. type) kiddie 8. COMMENTS Washer and Dryer located in basement area. Trash is taking daily to farm for disposal. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein El meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Employer's Signature Typed Name and Title Date . - - :7 ?7 Don Bok, Owner f/A 10. iNspE?o BY: Joyce Official/ Typed Name and Title Date . . Joyce Hahn, Workforce Specnalist - 11. Housing approved for occupancy by workers recruited interstate. Typed Name and Title Date . . . Joyce Hahn, Workforce SpeCIalist Si tur ofAuthorizj?Z?al FORM R-JULY 1969 AI US. TRAINING (See on Rewrse) IIOUSING LOCATION Hunters Run Pacific, MO 63069 US. Department ol? Labor, and Training Administration EMPLOYIZR FURNISHED HOUSING AND FACILITIES I?onn Approved midget Bureau _No 444(1st 1. EMPLOYERS NAME AND ADDRESS I)on llok l?arrn 2290 Young Road Pacific, MO 63069 Descriibrrou Frame Home 4. SLEEP ROOMS a. Dormitory Type I). Family Type . (USE ONLY Length 11REGULATIONS COMPLIANCE Width 9 10 1? 7 ?x?properboxg Yes No Ceiling Height 8' 8 Wall" Square Feet 114.61 126.96 Electricrty [3 No. of Rooms Site No. otBeds. . Single 2 1 Screening )3 No. 01 Beds or - Bunks, Double 1 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Law. or Washbasins Showerheads 2 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Relrigeralors Garbage containers First-aid Kits Fire Extinguishers 1 1 1 (No. type) kiddie 8. COMMENTS Washer and Dryer located in basement area. Trash is taking daily to farm for disposal. 9 CERTIFICATION: the housing described herein meets CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that does not meet such standards. I hereby authorize representatives at the State Employment Service otlrce and/or Employment and Training Administration regional otlice to inspect the above housing at any reasonable time. Employer's Signature .- Typed Name and Title Date 5/ Don 130k, Owner a 10. HOUSING INS 0 BY: Joyce Hahn Signature of Authorized Olticial Typed Name and Title Date Joyce Hahn, Workforce Specialist 11, APPROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Otticial Typed Name and Title Date Joyce Hahn. Workforce Specialist FORM R-JULY1069 AI arm Approved in W. a, S. Department of I abor, training Adrninistmlimr 1? EMPLOYERS NAME ANDAODRESSW S. TRAINING AND LMPLOYMFM Sli Don Bok Farm EMPLOYER FURNISHED HOUSING AND FACILITIES 2299Young Road (St . Pacrfic, MO 63069 Imam-now on Return) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Hunters Run Frame Home Pacific, MO 63069 length 11' e" 12' 5? $25333? 6 WW 9.10.. 10' 7. a. gaming? COMPLIANCE Yes No Ceiling Height 8? a Water K4 Square Feet 114.61 126.96 Electricity K4 No. 01 Rooms Site K4 gfdgeds' 2 1 Screening )2 3312;813:317; . 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 tube 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 (No. type) kiddie 8. COMMENTS Washer and Dryer located in basement area. Trash is taking daily to farm for disposal. 9. CERTIFICATION: THAT have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein 8 meets does not meet such standards. 1 hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. Employer?s Signature Typed Name and Title Date Don Bok, Owner 10 HOW DBY joyceHahnM Signa of thorized O?icla Typed Name and Title to Joyce Hahn, Workforce Specialist 7 11 ousing spprogd for occupancy by workers recruited interstate Signature orized Official . Typed Name and Title Date .. Joyce Hahn, Workforce Specialist 7 FORM R-JULY1969 Al Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reverse) US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Don Bok Farm 2290 Young Road Pacific, MO 63069 2. HOUSING LOCATION Hunters Run Pacific, MO 63069 3. HOUSING DESCRIPTION Frame Home Washer and Dryer located in basement area. Trash is taking daily to farm for disposal. 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. a. MeasureUSE ONLY . .. . 5. CAPACITY Length 11 8 12 (AdultsREGULATIONS COMPLIANCE Width 9 10 10 7 ('x?properbox) Yes No Ceiling Height 8' 8 Water IE Square Feet 114.61 126.96 Electricity IE No. of Rooms Site IE No. of Beds. - Single 2 1 Screening No. of Beds or . Bunks, Double 1 Heating IE 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 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 (No. type) kiddie 8. COMMENTS 9. CERTIFICATION: the housing described herein meets CERTIFY THAT I have reviewed the housing regulations of the US. 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 Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. l\ Typed Name and Title Joyce Hahn, Workforce Specialist Employer?s Si ture Typed Name and Title Date I A Don Bok, Owner 10. Hog?r?c INSPECTED av: Joyce Hahn Authorized al Typed Name and Title Date WE Joyce Hahn, Workforce Specralist 11. ABPWL: Ho?using app?ved for occupancy by workers recruited interstate. Date 7 Wm Authorized FORM ES-338-R2 1969 Al tot? Labor. Employment and Training Administration . INC AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES TRAIN 2. HOUSING Loam? Same as Worksite (Sec Instructions on Rut-r30 A ovcd aroundmwalf'mw No. 44411358 1. NAME AND ADDRESS Forest Lawn Nursery 11 Old Bishop Rd Jonesburg 3. HOUSING DESCRIPTION Bunkhouse (Morton Building type) with setup of Kitchen, rec area and restroom with bedrooms on both sides. 4- SLEEP ROOMS a. Dorm b. Fan? (No. Measure) 1 2 Iory 3w 4 1 2 yapo 4 ES USE ONLY CAPACITY hath 85 8?5? rs 95' r5 8 (mm) 6 Width - - . a . . 6. REGULATIONS COMPLIANC es 8'5 12 8?5 11 12 (?x'pmpor box, v.5 No Ceiling Height 8' 3' 8' 8? a' 8? Water 8 Square Fee 71- 71' so 80? 83' 96' Electridty No. of Rooms Site No. of Beds. SingSawing No. of Beds or Bunks. Double 7. FACILITIES (Number of each) Kitchen and Rec area. Flush Toilets Pri Urinals La . or Washbasins Showerheads Clotheslino out side Ior drying clothes. 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 (No. typeCOMMENTS Beds are 12 inches above ?oor Personal storage in all occupied bedrooms 9. EMPLOYERS CERTIFICATION the hOusing described herein meets CERTIFY THAT I have reviewed the housing regulations of the U.S. Deputment 01 Labor. 0.5. Trainhg and Embyment Suvice. and that of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer's Signature TYW Name and Title Date Roland Lenzenhuber. Owner 10. HOUSING Joyce Hahn signal uthorized Of?cial TWIN and Title Data Joyoe Hahn. Program Coordinator 7,9 1 1. Housln'g approved for occupancy by workers recruited Interstate. 36m 0 orize%? Typed Norris and Tile 0an [Iv Joyce Hahn. Program Coordinator FORM 53mm Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Forest Lawn Nursery 11 Old Bishop Rd Jonesburg 2. HOUSING LOCATION Same as Worksite 3. HOUSING DESCRIPTION Bunkhouse (Morton Building type) with set up of Kitchen, rec area and restroom with bedrooms on both sides. 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY Length 8'5? 805" 7I5II 9'5" 7'REGULATIONS COMPLIANCE WIdth 85 85 12 85 11 12 (?x"properbox) Yes No Ceiling Height 8' 8' 8' 8' 8' 8' Water IE Square Feet 71' 71' 89' 80' 83' 96' Electricity IX No. of Rooms Site IX El No. of Beds, Single 1 1 1 1 1 1 Screemng No. of Beds or Bunks, Double HeatIng 7. FACILITIES (Number of each) Kitchen and Rec area. Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Clothesllne out Side for dryIng clothes. 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS Beds are 12 inches above floor Personal storage in all occupied bedrooms 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the U. Department of Labor S. Training and Employment Service and that Ddoes not meet such standards. I hereby authorize representatives of the State Employment Service the housing described herein of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Emeets 2154/; Employe Signature Typed Name and Title Date Roland Lenzenhuber, Owner 10 HOUSING BY Joyce Hahn Signature GrAuttiorized Of?cial Typed Name and Title Date .- Joyce Hahn, Program CoordInator 771,77 11. approvedfor occupancy by workers recruited interstate. Date Typed Name and Title Joyce Hahn, Program Coordinator 7 SignWhonzed Of?cial 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) 1. NAME AND ADDRESS Forest Lawn Nursery 11 Old Bishop Rd Jonesburg 2. HOUSING LOCATION Same as Worksite 3. HOUSING DESCRIPTION Bunkhouse (Morton Building type) with set up of Kitchen, rec area and restroom with bedrooms on both sides. 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY Length (AdmREGULATIONS COMPLIANCE Width 85 85 12 85 11 12 (?x?properbox) Yes No Ceiling Height 8' 8' 8' 8' 8' 8' Water Square Feet 71' 71' 89' 80' 83' 96' Electricity IE No. of Rooms Site No. of Beds. . Single 1 1 1 1 1 1 Screening No. of Beds or Heating Bunks, Double 7. (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 1 2 1 1 1 abc Kitchen and Rec area. Clothesline out side for drying clothes. 8. COMMENTS Beds are 12 inches above floor Personal storage in all occupied bedrooms 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the Department of Labor U. 8 Training and Employment Service and that the housing described herein meets does not meet such standards I hereby authorize representatives of the State Employment Service off oe and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time Employer's Signature Typed Name and Title Date Roland Lenzenhuber, Owner 10. Ho/usqie Joyce Hahn Siyfure fAuthorized Off I Typed Name and Title Date ?g Jo ce Hahn, Pro ram Coordinator I 11. APP sz Housingazf) approved for occupancy by workers recruited interstate. Sig ure Authorized Typed Name and Title Date Joyce Hahn, Program Coordinator . FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 us. Dcparbnent ofLabor, Employment and Training Administration 1- EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE crest Lawn Nursery EMPLOYER FURNISHED HOUSING AND FACILITIES 11 Cid Bishop Rd (See Instructions on Reverse) JoneSburg 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Same as Worksite Bunkhouse (Morton Building type) with set up of Kitchen, rec area and restroom with bedrooms on both sides 4. SLEEP ROOMS a. Dormitory Type b. Famin Type - (No. MeasureUSE ONLY Length 8?6" 8'5" 7'5" 9'5" 7'5" 8' sjdp?REGULATIONS COMPLIANCE Ceiling Height 8' 8' 8' 8' 8? 8' Water Square Feet 71' 71' 89' 30' 53' 96' Electricity No. of Rooms Site No. of Beds. . Single 1 1 1 1 1 1 Screenlng No. of Beds or . Hunks, Double 1 ?95""9 .D 7. FACILITIES (Number or each) 23'x19' Kitchen and Rec area. Flush Toiiets PriVy Urinals Lav. or Washbasrns Showerheads Clo theeline out side for clothes. 1 1 1 . Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable Ieundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First~aid Kits Fire COMMENTS Beds are 12 inches above ?oor Personal storage In all Occupied bed 'ooms 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meats does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time: Employers Signature Typed Name and Trtie Date fpdh/W Roland Lenzenhuber, Owner to HOUSING Joyce Hahn Sign Authorized Of?cr Typed Name and Title Date y? Joyce Hahn Program Coordinator Agi/ 11 Housing approved for occupancy by workers recruited interstate. Signa of A on'zed O?iciel Typed Name and Title Date MK Joyce Hahn, Program Coordinator FORNI Beasts-R2 R-JULY 1969 AI 'd NMVI ISitiOi Wdl?t QIOZ Form Approved Budget Bureau No. 44-R1358 IRS. Department of Labor. and Training Administration 1' EMPLOYER NAME AND ADDRESS ILS. TRAINING AND EMPLOYMENT SERVICE Frey Brothers EMPLOYER FURNISHED HOUSING AND FACILITIES 1711 Progress Dr- . . . Kennett, MO 638557 (See [mu lions on Red (use) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 1711 Progress Dr. Housing is upstairs at business location. Kennett, MO 638557 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. a MeasureUSE ONLY . 5. CAPACITY Length 38 5 (Adm) 1 0 . . 6. REGULATIONS COMPLIANCE Wm" 23 6 proper box) Yes No Ceiling Height 8 Water Square Feet 908.6 Electricity No. of Rooms 1 Site No. of Beds. - Single 6 Screening No. of Beds or . Bunks. Double 2 bunks Heating 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 1 2 1 1 (No. 8 type) 1 abc 8. COMMENTS 2 regress ladders 1 dryer smoke detectors 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards I hereby authorize representatives of the State Employment Service office and/or Employment and TrainIng Administration regional office to Inspect the above housing at any reasonable time. Typed Name and Title Date my . Tony Phillips. Chief Operations Officer USING INSPECTED Joyce Hahn I ture of Aqued Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator Housing approved for occupancy by workers recruited interstate. I I Sign re of AuthW Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator M075, I FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 1. NAME AND ADDRESS US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE . Frey Brothers EMPLOYER FURNISHED HOUSING AND FACILITIES 1711 Progress Dr- (Se . Kennett, MO 638557 Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 1711 Progress Dr. Kennett, MO 638557 1 a. ?gype 4 1 b.2FamIly Tyspe 4 ES USE ONLY 5x 5 5- $253.3? Io Width ?773,? 6. (Rufgl?JOL?feTlgoN: COMPLIANCE Yes No Ceiling Height 8 Water Square Feet m. (9 Electricity a No. of Rooms I Site a El Sling: Beds, (0 Screening El El a 5a In 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) a 3\ I 8. COMMENTS 0? IQWS Dv?f vva DEWGVS 9. CERTIFICATION: CERTIFY THAT 1 have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets I: does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to insped the above housing at any reasonable time. '5qu re/ Typed Name and Title Date 7 734/\/ Q?l/??xr m1; j'g i? g, wG BY. Joyce Hahn Signv uthorized Typed Name and Title Date 024/, Joyce Hahn, Program CoordInator 1.074.- 7 11. Housing approved for occupancy by workers recruited interstate. Signature orized Typed Name and Title Date Joyce Hahn, Program Coordinato I 7 FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See tions on Reverse) 1. NAME AND ADDRESS Flick Seed Company 1764 NW 50 Road Kingsville, MO 64061 2. HOUSING LOC ATION 1781 NW Road 50 Kingsville, MO 64061 3. HOUSING DESCRIPTION 5 room home 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY . . 5. CAPACITY Length 10 2 11 1 (Adm) 6 . . . 6. REGULATIONS COMPLIANCE W'dth 131 11 1 ("x?pmper box) Yes No Ceiling Height 8 8 Water Square Feet 133.62 123.21 Electricity I: No. of Rooms 1 1 Site El No. of Beds, . Single 1 1 Screening No. of Beds or . Bunks' Double 1 bk 1 bk Heatlng El 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 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meets of?ce and/9r Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service EmpIW?iy Tyazid Title Date . (M 341634? 10. HOUSING INSPECTED BY: Joyce Hahn Signature of Authorized Of?cial Typed Name and Title Date 9% Joyce Hahn, Program Coordinator 2/28/18 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 2/28/18 96% WW f? FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Flick Seed Company EMPLOYER FURNISHED HOUSING AND FACILITIES 1764 NW 50 Road (Se . MO 64061 Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 1781 NW Road 50 5 room home Kingsville, MO 64061 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . 5. CAPACITY ,2 I I I (Adults) . 7, 6. REGULATIONS COMPLIANCE W'dth .7 I ('x"proper box) Yes No Ceiling Height 8 3 Water ?l . . quare eet I 7Y7 ElectnCIty a No. of Rooms I I Site No. of Beds. Single Screening 2] No. of Beds or Bunks. Double I, bl Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers I My?) 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. WW r?s Sign ture I Typed Name and Title IL) {Alsop @me Pew/m STIMW USING PECTED BY: Joyce Hahn Signature Aut orized Offici Typed Name and Title Date A Joyce Hahn, Program Coordinator (L, 11 approvg' for occupancy by workers recruited interstate. SignatuWn?zed Of?cialJ Typed Name and Title Date rdinator Joyce Hahn, Program Coo FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 (See Instructions on Reverse) US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS fj? ?at/xi Co Pa. (305705 2. HOUSING LOCATION /73/ Alia/3c!- 3. Housmc DESCRIPTION 5.75/5, ?pct ml/J Frans (7, Bunks. Double . . OI ch// Kwij?m/le 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY . 5. CAPACITY Length I 5 (Adults) . I . 6. REGULATIONS COMPLIANCE Width I i (9 ("x"pmperbox) Yes No Ceiling Height 5? Water . II . . . Square Feet 80 <1 23)? ElectrICIty No. of Rooms Site ?31.91); Beds. .9 3 (1 Screening No. of Beds or Heating 7. FACILITIES (Number of each) I 9? Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS ?c?pus? ?5 bu? b?gci Iq 80 . the housing described herein 9. CERTIFICATION: CERTIFY THAT haveEl reviewed the housing regulations of the S. Department of Labor 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 Employment and Training Administration regional off oe to inspect the above housing at any reasonable time. Dmeets Employer?s Signet Typed Name and Title Date . .J 47f 1/ Q74 RVQA 7446 10. HOUSING BY. I (Signature of Authorized Of?cial .. . Typed Name and Title Date DQELCX fa n: /77(/chaf; ?17/ 11 APPROVAL: Housing approved for occupancy by workers recruited interstate. ignature of Authorized Official Typed Name and Title Date ?x ILNJN 574 ft; I/Jc/z/oazl?d FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse} 1. NAME AND ADDRESS Grasslands Conultants, LLC 218E Broadway Monett, MO 65708 2. HOUSING LOCATION 3. 10905 County Road 10 Sarcoxie, MO 64862 HOUSING DESCRIPTION 3 bedroom house 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY . 5. CAPACITY Length 11 11 12 8 (Adults) 5 . 6. REGULATIONS COMPLIANCE w'dth 11 11 12 proper box) Yes No Ceiling Height Water El Square Feet 121 121 153.60 Electricity No. of Rooms Site No. of Beds. - Single Screening No. of Beds or . Bunks, Double Heating 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 1 1 1 (No. type) 1 abc 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the U. Department of Labor U. 8. Training and Employment Service and that the housing described herein Emeets does not meet such standards. I hereby authorize representatives of the State Employment Service office and?mployment and Training Administration regional office to inspect the above housing at any reasonable time Employeys/ nature Typed Name and Title Date 707.4 ??g/azag?kja m" MM 6 I 300M005 10 INSPECTED BY /Joyce Hahn Signatgf??otzuthorized Typed Name and Title Date gm?, . Joyce Hahn, Program CoordInator i1 approved for occupancy by workers recruited interstate. signature orized Officral Typed Name and Title Date . MA Joyce Hahn, Program Coordinator .3241/?/ FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 I. NAME AND ADDRESS Grasslands Conultants, LLC 218E Broadway Monett. MO 65708 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See law-action: on Reverse) 2. HOUSING LOCATION 10905 County Road 10 Sarcoxie, MO 64862 3. HOUSING DESCRIPTION 3 bedroom house 4. SLEEP ROOMS a. Dormitory Type b. (No. &MeasureUSE ONLY Length 11 11 12's 5' $2393" 5 e. Reouumons COMPLIANCE 11 11 12 ?.m?rbox) Ya, No Celling 111119111 Water )2 Square Feet 121 121 153.80 Electricity No. of Rooms Site No.018eds. Single Screenlno No. oIBeds or Bunke, Double 7. FACILITIES (Number of each) Flush Tollets Urinals Lav. or Washbaslns Showerheade 2 2 Bathtubs Movable Bathtubs Laundry machlnes Fixed laundry tubs Movable laundry tubs 2 1 Cook Stoves Relrlgeratore Garbage contelners First-old Kits Flre 1 1 1 (No. type) 1 abc 8. COMMENTS 9. CERTIFICATION: CERTIFY IHAT have reviewed the houslng regulations of the us. Department of Labor. U.S. and Employment Service. and that the houslng descnbed heraln meets does not meet such standards. I hereby authorlze representatlves of the State Employment Service of?ce and/or Employment and Trainlng reglonal of?ce to Inspect the above houslng at any reasonable tlme. Employer?s re Typed Name and Date I2 92. x6 10. HOUSING-INSPECTED BY: Joyloe Hahn Signature 0 orlzed omelet Typed Name and Tltle Date (327L591 Joyce Hahn, Program Coordlnator 94? 11. APPROVAL: 6?1:an approved occupancy by workers recrulted Interstate. Signature 01 ul or ed ot?clal Typed Name and Title Date Joyce Hahn, Program Coordlnator 01- 9.- FORM 58-338-R2 R-JULY 1989 Al than .. . .. T. bra1-3" ?ht-:1 - kiz'?ri. 172,": Form Approved Budget Bureau No. 44411368 US. Department oflaiinr, Employment and Training Administration 1? EMPLOYERS NAME AND ADDRESS us. TRAINING AND SERVICE Grasslands Conultanis, LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 2185 Broadway (See Instructions on Reverse) MO 65708 2. HOUSING LOCATION 3. DESCRIPTION Mar iposa 2 Farm House 24248 East Hwy 86 Stark City, MO 64844 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureCAPACITY Length 11 to 126 126 (Adam) 3 . . 6. REGULATIONS COMPLIANCE Ceiling Height 8 a a Water Square Feet 157 135 122 Electricity >23 No. of Rooms 1 1 1 Site No. 0! Beds, Single 1 1 1 Screening No. of Beds or Banks. Double Heating 7. FACILITIES (Number ofeech) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 2 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tube 2 1 Cook Stoves Reln?geralors Garbage containers First-aid Kits Fire Extinguishers 1 1 1 1 (No. type) 1 abc 8. COMMENTS Total capacity for 11 but only beds settup for 3. 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations oi the us. Departmenl of Labor. 0.8. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional oi?oe to Inspect the above housing at any reasonable tIme. Typed Name and Title Date 10. Housrrk; BY: . Joyce Hahn Signatur orized Typed Name and Title Date ,L/cg, .1 Joyce Hahn. Program Coordinator 1 01,4 11. Housing approved for occupancy by workers recruited Interstate. Signature horized Ol? I Typed Name and Date Joyce Hahn, Program Coordinator FORM R-JULY 1989 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) . NAME AND ADDRESS Grasslands Consultants, LLC 218E Broadway Monett, MO 65708 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Wentworth Home Farm House 6482 Hwy W, Pierce City, MO 64844 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. &MeasureUSE ONLY .0 . .- 5. CAPACITY Length I I 92 (Adults) 3 . 3 6. REGULATIONS COMPLIANCE Width 3 {Ti of ('x?pmper box) Yes No Ceiling Height 22 Water El Square Feet 7 35' Electricity No. of Rooms I I I Site No. of Beds. . Single I Screening No. of Beds or . Bunks, Double Heating CI 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 7? tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers I (No. type) I 8. COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. 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 the housing described herein meets office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signature 7 Typed Name and Title . Date I. /l 4? 7 . Q. Zelda/9AM swim 074? ?if b. grime/?x v. A) 10. HOUSING Signature of Authorized Of?cial. Typed Name and Title Date 9 a Debra Minish. State Monitor Advocate \2 --27 ,0 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date . n' Advo ate Dam 0 rulevk Debra State Mo itor I 2; 3 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 1. NAME AND ADDRESS US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE Grasslands Consultants, LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 2185 Broadway Monett, MO 65708 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Thomlinsons House Farm House 22629 Hwy 86 Granby, MO 64844 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY - 3. 5. CAPACITY Length I 5 I 3 (Adults) 3 . 2? [0 6. REGULATIONS COMPLIANCE WIdth I KI I (I (?x"proper box) Yes No Ceiling Height 2? E7 Water I: Square Feet 5? I Electricity Rooms I I I Site I: No. of Beds, . Single I I I ScreenIng No. of Beds or Bunks. Double Hemmg IXI 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry . I tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 8. COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets I: does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Empl yer?s Signature 7 Typed Name and Title 7, 0 . t- j) 10. HOUSING INSPECTED BY: Signature of Authorizedificial Typed Name and Title Date AIL Debra Minish, State Monitor Advocate I 2; 13-? 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date I/s \hu Debra Minish, State Monitor Advocate FORM ES-338-R2 R-JULY 1969 AI Date ?9 U.S. Department of Labor. Employment and Training Administration I LLS. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES I (See Inslrucrions on Rewrsc/ 1. NAME AND ADDRESS Gilbert Schroeder Sod Sales 4600 Bymesville Road House Springs, Mo 63051 Form Appmved Budget Bureau No. 44-R1358 HOUSING LOCATION 4600 Bymesville Road House Springs, MO 3. HOUSING DESCRIPTION 1200 sq ft Home and 594 sq ft Loft in Barn TSLEEP ROOMS a. Dormitory Type D. Family Type (No. a MeasureUSE ONLY . . 5. CAPACITY Length 12 156 12 12 12 1710 14 124 (Adults) 17 . . . 6. REGULATIONS COMPLIANCE Pwidth 14 14 14 14 14 104 112 104 (.x,pmperbox) Yes No I Ceiling Height Water >14 Square Feet 168 217 168 168 120 180 154 120 Electricity 8 No. of Rooms Site NO. of Beds. . Shaw Screemng NO. of Beds or . Bunks. Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads {Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry . tubs 1 house 1 IL Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1' 3 eac 1 abc each 8. COMMENTS stands for loft and is for the house 9. CERTIFICATION: I I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meets I of?ce and/or Employment and Training Administration regional Of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service [Employ/erfsSignature Typed Name and ?We Date 1? ,4 1/3/19 4 (g o" f? it; xx?) LInda Schroeder, Secy of CorporatIon 10. HOUSING INSPECTED BY: Joyce Hahn ;Signatur of uthorized Of?ci Typed Name and Title Date I Joyce Hahn Program Coordinator 1/3/19 11. Heusing apyOved for occupancy by workers recruited interstate. Sigry/re'p/ Authorized I Typed Name and Title Date - hn ram Coordinator 1/3/19 1 I, &4 L, Joyce Ha 09 FORM R-JULY 1969 Al . . . . i ll, HUI 1m i II :11? . (-Zliimr . I?m 1 =lrt'l m'lzt; Hitsi II l'l'.l i 45?? I I I. . 1.111,; Iv.? (M 7 not Ismr; mom 5. I IOUSING ION 4600 lsyr?nosvillc: I-(ozrri 1200 an it Home and House timings, MO 594 sq ii Loft in lieu? . '3 Comm-grim? . E. Family Type ll'iq-T-t-INI? (No. MeasureCAPACITY 1' 2 ?3 . 1? (Mu/IsREGULATIONS 1 .. no] In no:- .i No - Ceiling Height Water Square Feet 168 217 168 168 120 180 154 120 Electricity No. of Rooms Site [8 1'6. bi??ds. l, 9 i? ?g ._Sin_sle__ 2 . f? . 5?53- No. of Beds FACILITIES (Number of each) Flush Toilets Privy "l?Irirgls- ?1 lag?onl?ashbaTns? Shovrerlfead?s - 2l.&2ll Bathtubs - limE-athlubs Fixed laundry tug Movable laundry '1 house 1 ?ms Eoohgtoves Relrigerators Garbage containers First-aid Kits??- Zilre Extinguishers . each 1 ago each 8. COMMENTS stands for loft and is for the house 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations 01 the Department 01 Labor. 0.8. Training and EmpIOyment Service. and that the housing described herein K4 meets does not meet such standards. I hereby authorize representatives oI the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer's Signatug (7 Typed Name and Title Date 2' Li aSc \rron Hank J, ,1 nd hro der Secy of Corporation 10'. Moguls INSPECTED BY: Aoyce Hahn 7 Signa ur?e/Aummized Of?cial Typed Name and hue Date Jo ce Hahn Pro ram Coordinator 2/ .415 I 1 10/17 Housing appro/ed for oE?cupancy by workers recruited Interstate. Slgna of (Ithorized Ol?c' Typed Name and Title Date 2 . Joyce Hahn Program Coordinator 12/15/17 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44431358 U.S. Department of Labor, Empioyment and Training Administration 1? EMPLOYERS NAME AND ADDRESS U.s. TRAINING AND 3"an Schroeder Sod Sales EMPLOYER FURNISHED HOUSING AND FACILITIES 4600 Bymesvilie Road House Springs, Mo 63051 (See on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 4600 Road 1200 sq It Home and House Springs, MO 594 sq ft Loft In Barn 4. SLEEP ROOMS a. Dormitory Type D. Family Type (NO. 8556830USE ONLY . . 5. CAPACITY Length 124 (Mm) 19 . . . 6. REGULATIONS COMPLIANCE Width 14 14 14 14 14 104 112 104 (.x.pmp9,box) Yes No Ceiling Height Water Kt Square Feet 188 217 we 188 120 180 154 120 Eieotrtcity K4 [3 No. oi Rooms Site Screening K1 [3 No. 01 Beds or Bunks. Double Heating 7. FACILITIES (Number olaach) Flush Toilets Privy Urinals Lav. or Weshbasins Showarheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movabie laundry tubs 1 house 1 Cook Stoves Reirigeratore Garbage containers First-aid Kits Fire Exi?ngulshers (No. p8) 3 1ineach ?beam 8. COMMENTS stands for loft and is for the house 9. EMPLOYERS CERTIFY THAT I have viewed the housing regulations of the 11.8. Department at Labor. U.S. Training and Employment Service. and that the housing described herein meals does not meet such standards. I hereby authorize representatives of the State Employment Service ohtoemnd/or Employment and Training Administration regional ottioe to inspect the above housing at any reasonable time. Embro i?e Signet 1n i typed Name and Title Date Linda Schroeder. Secy of Corporation .. '1 . av: Joyce Hahn Signatu A orizert Ottlcial Typed Name and Title Date 1,76% Joyce Hahn Program Coordinator 12/15/16 11. Housing approveyltor occupancy by workers recruited interstate. Signature? 171 0112116 Ottictai Typed Name and Title Date Joyce Hahn Program Coordinator 12/15/16 FORM E8-338-R2 1989 AI r1130 . v.1" v4? 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 Gilbert Schroeder Sod Sales 4600 Byrnesville Road House Springs, Mo 63051 2. HOUSING LOCATION 4600 Byrnesville Road House Springs, MO 3. HOUSING DESCRIPTION 1200 sq ft Home and 594 sq ft Loft in Barn 4. SLEEP ROOMS D. Family Type stands for loft and is for the house a. Dormitory Type (No. MeasureUSE ONLY - . . 5. CAPACITY Length 12 156 12 12 12 1710 14 124 (MansREGULATIONS COMPLIANCE Width 14 14 14 14 14 104 112 104 (?x"properbox) Yes No Ceiling Height Water Square Feet 168 217 168 168 120 180 154 120 Electricity No. of Rooms Site No. of Beds. . Single Screening No. of Beds or . Bunks. Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 house 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 3 1' eac SI abc each 8. COMMENTS 9. CERTIFICATION: the housing described herein meets I CERTIFY THAT I have reviewed the housing regulations of the US. 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 Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Em Sig re Typed Name and Title Date WM Linda Schroeder, Secy of Corporation 4 10. BY: Joyce Hahn Signatur fA?uthorized Of?cial Typed Name and Title Date Joyce Hahn Program Coordinator 4% 11. APPROVAL: Housiln/g approved for occupancy by workers recruited interstate. Signatur thorized Of?cia A Typed Name and Title Date a, Joyce Hahn Program Coordinator 2 r/L FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS GPM, Inc 15045 Priest St West Alton, MO 63386 2. HOUSING LOCATION 15045 Priest St West Alton, MO 3. HOUSING DESCRIPTION 4 2 Bath Multi Level single family unit 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. 8. MeasureUSE ONLY 5. CAPACITY . 6. REGULATIONS COMPLIANCE Ceiling Height Water [3 Square Feet 221 153 108 169 Electricity IE No. of Rooms Site No. of Beds, . Single 1 1 ScreenIng No. of Beds or . Bunks, Double 2 2 2 HeatIng 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 2 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 1 (Na type) umps er 3 ABC Dry 8. COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service ffice to inspect the above housing at any reasonable time. of?ce Employment and Training Administration regional .1 - Employers7Signature 7t ?.57 Typed Name and Title Date Randall Fetcher, Owner 1f HOUSING INSPECTED BY: Joyce Hahn Signature of Authorized Official] 3 Typed Name and Title Date . ell/I 4 Ila/<- Joyce Hahn, FLC Coordinator 11. -Hou?sing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date may, a 5 - L: Joyce Hahn, FLC Coordinator v, ?2 15' I FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1? EMPLOYERS NAME AND ADDRESS u.s. TRAINING AND EMPLOYMENT SERVICE GPM, Inc EMPLOYER FURNISHED HOUSING AND FACILITIES 8393 N- State Route 94 West Alton, MO 63386 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION . 8 343 U. Stale (4*qu House WES-T Alton 0538?; 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY I . . 5. CAPACITY - Leng?? [8 n2 5 /3 >3 (Adults) . . . 6. REGULATIONS COMPLIANCE Width lo? 02 7 I /07 ("x?proper box) Yes No Ceiling Height Water Square Feet ?a 9) 5 H, 59 (4 Electricity No. of Rooms Site IE ?31.91: Beds, Screening No. of Beds or . Banks. Qouue Alb! [rib I Iotm k. ?eatmg 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers {30? l/ 4 3 (No. type) 5/714 5 8. COMMENTS ?5/454 Pic/C U70 walk" 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. jmployer?s Signature Typed Name and Title Date Randall Fetcher, Owner 10. BY: Joyce Hlahn . ?Signature uthori i I Typed Name and Title Date er?f??WiM?d Joyce Hahn, FLC Coordinator /0 4 3/ 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. Signa Of?cial Typed Name and Title Date . I 4 4 .. Joyce Hahn, FLC Coordinator /0 1 ture of Au zed A FORM R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 U.S. Department of Labor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Happy Apple 527 Commercial Drive Washington, MO 63090 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 300 North Three St. Split Level Marthasville, MO 63357 HOUSE #2 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . 5. CAPACITY Length 14 16 13 135 12 5 (Ada/ts) 20 - . . 6. REGULATIONS COMPLIANCE WIdth 10 135 12 10 135 ("x?properbox) Yes No Ceiling Height Water Square Feet 140 208'5 156 1305 156'10 Electricity IE No. of Rooms Site No. of Beds, . Single ScreenIng El No. of Beds or . Bunks. Double 2 2 2 2 2 Heatlng [1 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 5 3 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 2 2 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 2 2 2 2 (No. type) 2 ABC Dry 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the U. Department of Labor Training and Employment Service and that does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or and Training Administration regional of?ce to inspect the above h0using at any reasonable time. the housing described herein meets Empl ig ur Typed Name and Title Date ll/I/ Edward Reidy, President 6/7/18 10. HOUSING NSPECTEDVO 80 Joyce Hahn Signature of thorized Of?cial Typed Name and Title Date Joyce Hahn, FLC Coordinator 6/7/18 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Official Typed Name and Title Date Joyce Hahn, FLC Coordinator 6/7/18 lQow WW FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Happy Apple EMPLOYER FURNISHED HOUSING AND FACILITIES 527 Commerc'a' Dr'Ve . . . WashIngton, MO 63090 (See Instructions on Rewrse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 305 North Three St. Split Level Marthasville, MO 63357 HOUSE #3 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . . 5. CAPACITY Length 1211 104 136 (AdmREGULATIONS COMPLIANCE WIdth 1111 136 112 (?x"properbox) Yes No Ceiling Height Water Square Feet 134.43 141.44 152.32 Electricity No. of Rooms Site No. of Beds. . Single 1 1 Screenlng No. of Beds or . Bunks, Double 1bk 1bk 2 Heating IX 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 4 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 2 1 1 1 (No. type) 1 abc 8. COMMENTS 1 Driers 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein ?2 meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment arid Training Administration regional office to inspect the above housing at any reasonable time. Em?g": na re Typed Name and Title Date Edward Reidy, President 6/7/18 1O NSPECTED BY. che Hahn Signature of horized Of?cial Typed Name and Title Date WW Joyce Hahn, FLC Coordinator 5/7/13 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date 99% 73/41?, Joyce Hahn, FLC Coordinator 6/7/18 FORM R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Happy Apple 527 Commercial Drive Washington, MO 63090 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 200 South Three St. Split Level Marthasville House #1 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length 10 15 11 13 12 (Adults) 18 . 6. REGULATIONS COMPLIANCE Width 13 13 1 1 13 14 (?xn proper box) Yes 0 Ceiling Height Water '3 Square Feet 130 195 121 169 168 Electricity No. of Rooms Site No. of Beds, . Single 1 1 Screening No. of Beds or . Bunks, Double 1 2 1 2 2 Heating IE El 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 2 1 washer Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 2 4 2 3 (No. type) 3 ABC Dry 8. COMMENTS 2 Driers 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meets office/aner Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Emplq?yer's Sig tur Typed Name and Title Date Edward Reid i \QwIi/i? 6/7/18 10. Housws?N? BY: Hahn Signature of uth ri'zed Official Typed Name and Title Date Joyce Hahn, FLC Coordinator 5/7/13 Housing approved for occupancy by workers recmited interstate. Signature of Authorized Official Typed Name and Title Date 00% M1, Joyce Hahn, FLC Coordinator 6/7/18 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44421358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Happy Apple 527 Commercial Drive Washington, MO 63090 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 305 North Three St. Split Level Marthasville, MO 63357 HOUSE #3 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . . 5. CAPACITY . . . 6. REGULATIONS COMPLIANCE Width 11 11 136 112 ('x?proper boxL Yes No Ceiling Height Water IE El Square Feet 134.43 141.44 152.32 Electricity No. of Rooms Site No. of Beds, . 5 Single 1 1 Screening No. of Beds or . Bunks' Double 1bk 1bk 2 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 4 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS 1 Driers 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U. S. Department of Labor. U. 8. Training and Employment Sen/ice, and that the housing described herein oftice and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time meets does not meet such standards I hereby authorize representatives of the State Employment Service [Employer?s Signature Typed Name and TItle Date j/?W Edward Reidy. President 5 -g .17 10 HOUSING INSPECTED BY: Joyce 1 Signature of ed Of?cial Typed Name and Title Date Joyce Hahn. FLC Coordinator -3 -17 11 Wepproved tor oc/ypancy by workers recnIited interstate. Typed Name and ?tle Date Signature oral Joyce Hahn, FLC Coordinator Nil FORM R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES Happy Apple 527 Commercial Drive Washington, MO 63090 . NAME AND ADDRESS (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 200 South Three St. Split Level 'Marthasville House #1 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No, MeasureUSE ONLY 5. CAPACITY Length 10 15 11 13 12 (Adam) 18 . 6. REGULATIONS COMPLIANCE Width 13 13 11 13 14 ('x"properbox) Yes No Ceiling Height Water Square Feet 130 195 121 169 168 Electricity No. of Rooms Site No. of Beds. - Single 1 1 Screening El No. of Beds or Bunks, Double 1 2 1 2 2 Heating 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 2 washer Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (N0. typeCOMMENTS 2 Driers 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets off ce and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Employer's Signature Typed Name and Title Date Edward Reidy 10. Hwy INsy? CTED BY: Joyce Hahn Si ture fAuthorized Offic Typed Name and Title Date Joyce Hahn, FLC Coordinator APPROVAL: Housing approgd for occupancy by workers recruited interstate. Signature of" thorized vi ?i I Typed Name and Title Joyce Hahn, FLC Coordinator Date MW FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 527 Commercial Drive Washington, MO 63090 1. NAME AND ADDRESS Happy Apple 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 300 North Three St. Split Level Marthasville, MO 63357 HOUSE #2 Length 14 16 13 13?s 12's 5' $223? 20 Width 10 13's 12 10 13's 6' 2539031130th Yes No Ceiling Height Water Square Feet 140 208'5 156 1305 156'10 Electricity No. of Rooms Site [2 ?315; Beds. Screening 33i3?,3333b?7? 2 2 2 2 2 Heating IE El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 5 3 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 2 2 tubs Cook Stoves Refrigerators Garbage containers First-aid Kits :13: Extinguishers . COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the S. Department of Labor, U. S. Training and Employment Service and that the housing described herein of?ce and/or Employment app Training Administration regional of?ce to inspect the above housing at any reasonable time Emeets does not meet such standards I hereby authorize representatives of the State Employment Service Employer?mure Typed Name and Title Edward Reidy, President Date All/7 10. HOUSING ASPECTED BY: Joyce Hahn Signature orized Of?cia/l Typed Name and Title Joyce Hahn, FLC Coordinator Date 11 z/IHousing ap/proved for occupancy by workers recruited interstate Signatig?gized 02% Typed Name and Title Joyce Hahn, FLC Coordinator Date My?? FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Happy Apple 1. NAME AND ADDRESS 527 Commercial Drive Washington, MO 63090 2. HOUSING LOCATION 305 South Three St. Marthasville, MO 63357 Housing 3 Split Level 3. HOUSING DESCRIPTION 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . 5. CAPACITY Length (Adults) . . 6. REGULATIONS COMPLIANCE box) Yes No Ceiling Height Water Square Feet 140 208'5 156 1305 156'10 Electricity No. of Rooms Site No. of Beds. Single Screening No. of Beds or - Bunks, Double a; a 1; 1 Heating I: 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 3 5 3 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 3 2 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 3 3 2 2 (No. type) 2ABC Dry 8. COMMENTS 9. CERTIFICATION: . CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Servnce, and that does not meet such standards. I hereby authorize representatives of the State Employment Servuoe the housing described herein [2 meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signature 4? Typed Name and Title {Zoom [7599/4]. figs/2044f 10. HOUSING INSPECTED BY: Signature of Authorized Official .. ovum, . \x rust IX Typed Name and Title Debra Minish, State Monitor Advocate 1 1. APPROVAL: Housing approved for occupancy by workers recruited interstate. :ignature of Authorized Of?cial Typed Name and Title Debra Minish,State Monitor Advocate Ii) oIk FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 U.S. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) l. NAME AND ADDRESS Happy Apple 527 Commercial Drive Washington, MO 63090 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 300 South Three St. Housing 2 Split Level Marthasville, MO 63357 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. a. MeasureUSE ONLY . . 5. CAPACITY Length 14 16 13 135 125 (AdultsREGULATIONS COMPLIANCE Ceiling Height Water (E El Square Feet 140 208'5 156 1305 15610 Electricity [2 No. of Rooms Site I: No. of . Single 8 Screening No. of Beds or . Bunks, Double CD. i; 9? Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 3 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 2 2 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 2 2 2 2 (No. type) 2ABC Dry 8. COMMENTS the housing described herein 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. 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 Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. meets EmpIOyer?Pgnature/ Typed Name and Title 5mm :97 94 [We/e 10. HOUSING BY: Signature of Authorized Of?cial- . Typed Name and Title Date . . . .3 >425,? Debra State Monitor Advocate l3 3 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial . Typed Name and Title Date . . . at 2 Debra Minish,State Monitor Advoc 6 1/0r I FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Happy Apple 527 Commercial Drive Washington, MO 63090 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 200 South Three St. Housing 1 Split Level Marthasville, MO 63357 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. &MeasureUSE ONLY 5. CAPACITY Length 10 15 11 13 12 (Adults) 8 6. REGULATIONS COMPLIANCE Width 13 13 11 13 14 (?x"properbox) Yes No Ceiling Height Water IE Square Feet 130 195 121 169 168 Electricity IE No. of Rooms Site No. of Beds, . Single Screening I: No. of Beds or . Bunks. Double 9x Heating El 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 2 1 t? tubs Cook Stoves Refrigerators Garbage containers First~aid Kits Fire Extinguishers (No. type) 2 4 2 3 2ABC Dry 8. COMMENTS 3 9. CERTIFICATION: the housing described herein meets CERTIFY THATI have reviewed the housing regulations of the US. 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 office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer's ature Typed Name and Title Date ?ex, ((09,460 ,Ap/ 3315,41qu 10. HOUSING INSPECTED BY: Date Signature of Authorized Of?cial . EM (W ?Lek Typed Name and Title Debra Minish, State Monitor Advocate All will? 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. inature of Authorized Official Lg Cci Typed Name and Title Debra Minish,State Monitor Advocate Date Billy/[3 FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS H2A Complete II, Inc. 1926 First Commercial Drive N. Southaven, MS 38671 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Trash pickup 1x per week Dryer onsite 410 S. East Street House Parma, MO 63870 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. 8. MeasureUSE ONLY . . . 5. CAPACITY Length 11 3 11 3 151 (AdultsREGULATIONS COMPLIANCE Ceiling Height 8 8 8 Water Square Feet 116.39 128.8 167.61 Electricity No. of Rooms 1 1 1 Site No. of Beds, - Single 2 Screening I: No. of Beds or - Bunks' Double 1bk 1bk 2bk Heating IE 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 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 2 (NO- type) i 1abc 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or EmplWent and TrainingAdministration regional of?ce to inspect the above housing at any reasonable time. Employe .s Signat Typed Name and Title Date V0 9/7 a 4 10. BY: Joyce Hahn SignaWonzed Of?cial Typed Name and Title 0318 01/ 3 I Joyce Hahn, Program Coordinator -62/ 7 11. Housing approved for occupancy by workers recruited interstate. Signatumed Typed Name and Title Date 7 Joyce Hahn, Program Coordlnator 9? FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS us. TRAINING AND EMPLOYMENT SERVICE H2A Complete II, Inc. EMPLOYER FURNISHED HOUSING AND FACILITIES 1926 First Commercial Drive N- Southaven, MS 38671 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 410 Main Street Brick Building Hornersville, MO 63855 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. a MeasureUSE ONLY I .- Length 232 18'9 18'9 5' 32:33" 41.5 - . . . 6. REGULATIONS Width 136 12 5 158 '31 box) Yes No Ceiling Height 8 8 8 8 Water IZ Square Feet 315.52 236.25 298.62 75?! 1 Electricity IE No. of Rooms 1 1 1 Site No. of Beds. - Single Screening No. of Beds or . Bunks' DoubIe Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 10 a 7 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 5 er Mae 8. COMMENTS 4 bk 8 1 Frameb16748 FV Mal total =1 73/23 3 A ?19 40 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herei meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Training Administration regional office to inspect the above housing at any reasonable time. EmplW Typed Name and Title Date . - 7. {if 10 HOUSING INSPECTED BYz/Joyoe Hahn Signatur A horized Oi?ci Typed Name and Title Date - 55/? Joyce Hahn, FLC Coordinator 613/~/7 11 Housing for occupancy by workers recmited interstate. Signatu thon?zed Typed Name and Title Date Lja Joyce Hahn, FLC Coordinator 7 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1? EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Jody Jones Trucking LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 27172 Snapp Road Keyteswlle, MO 65261 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 23189 Bell School Ave. One Story Bedroom House Keytesville, MO 65261 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY . 5. CAPACITY Length 13 5 10 (Adults) 5 . . 6. REGULATIONS COMPLIANCE Ceiling Height 8 8 Water IE Square Feet 122.85 140 Electricity No. of Rooms 1 Site No. of Beds. Single '5 i Screening No. of Beds or - Bunks, Double I P) Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 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. typeCOMMENTS Inspected using ETA regulations (50 sq. ft. per person) 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Emplo er's Signatur Typed Name and Title Date in 4 Bee L, some 5t 1o. Hobsme INSPECTED sew/Authorizw Type Name and Titl Date mil" 21L 1 (o 11. Housing approved for occupancy by workers recruited interitatef Signat uthorized ia Typed Name and Ti le . Date em 3t, Wt FORM R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Jamerson Farms EMPLOYER FURNISHED HOUSING AND FACILITIES 2940 State HWY HornerSVIlle, MO 63855 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 2002 County Road 657 House Hornersville, MO 63855 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY 12 0/2? I8 5 . . 6. W'dth 34 [3 /b 4 proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site No. of Beds, . . I A. ScreenIng NW3 or . Bunks. Double Heat'w [Xi 7. FACILITIES (Number ofeach) IO Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry a tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers I I (N0 <ype) 8. COMMENTS (DI/twgi?k? Pad?? 0 fb?er 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the U. Department of Labor U. S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time Typed Name and Title Date 77/14 p.943 10 INSPECTED BY: Sign of Authoriz Of?cial . Typed Name and Title Date Joyce Hahn, Program Coordinator 1,149.43 11. Housing approved for occupancy by workers recruited interstate. Sign of Authoriwci; Typed Name and Title Date I Joyce Hahn, Program CoordInator {g I I L. FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reverse) US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Priggel Farms 610 King Street Portageville, MO 63873 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 1204 King Street, Apt 1 Apartment Portageville, MO 63873 4225:2232$25.23;" 02 Width la [/97 6. 253%nglr'lsolzl: COMPLIANCE Yes No Ceiling Height I I Water Square Feet /04 /75[?5 Electricity No. of Rooms Site 331;; Beds, Screening E?Sa?f?gib?l? Heating IX CI 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers I I (No. type) 8. COMMENTS CERTIFICATION: the housing described herein meets I CERTIFY THAT I have reviewed the housing regulations of the US. 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 Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. 1o. HOUSING Anita Dixson Employer?s natu Typed Name and Titl Date J) Signature of Au lorized . Typed Name and Title Anita Dixson, State Monitor Advocate l1. Hou?sing approved for occupancy by workers recruited interstate. 3W. I Typed Name and Title Anita Dixson, State Monitor Advocate 4/ Authorized 0% 7/9: 31%] FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Jacinto Hernandez Arcadia, FL 34265 1. NAME AND ADDRESS 2746 NW Back Creek Rd. 2. HOUSING LOCATION 3. HOUSING DESCRIPTION ?ll. Main Street Bibbs Trucking providing housing Mess Hall/Bunk House T?lornersville, MO 63855 Length 30' 3 5, e?mgw?a Width 079' 7(0'5 6. $353,333}? COMPLIANCE Yes No Ceiling Height Water Square Feet ,1 537.9; Electricity No. of Rooms I I Site El 331.91); Beds. Screening El (3%33333; Li (0 Heating El 7. m?cuunss (Number ofeach) Flush Toilets Privy Urinals Lav. orWashbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (N0. 8- type) a\ (a 45C, 8. co?iiMENTs ask \x meat 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. meets does not meet such standards. I hereby authorize representatives of the State Employment Service Em loyers Signature Ty (I Name and Date Madam 5m 3 3/ I7 10. HOUSING INSPECTED BY: Joyce Hahn 0 Date 727 a/Lr. Typed Name and Title Joyce Hahn, FLC Coordinator 575/, 7 11. APPROVAL: flousinglapproved for occupancy by workers recruited interstate. Of?ci Typed Name and Title Date (37 ab, - Joyce Hahn. FLC Coordinator 375/ LZ FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Jacinto Hernandez Arcadia, FL 34265 1. NAME AND ADDRESS 2746 NW Back Creek Rd. 2. HOUSING LOCATION 303 Mulberry St. Hornersville, MO 63855 3. HOUSING DESCRIPTION Single Family Home 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . 5. CAPACITY Length 11 3 (Adults) 3 - . 6. REGULATIONS COMPLIANCE 11 4 "proper box) Yes No Ceiling Height 8 Water Square Feet 128.82 Electricity No. of Rooms Site No. of Beds. Single 1 Screening No. of Beds or Bunks. Double 1 bunk Heating l: 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 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. typeCOMMENTS 2 smoke alarms 9. CERTIFICATION I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer's Signature Typed Name and Title Date Dew MW operation manager 1/24/18 10. 819. Joyce Hahn Signature thorized Off i Typed Name and Title Date Joyce Hahn, Program Coordinator 18 11. APPROVAL Hodsin'g approved for occupancy by workers recruited interstate. Signature of thorized Offici Typed Name and Title Date (L, Joyce Hahn. Program Coordinator FORM R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration 1? EMPLOYERS NAME AND ADDRESS TRAINING AND EMPLOYMENT SERVICE Jacinta Hernandez Harvesting, Inc EMPLOYER FURNISHED HOUSING AND FACILITIES 2746 NW Buckcreek Rd- (Sl?t? mI Rri'r?rsv) Arcadlal FL 34266 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 515 Main Street Bunk House Hornersville, MO 63855 Bibbs Trucking providing housing ?$322.22Length 47 22'? 5' 26 Width 226 19.9 e, ?f'riuc?L?AeTiloon COMPLIANCE Yes No Ceiling Height 9 9 Water Square Feet 1062.2 451.73 Electricity No. of Rooms Site gig-9?; Beds. Screening E'Safi??gfbi? 10 3 bunks Heating XI 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 3 3 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (NO- typeCOMMENTS 3 smoke alarms 3 a/c units 9 CERTIFICATION I CERTIFY THAT I have reviewed the housing regulations of the Department of Labor U. 8 Training and Employment Service and that the housing described herein meets [3 does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer's Signature Typed Name and Title Date Operations Manager 1/24/18 10. HOUSING INSPECTED BY: Joyce Hahn Sign of A orized Typed Name and Title Date CL Joyce Hahn, FLC Coordinator 34,13 11 APPKOVAK )[Housing approyed for occupancy by workers recruited interstate Signature of orized Ofiic IR Typed Name and Title Date Joyce Hahn, FLC Coordinator I 1724 . - FORM R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (Sec on lt?t?t'crw) U.S. Department of Labor. Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES . NAME AND ADDRESS Jacinto Hernandez 2746 NW Back Creek Rd. Arcadia. FL 34265 Cloths line in backyard Trash pickup 1 week 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 511 Main Street Bibbs Trucking providing housing Mess Hall/Bunk House Hornersville. MO 63855 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. 8 MeasureUSE ONLY . . 5. CAPACITY Length 14 8 20 3 (Adults) . . . 6. REGULATIONS COMPLIANCE W'dth 26 5 26 5 proper box) Yes No Ceiling Height 8 8 Water Square Feet 392.2 537.95 Electricity No. of Rooms 1 1 Site No. of Beds. . Single Screening CI No. of Beds or . Bunks. Double 4 6 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 6 7 6 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 2 2 2 2 (No. type) 6 abc 8. COMMENTS 9 CERTIFICATION: the housing described herein meets I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. US. Training and Employment Service. and that does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. I Signaej?horized Offig?ai Joyce Hahn, FLC Coordinator Em to er's Si nature ed Name and Title Date ?mag/MW . Operations Managg 1/24/18 10. HOUSING INSPECTED BY: Joyce Hahn Sign of thorized Offi Typed Name and Title Date QM Joyce Hahn, FLC Coordinator MT 11. . H?oulsing for occupancy by workers recruited interstate. Typed Name and Title Date j??ifi FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau NO. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Keeven Brothers EMPLOYER FURNISHED HOUSING AND FACILITIES 602 Laura Hi? Road . . O'Fallon, MO 63366 (See Instructions on Reietse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 2421 Breeze Point Lane House O'Fallon, MO 63368 NO. Of Beds or Bunks, Double Heating 4'rifi'ii223l1? 8- 4 1 4 ES 985 Length I I [0?4 5. (52:33? lo Ia?t ?rsmgiiwwm to Ceiling Height ?6 Water Square Feet Q0 0, 3 I5 Electricity El NO.ofRoomS I I I Site Beds' a 5K Screening El XI 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (NO. type) I /A5s 8. COMMENTS I Dm?zr 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department Of Labor, U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employ22iatur Typed Name and Title Date 42?% 4%r?24?f1 x??allAQKZ?;Qumee. 19n%42 10 HOUSING INSPECTED BY: Signat thorized Of?ci Typed Name and Title Date Joyce Hahn, Program Coordinator 07?04? 11. Housing appyived for occupancy by workers recruited interstate. Signat Authorized Ici Typed Name and Title Date Joyce Hahn, Program Coordinator IJW3 . FORM ES-338-R2 R-JULY 1969 AI us. ?was. Mummy, 1. arms memmss AND sum/ICE Cam and Land. Inc. EMPLOYER FURNISHED HOUSING AND FACILITIES 80? 13" St Mono?. MO 85708 2. mum woman a. Wampum 28511 Nanny Rd. SI 19 910 house 8m onyuse ONLY "Int 11': Wm 4 a new 11?: Va ?u cannon127.05 120.man. 8 . Home r. mum Flash You mus-mu mm Hoot-mum mum-um 1 1 Cook 8m mm Punt-1mm: 0. EMPLOYERS CERTIFICATION: ICERTIPYTHAT I unruly-jam Whom" 0.8. mmuuw. mum-mama, doll mama-Wham mm mm mm MGM-momma ou- 73;: A. .. . . obi-n -- DIIO Whammy 2-2-17 toms-mm MINT Form A Budget pproved Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Cattle and Land, Inc. 601 13th St. Monett, MO 65708 2. HOUSING LOCATION 26511 NonNay Rd. Stark City, MO 64866 3. HOUSING DESCRIPTION Single story house 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY . . . 5. CAPACITY . . . . 6. REGULATIONS COMPLIANCE Width 145 111 112 (?x"properbox) Yes No Ceiling Height 8 8 8 Water Square Feet 166.75 127.65 129.92 Electricity No. of Rooms Site No. of Beds, . Single I I Screening No. of Beds or . Bunks, Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (NO- type) I i? ?1 8. COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing re the housing described herein meets of?ce and/or Employment and Training Admini gulations of the US. 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 stration regional of?ce to inspect the above housing at any reasonable time. Employer' Signature Typed Name and Title Date 3725 AM #13; 1?}va ?rearm 1/ 10/?cusme INSPECTED BY: Signature of Authorized Of?cial Typed Name and Title mm; +0 r' Date :ngam. minisk WM 11. APPROVAL: Housing appPoved for occupancy by workers recruited interstate. Date Signature of Authorized Of?cial a 1hr!) t?nr?sk Typed Name and Title S'f'a'fa ?7012.71?- {4&0th 371427111: FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions Reverse) US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Living Lands, LLC 16788 Brown Road Elk Creek, MO 65464 2. HOUSING LOCATION Living Lands, LLC 3. HOUSING DESCRIPTION Travel Trailer 16788 Brown Road 3 . Elk Creek, MO 65464 I 5 3? 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY th 5. CAPACITY 1 eng (Adults) Width 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site XI El No. of Beds, . singie I Screenmg El No. of Beds or . Bunks, Double ??ung IZI El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads I Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 0 tubs I Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 8. COMMENTS - -. . rd? WW3 COL CV ?iDVOtIrIous ?oicr Siwwcr Scoot/mire CA Owi?xoor IOL hiv? b? Sub (Aomictkuwd?l 31w \Mm \l Sailsrxie?or Power IO Camper "iime Birgit? \er Sixeeyie?i?ood frail/?teat 0&ny fame 50% 9. CERTIFICATION: I CERT THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment/ind Training Administration regional Of?ce to inspect the above housing at any reasonable time. Emp r's Signature Typed Name and Title Date am A Oren see/e 3/9 /3 . I 10. BY: Signat Authorized Official 42444 Typed Name and Title Anita Dixson, State Monitor Advocate fgj/Meo 1 . APPROVAL: Housing approved for occupandy by workers recruited interstate. I Authorized WW Typed Name and Title Date Anita Dixson, State Monitor Advocate M, C7 - FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration 1' NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Lehenbauer Farms, Inc. EMPLOYER FURNISHED HOUSING AND FACILITIES 6624 .County Road 262 HannIbal, MO 63401 (See Insuwclions 0n Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 5934 County Rd 260 Farm House Palmyra, MO 63461 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. a MeasureUSE ONLY I 5. CAPACITY Length (Adults) 4 Width 6. REGULATIONS COMPLIANCE L) proper box) Yes No Ceiling Height Water [3 Square Feet 8 Electricity No. of Rooms Site No. of Beds, . Single Screening No. of Beds or Heating Bunks, Double 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tUbS Cook Stoves Refrigerators Garbage containers First-aid Kit Fire Extinguishers 7 (No. 7 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. I EmSignature Typed Name and Title Date 10. HOUSMINSPECTED BY: Anita Dixson Typed Name and Title Dat Anita Dixson, State Monitor Advocate Authorized Official 11 PPWAL: Housing approved for occupancy by workers recruited interstate. 1 Sin Authorized Of?w Typed Name and Title Da Anita Dixson, State Monitor Advocate :7 FORM ES-338-R2 R-JULY 1969 Al Form A Budget pproved Bureau No. 44-R1358 US. Department of Labor, Employment and Training Adminisnation U.S. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES 5624 County Road 262 (See Instructions on Reverse) 1. NAME AND ADDRESS Lehenbauer Farms, Inc. Hannibal, MO 63401 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 5934 County Rd 260 Farm House Palmyra, MO 63461 ?1:532:32532533" 3 Width [0,2 6. ?f?glrlol-gepgozf COMPLIANCE Yes No Ceiling Height Water Square Feet 8 b8 Electricity No. of Rooms I i Site 3:393; Beds. I I Screening 331233235; 7. FACILITIES (Number of each) Flush Toilets Privy Urina ls Lav. or Washbasins Showerheads I Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (NO- type) I I 8. COMMENTS 9. CERTIFICATION: the housing described herein meets CERTIFY THAT I have reviewed the housing regulations of the US 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 Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. mokh v1 Employer' Signature Typed Name and Title Date I ?x Him a; f?d 1o. INSPECTED BY: Joyce Hahn Signature of Authorized Of?cial Type Nage and Till? 715 Date n? I . \3 Q) 9 rogr?m Coordrnator 5.- 35 4g 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date ?bum Joyce-Hahn Program Coordinator 5-30 59 FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department ofl.abor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS MacFarlane Pheasants, Inc. 2821 S. US Hwy 51 Janesville, WI 53546 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 22708 MO-76 Farm House Rocky Comfort, MO 64861 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. a MeasureUSE ONLY . . . 5. CAPACITY Length 13 a 1010 101 (Adam) 2 . . 6. REGULATIONS COMPLIANCE Width 118 10 135 (?x"properbox) Yes No Ceiling Height 8 8 8 Water [3 Square Feet 162.84 101 135.35 Electricity g] No. of Rooms 1 1 1 Site No. of Beds, . Single 1 1 0 Screening No. of Beds or . Bunks. Double ?ea?mg ?2 I: 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 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 (No. type) abc 8. COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Meyer's rim? Typed Name and Title 6? Date 2/7/1 8 BY: Joyce Hahn Sarah p0 ye Signature of Authorized Of?cial 96% WW Typed Name and Title Joyce Hahn, Program Coordinator Date 2/7/18 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Joyce Hahn. Program Coordinator Date 2/7/18 92w FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) . NAME AND ADDRESS Manville Farms 36402 State Hwy 146 Gilman City, MO 64642 2. HOUSING LOCATION 36402 State Hwy 146 Gilman City, MO 64642 . HOUSING DESCRIPTION Wood Concrete House 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY Length 1 13%: f3 5 CAPACITY (Adults) 6 REGULATIONS COMPLIANCE Bunks, Double .2 Width 1 I 7 proper box) Yes N0 Ceiling Height 8 3 Water IE Square Feet I 1 I) 2?2 33 Electricity No. of Rooms Site ?51.96; Beds, Screening No. of Beds or I Heating 7. FACILITIES (Numbgr ofeach) I Flush Toilets Privy Urinals Lav. orWashbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves I Refrigerators I I Garbage containers First-aid Kits Fire Extinguishers (No. type) 8. COMMENTS ?3 the housing described herein 9. CERTIFICATION: CERTIFY THATI have reviewed the housing regulations of the US 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 Employment and Training Administration regional office to inspect the above housing at any reasonable time. meets Employei?s Signature Typed Name and Title I Date hd44/l/L abic/ 7 to. INSPECTED Signature of Authorized Of?cial - Typed Name and Title Date . . . nItor Advocate - - \Ht?t Ix Debra M'mSh: State 0 7 APPROVAL: Housing approved for occupancy by workers recruited interstate. Date ~,ignature of Authorized Of?cial Typed Name and Title Debra Minish,State Monitor Advocate I?l-l? mm emf/nut, FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Insn'uctions on Reverse) 1. NAME AND ADDRESS Land and Cattle Rt 2, Box 224D Mountain Grove, MO 65711 2. HOUSING LOCATION Rt 2 Box 223E Mountain Grove, MO 65711 3. HOUSING DESCRIPTION Mobile Home 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY 5. CAPACITY Length I 7 (Adults) . 6. REGULATIONS COMPLIANCE W'dth 0 proper box) No Ceiling Height 8 8 8 Water [3 Square Feet a 03 [0 Electricity No. of Rooms I I Site No. of Beds. . Single Screening No. of Beds or . Bunks. Double 1 I ?93??9 El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry i tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers type) I I Is Aler?l? 8. COMMENTS WASIAQV 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. eets does not meet such standards. I hereby authorize representatives of the State Employment Service Em Io er's Signature Typed Name and Title Date . WWI 8 10. HOUSING INSPECTED BY: Signature of Authorized Official Typed Name and Title Date 00% Joyce Hahn, FLC Program Coordinator 5/18/18 Housing approved for occupancy by workers recruited interstate. Signa ure of Authorized Of?cial Typed Name and Title Date 7% Joyce Hahn, FLC Program Coordinator 5/18/18 (1 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Insrrucn'ons on Reverse) 1. NAME AND ADDRESS Land and Cattle Rt 2, Box 224D Mountain Grove, MO 65711 2. HOUSING LOCATION Rt 2 Box 2238 Mountain Grove, MO 65711 3. HOUSING DESCRIPTION 3 bedroom house 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . 5. CAPACITY Length 114 1 105 (Adults) 2 . . . 6. REGULATIONS COMPLIANCE Width 118 10 117 ("x"properbox) Yes No Ceiling Height 8 8 8 Water [1 Square Feet 134.52 103 2 122.85 Electricity No. of Rooms 1 1 1 Site No. of Beds, . Single Screening No. of Beds or - Bunks? Double 1d 1de Heating 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 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (NO- typeCOMMENTS Dryer on-site. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US Department of Labor, U.S. Training and Employment Service, and that the housing described herein of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. meets does not meet such standards. I hereby authorize representatives of the State Employment Service Em loyer?s Signat 4/ Wig/7r mm Typed Name Brig/MW andATitle 101m; Mrer Date 50:77 3 16. HOUSING INSPECTED BY: Signature of Authorized Of?cial Typed Name and Title Date 00% 7% Joyce Hahn, FLC Program Coordinator 3?31/43) Housing approved for occupancy by workers recruited interstate. Signa ure of Authorized Of?cial Typed Name and Title Date Wm Joyce Hahn, FLC Program Coordinator a 2748 V0 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Land and Cattle Rt 2, Box 2240 Mountain Grove, MO 65711 2. HOUSING LOCATION Rt 2 Box 2238 Mountain Grove, MO 65711 3. HOUSING DESCRIPTION 3 bedroom house Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY I I 5. CAPACITY ?"ch /0 a? /0 5 (Adults) 3 . 6. REGULATIONS COMPLIANCE Width 8 I 7 ('x"properbox) Yes No Ceiling Height 8 8 Water Square Feet 3?7/5?1/03092 )3285 Electricity No. of Rooms Site $131.93); Beds, Screening No. of Beds or . Bunks. Double 06L 0:61.. Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 8. COMMENTS KS) (eager 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the U. S. Department of Labor. U. 8. Training and Employment Service and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment angxaining Administration regional of?ce to inspect the above housing at any reasonable time WW) Typed Name and Title 1300/70/ 4/ r/?M/mor, Date Fiat?I3 10V HOUSING INSPECTED BY: Anita Dixson WAuthonzed Of?cial Typed Name and Title 60% g: Date Wm! ?An dvecate CI ?3 I 11. ARPROIVAL: Housing approved for occupancy by workers recruited interstate. Signature of uthorized Of?cial Typed Name and Title 5 Date 414%] An dvecate 6f 3? FORM ES-338-R2 R-JULY 1969 AI 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 Form Approved Budget Bureau NO. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Marin J, Corporation EMPLOYER FURNISHED HOUSING AND FACILITIES 2148 North Tonington Rd- Avon Park, FL 33825 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 9348 State Hwy Wood Frame House Senath, MO 63876 Length 21? 178 1010 5' $2533? 30/ 1 Width 124 12 6'10 6' 253%L58Tr'80'1f Yes No Ceiling Height 8 8 8 Water IX Square Feet 262.8 213.6 61 Electricity I: No. Of Rooms 1 1 1 Site $31.3; Beds, 4 4 1 Screening 3312;33:33; 1 1 El El 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 COMMENTS Large trash container for weekly pickup 00 w/ bra 90AM heats new voodoo) 9?1; 0" serous WAEV lciec m+on 8N \0cp.\ ?10 MM 3 smoke alarms Will take workers to local laundry mat once a week. 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives Of the State Employment Service office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Si ture Typed Name and Title Date Wat/5+ INSPECTED BY: Anita Dixson Typed Name and Title Date Anita Dixson, State Monitor Advocate 4/26/17 ved for occupancy by wch'lters recruited interstate. Typed Name and Title Date Anita Dixson, State Monitor Advocate 4/26/17 FORM R-JULY 1969 AI Form Approved Budget Bureau NO. 44-R1358 1. NAME AND ADDRESS US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE Marin Corporation EMPLOYER FURNISHED HOUSING AND FACILITIES 2148 Tonington Rd- Avon Park, FL 33825 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 9346 State Hwy Brick House Senath, MO 63876 ?11:53:31Length 143 14'1 132 9'9 5' 323%? 1 6 Width 227 10 14'10 13'11 5' ?fg?r?o?yg?f Yes No Ceiling Height 8 8 8 a Water Square Feet 324.61 141 186.12 130 Electricity No. of Rooms 1 1 1 1 Site gag; Beds, 6 3 4 1 Screening 3313;3333b?1?; 1 Heating El 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 2 2 2 1 (No. type) 1 abc 8. COMMENTS Large trash container for weekly pickup 3 smoke alarms Will take workers to local laundry mat weekly. WV o? emit \cml 3'0 maps-\? 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives Of the State Employment Service Of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employes Si- 1 ture Typed Name and Title Date {/24 Typed Name and Title Date .1 Anita Dixson, State Monitor Advocate q/&C a 7 Typed Name and Title Date . Anita Dixson, State Monitor Advocate 4 7 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE 1. NAME AND ADDRESS Marin J. Corporation EMPLOYER FURNISHED HOUSING AND FACILITIES 2148 North Torrington Rd. (See Instructions on Reverse) Avon Park, FL 33825 2. HOUSING LOCATION 4346 State Hwy Senath, MO 63876 3. HOUSING DESCRIPTION Wood Frame House 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY I a 5. CAPACITY (Adults) . 6. REGULATIONS COMPLIANCE 7 ,0 Id tj? /3 (?x"properbox) Yes No Ceiling Height ?8 8 8 Water Square Feet [30 Electricity No. of Rooms I I Site ?313; Beds, (0 3 Screening No. of Beds or I . ?Bunks, Double Heating I: 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tUbS Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers a 01 (No. type) 2 A64 8. COMMENTS To local 3 Small?. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets El does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employwwre Typed Name and Title Date [101 Ian/Igam? HO INGA BY Joyce Hahn 9 - . Signature 0 uth Ized OffiCIal Typed Name and Title Date Joyce Hahn, Program Coordinator 6157!, 11. APPR 96AL: ?)(ousingr approwd for occupancy by workers recruited interstate. I Date Signaylmrized Of?cialg? Typed Name and Title Joyce Hahn, Program Coordinator my; FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Marin J. Corporation 2148 North Torrington Rd. Avon Park, FL 33825 2. HOUSING LOCATION 9348 State Hwy Senath, MO 63876 3. HOUSING DESCRIPTION Wood Frame House 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY Length Ceiling Height 7? Water Square Feet 9102 43:57 3. I 5'6??th No.of Rooms I Site 3:39: Beds, 4 LI Screening El ESIEQBSSEJQ I Heating IE El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. orWashbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry I I . tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) Mm 8. COMMENTS I \C?H?gi/ (?Qix?sw?m Cor 3 It)? but/6k?) 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets of?ce and/or Employment and}raining Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Employer?s Signature Typed Name and Title Date o?fa?o' i_I OFCAC gm .HOU NG BY: Joyce Hahn Signatur thorized Of?cial Typed Name and Title Date 0.4 7471( Joyce Hahn, Program Coordinator ,5 (7 11 ?dusing appralvfd for occupancy by workers recruited interstate. Date Signamfed Officia? Typed Name and Title Joyce Hahn, Program Coordinator FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES 501 Ballew St- (See Instruclions on 1. NAME AND ADDRESS Meinke Custom Combining Princeton, MO 64673 2. HOUSING LOCATION 3. HOUSING DESCRIPTION RR 2 N. 65 Hwy Apartment Princeton, MO 64673 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. a MeasureUSE ONLY . . . 5. CAPACITY Length 15 6 9 4 9 4 (Ada/ts) 8 . . 6. REGULATIONS COMPLIANCE W'dth 12 14 13 5 proper box) Yes No Ceiling Height 8 8 8 Water Square Feet 187.2 131.6 126.9 Electricity No. of Rooms Site XI [3 No. of Beds. . Single 2 2 Screening I: No. of Beds or . Bunks, Double 2 ?93""9 XI 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 2 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Empl r's Signature Typed Name and Title Date {lief (?Level/J, Irovi M?iwu Perrwr /Owwf 12/10/18 10. INSPECTED Joyce Hahn Signature of Authorized Of?cial Typed Name and Title Date 00%? M0 Joyce Hahn, Program Coordinator 12/10/18 11ASRKOVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 12/10/18 00% WW FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Meinke Custom Combining RR #1 Box 14 Princeton, MO 64673 2. HOUSING LOCATION Mobile Unit located at Employer's Corporate site 3. HOUSING DESCRIPTION Semi-Tractor Trailer Unit (4M 4 7 4 0?1 dig-SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length 3 (Adults) . 6. REGULATIONS COMPLIANCE W'dth :8 91. proper box) Yes No Ceiling Height Water I: Square Feet Electricity No. of Rooms Site No. of Beds. Single ScreenIng l:l l:l No. of Beds or . Bunks. Double HeatIng 7. FACILITIES (Number ofeach) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) AB C, 8. COMMENTS swords 4 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. 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 the housing described herein of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. meets Employer's Signature 7 Typed Name and Title Date Z: 2 jjiw Terry L. Meinke, Owner 12/10/18 10. HOUSING Insjp?creo BY: Sign ture of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Workforce Specialist 12/10/18 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Workforce Specialist 12/10/18 Claw WW FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Meinke Custom Combining ?3 Princeton, MO 64673 EAIWVJ 2. HOUSING LOCATION Mobile Unit located at Employer's Corporate site 3. HOUSING DESCRIPTION Semi-Tractor Trailer Unit Mobil 1GRBA842808066704 Tag CFA 343 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY . 5. Length 43 (Adults) . . 6. REGULATIONS COMPLIANCE W'dth 8?5 proper box) Yes No Ceiling Height Water Square Feet 3655' Electricity No. of Rooms Site No. of Beds. Single ScreenIng No. of Beds or . Bunks. Double 3 HeatIng CI 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 2 (No. type) 2 abc dry 8. COMMENTS 2 Hot Plates Microwave for cooking. 1 Dryer 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing reg the housing described herein of?ce and/or Employment and Training Administration regiona meets ulations of the US. 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 I of?ce to inspect the above housing at any reasonable time. Employer?s Signature Typed Name and Title Date (j Terry L. Meinke, Owner 12/10/18 10. HOUSING BY: Signature of Authorized Of?cial Typed Name and Title Date 0 h, Joy eHa WO 0 lIs 12/10/18 1WROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date 90W 7% Joyce Hahn, Workforce Specialist 12/10/18 FORM ES-338-R2 R-JULY 1969 Al :l:l:151703FornIAppIcved . . BIKIGBI Bureau NO JJ-R?Ii?l?i?l I Dcpziruncnl UI Meinke Custom Combining EMPLOYER FURNISHED HOUSING AND FACILITIES RR #1 BOX 14 R: 1.1? I IVIO 64673 HOUSING LOCATION 3. HOUSING DESCRIPTION Mobile Unit located at Employer?s Corporate site Semi-Tractor Trailer Unit Mobil 1GRBA842808066704 Tag CPA 343 SLEEPROQMS .. . bFarr'r'Irc 55 use ONLY I I - i 5. CAPACITY 6 tannin . . i . . I'Adula's) ..-. .. capeumnowscox?mmk Nd?h . 8'ling 'I-Ieig?tt .-. . . ..-. . .. -.. Ei cIrIcIty I I USED noua'? Feet 36 01 Room? I Site Single . . . . . ., Heating i Bunks. Double . . .. . FACILITIES (Number of Fittis mile: iPrivy E'Urinals Isz. or Washbasins 'Showorheacts BatlIIubs 'Movable Bathtubs launory machmr 5 Fixed laundry tubs; 'zI?vicI-Jahic laundry . I tubs 1 1 {Book Slove> Retro? alor' Garbage containers iFIrsI-aid Kits 'FIre We typeCOMMENTS 2 Hot Plates Microwave for cooking. I Dryer EMPLOYERS CERTIFICATION I I CERTIFY THAT I have reviewed the hous Int; regulatiorr?u o! the U. oi I. at): Ur~ a Training and Employment Samoa: and that 1hr; housmg described herein meets DI does not meet such standards i hereby authorize representatives of the State Employment Semco oII'icc anr? or Cmplownen. and. Traininc Administration regional oIIice to the abo -e at any reasonable IImr Employer 5 :?Sig nature Dow Name and .. I Date 7 4 1 77M Terry L. Meinke. Owner . . . I HOUS 5r Signature?!" Alt/Inorized OI ii: Tvped amc and Titlr. 'DaIe 2? once Hahn. Workforce Specialist .. '(IDPROVM) Haunting 2mm zit-rt. for mum/wry wnri. erg ream. ted Imergiare IrwmIIrp n! ed Ompni Type? ~1de imam . Joyce Hahn Workforce SpchaIIat 3.1313Dec 15 1703:04p Department oi tuber. limpluimcn: uml training :?utminhibition LS. EMPLOYER FURNISHED AND FACILITIES If" . 22. LOCATION I Mobile Unit located at employers corporate site p2 Form Anni-aver} . ?r EMPLOYERS NAME AND ADDRESS . Meinke Custom Combining 501 Ballew St. Princeton, MO 64673 3. HOUSING Forestor Camper Trailer/Model Cherokee . 4X4TCKE23WK080069 i SLEEP ROOMS -8: . Family" Tip-e? . ES USE ONLY a; $19.33!.Nuts; 4 3 i BREGULATIONS ?a - -. 4? prone! box) Yes No Ceiling Height 1E Water [3 Sandra Fee: - E3 LJ No. of Rooms . 1 Sr? .puds Rinowf[Twit-:1 a Bunk-s. Double i i i 3: my? 7. (Number ofeach) 3Fiush Toilets Privy 1 L. ..- 'athtubs 1 ook cloves 1 1 . Refrigerators . . .. .. . . . Movable Bathtubs Laundry machines Garbage containers: Urinals 1 i ELav. or Washbasins i5howerlieat?ts 1. Fixed laundry tubs Firsl- aid Kits w- i 9 l. Movable laundry -tub$ .Fir'e Extinguishers (NO. '5 type} 1 abc 8. COMMENTS 8 30 Camper Trailer 9 EMPLOYER CER I CER i IFY THAT I have reviewed the hoarsmg repute horns, oi the US tlreh ousing described herein meets does not office and/Or Employment and ETraIr-Iino Actministre lion regional office to the abo ve housing Department ol 1. meet such standards. I hereby authorize representatives of the Slate Emplo/Inr: n: Semitic ebOr. US. Training and Emplo?m men! Sewn: . audit-rat 'any reasonable time Fmployer Sign?a?w?rem up?, mm; and imp ?Ft-55.123! . 7 . I :4 ??Wja-r El E. INSPECTED Joyce Hahr: X/Ottelzial {Typed Name and Ti?e Date . I m- 5 . . Vi? Joyce Hahn. Program Coordinator It.? i 7 . . i .11 apprr Vv?/gm for by 'I?idt'l" E'Ct?Ullth Interstate . i9: rature. of Authc?rived 0mm; Tyoed Name and ?Titlr: Date z' . I .. Joyce Hahn. Program Coordinator HZ). i of; mm issue- R-JULY 196.52 A: Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1? EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Meln ke Custom Combining EMPLOYER FURNISHED HOUSING AND FACILITIES 50,1 Ballew St- (See Imm?m on Rem?) Princeton, MO 64673 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Mobile Unit located at employers corporate site Forestor Camper TraileriModel Cherokee 4X4TCKE23WK080069 4. SLEEP ROOMS a. Dormitory Type b. (No. &MeasumUSE ONLY 5. CAPACITY Length 30 (Adults) 4 6. REGULATIONS COMPLIANCE Width 8 {'x"proper box) Yes No Ceiling Height Water Square Feel Electricity No. ot Rooms Site No. oi Beds. . Single Screenlng No. ol Beds or . Bunks. Double ?93""9 7. (Number of each) Flush Toilets Privy Urinals Lav. or Wasnbastns Showerhoads 1 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 Cook Stoves Retrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 1 my?) 1 abc 8. COMMENTS 8 30 Camper Trailer 9. CERTIFICATION: . THAT have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Sen/Ice, and that the housing described herein meets does not meet such standards. hereby authorize representatives of the State Employment Service ol?ce andlor Employment and Training Administration regional of?ce to Inspect the above housing at any reasonable tune. Employer's Signature Typed Name and Title ELM meg/<6 Orange Io. Nous/ruej?sltecreo air?ow: Hahn Signet r6 of horized Off ,3 if Typed Name and Title Date . Joyce Hahn, Program Coordinator [13? 931 11. Housing lor occupancy by workers recruited interstate. Date Sign alure thorized OlfI Typed Name and Title /02 Joyce Hahn, Program Coordinator [garb] L, . FORM Esme-R2 R-JULY 1969 Al Date Z'd dI79t909I Azoeo Form Approved Budget Bureau No. 44-R1358 (See Instructions on Rewrse) US. Department of Labor. Employment Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES t. EMPLOYERS NAME AND ADDRESS Meinke Custom Combining 501 Ballew St. Princeton, MO 64673 2. HOUSING LOCATION 3. HOUSING DESCRIPTION RR 2 N. 65 Hwy Apartment Princeton. MO 64673 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. 8. MeasureUSE ONLY . . . 5. CAPACITY Length 156 9 4 9 4 {Mung 8 . 6. REGULATIONS COMPLIANCE Width 12 14 135 ('x'prpper box) Yes No Ceiling Height 8 8 8 Water Square Feet 187.2 131.6 128.9 Electricity [2 No. ol Rooms Site No. oi Beds, Single 2 2 I: No. of Beds or Bunks, Double 2 Healing 7. FACILITIES (Number oleech) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 2 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 abc 8. COMMENTS the housing described herein 9. EMPLOYERS I CERTIFY THAT I have reviewed the housing regulations of the us. Departmant oi Labor. 0.8. Training and Employment Service. and that does not meet such standards. I hereby authorize representatives or the State Employment Servroe of?ce andlor Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. meets Employer?s St nature Typed Name and Title Date 7? Blvd/76.6 1o. HOUSING NS jcrizo av: Joyce Hahn Signalur (A horizedOtf Typed Name and Title Date o/ Joyce Hahn, Program Coordinator b? 97% 11. 7 Housing aggrovea for occupancy by workers recruited interstate. Signature 0 llrorized Typed Name and Title Date\ Joyce Hahn, Program Coordinator (9- 11? i'd FORM d179 80 91a. Dec 15 17 03:05p . . . .. . i" EiiR YE .5 [kimii'iincniui iind LO RE EMPLOYER HOUSING AND FACILITIES 113'? 501 Ballew St. Princeton. MO 64673 NAME ARES Meinke Custom Combining p.3 Form improved nggel Bureau Hg HOUSING LOCATION RR 2 N. 65 Hwy Princeton, MO 64673 2. 3. HOUSING. Apartment .4 SLEEP ROOMS Dormitory Type D. Famiiy _iyprI; (No cghfedsu/USE ONLY L--. -133. . .. 3 -.-. 1. .. may/'5 52 8 ., -.. .. .5. \Nitith 12 . I . 6. R: GJLATION . - -312 3.954 .N6 . I I: 311E . .1 .5191: .. L4 SquarcFeel 187.22 .- 1316 1269 Eiecinciiy r7 .- .--. [333:4 No. oiRooms I I I . Silt-,- ?No. oiBeds .. 7' .7. Wig?F,? 9 i w? I Single . 2 - . - Sc. eeniau No. . . .. . .-.--. -.-. Bunks.DoubIe 7. (Number 0/ each) Flush Todels IPrivy . Urinais ?Lav. or Washbasiris _QShowerheads 2 2 Bathtubs. jfv?iovabie Baihlubs Lauiiriry machines Fixed iaimdry? tubs 'Movabie laundry - lubs .Ccok Sic-ms 466': ?sage coniainer s. JiFirsi-aid Kris Fin:- i .ii'Nr) {i iypeEMPLOYERS CERTIFICATION I CERTIFY THA: i rave: reyiewde the nous regu lal. one of the U. Dcpannieiil of Labor. U. S. Training an the housrng described herein meets does noi meek Such o?ficc and,? or a. irainiriq Administration regioriai office in ms peci ihe above IaIny rnasonah standards. I hereby authorize represeniaiives of the Sta te Empioymeril ErrirJoymentSerwce. andihai ervicc ie lm?iC inmninver SianuaILir? _Typed Mania and - ?bat-e i 3 .- 1.774,. WAW 3/12?! 3 [10 INSPECTED Joyce Hahn Signalure of ?ayed Official 14' pred Name and Ti?ile [Date ?[re/(J [141.5 1 Joyce Hahn, Program Coordinator :1 1i approycd b5 worLIers recruned inie rstale. Aul??0rl??>d Of?ic7i, Typed ?Jam?- Lira Ti? le JDaie ,4 . Joyce Hahn, Program Coordinator gag-?.31. FORM 11-26? Form Approved Budget Bureau No. 44-R1359 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reverse) US. Department of Labor> Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Meinke Custom Combining RR #1 Box 14 Princeton, MO 64673 2. HOUSING LOCATION Mobite Unit located at Employer's Corporate site 3. HOUSING DESCRIPTION Semi?Tractor Trailer Unit Mobil 1GRBA842803066704 2 Hot Plates 8: Microwave for cooking. 1 Dryer Tag CFA 343 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . 5. CAPACITY Length 43 (Adults) 6 . 8. REGULATIONS COMPLIANCE Width 8?5 ('x'pmperboy Yes No Ceiling Height Water Square Feet 365.5' Electricity El No. of Rooms Site No. of Beds, - Singie Screening [3 No. of Beds or Bunks. Double 3 ??mg 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. orWeshbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Retrigeralors Garbage containers First-aid Kits Fire Extinguishers 1 1 1 2 my?) 2 abc dry 8. COMMENTS 9. CERTIFICATION: the housing described herein meets I CERTIFY have reviewed the housing regulations 01 the us. Department at Labor, U.S. Training and Emptoyment Service. and that does not meet such standards. I hereby authorize representatives ol the State Employment Service of?ce and/or EmpIOymeni and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signature Typed Name and Title Date . . QM Terry L. Meinke, Owner I.) 10. HOUSING BY: Signs 0 Authorized cm i Typed Name and Tulle Date 07/er Ax Joyce Hahn, Workforce Specialist ?027 jg it. APEROVAEJ Housing appnyed for occupancy by workers recruited interstate. Signatu of uthorized Otti at Typed Name and Title Date Joyce Hahn, Workforce Specralrst 471 FORM ES-338-R2 S?d RJULY 1989 Al d991809l AZ 060 Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse} 1. NAME AND ADDRESS Meinke Custom Combining 501 Ballew St. Princeton, MO 64673 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Forestor Camper Trailer/Model Cherokee 501 Ballew St. Princeton, MO 64673 VIN 4X4TCKE23WK080069 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. &MeasureUSE ONLY 5. CAPACITY Length 30 (Adults) .7. . .1 6. REGULATIONS COMPLIANCE W'dm proper box) Yes No Ceiling Height Water CI Square Feet Electricity No. of Rooms Site .of Bed . 3319.8 Screening No. of Beds or Heating Bunks. Double 7. FACILITIES (Number of each) 8p 30 Camper Trailer Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 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. typeCOMMENTS 9. CERTIFICATION: CERTIFY THATI have reviewed the housin the housing described herein meets regulations of the US. Department of Labor, U.S. Training and Employment Service, and that I: does not meet such standards. I hereby authorize representatives of the State Employment Service stration regional of?ce to inspect the above housing at any reasonable time. of?ce and/or Employment and Training Admini Employer?s Signature Typed Name and Title Date 5" . . 0/ Met 77 #2327 L, Meinke x) 279 10. HOUSING INSPECTED BY: Date Signature of Authorize\d Of?cial t, . EI. I Typed Name and Title Debra Minish, State Monitor Advocate 9' 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial I LIX, Typed Name and Title Debra Minish,State Monitor Advocate Date 92 (22 (I'I?fj - ll FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE 8/ II (liz- 1. NAME AND ADDRESS 35/01)! EMPLOYER FURNISHED HOUSING AND FACILITIES 50 54, 61/ (See Instructions on Reverse) 84797 ?32) C7 I [y 73 2. HOUSING LOCATION mobi'l? amr knife/d? (app/vars DESCRIPTION . I uc?m: Nada-r I 3.44% 7? 4 mm,- 3,0 6' 24 g2 //c27 @er I. 5 . ?Z?C/owouSLEEP ROOMS a. Dormitory Type D. Family Type (No. a. MeasureUSE ONLY . . 5. CAPACITY Length 17; (Adults) Width 6. REGULATIONS COMPLIANCE . :2 proper box) Yes No Ceiling Height Water EI Square Feet 5? Electricity .2 ?3 1.4 No. of Rooms Site No. of Beds. Single ScreenIng No. of Beds or - Bunks, Double ?93""9 KI CI 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) I {?22 8. COMMENTS I )5 9. CERTIFICATION: the housing described herein meets CERTIFY have reviewed the housing regulations of the US. 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 Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Empl?rer?s Signature? . Typed Name and Title Date - (74' 73/051 1o. HouslNi? INSPECTED BY: (Signature of AuthorizedOlYial Typed Name and Title Deb ?It ?71% I Date givrmt I 7 math ?mie ?/00th 6? 120(- a 7?9 4/0253me- Housing approved for occupancy by workers recruited interstate. Date Signature of Authorized Of?ci La 314;.) A Typed Name and Title Wra A 6-12! ?70/7 1 2?01? 52/522143; FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Em ployment and Training Administration 1. NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Meinke Custom Combining EMPLOYER FURNISHED HOUSING AND FACILITIES 591 Bal'ew St- (See Instructions on Reverse) Prmceton? MO 64673 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 2 N. 65 Hwy Apartment Princeton, MO 64673 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . .. . .. 5. CAPACITY Length 9 4 9 4 (Adults) A - . .. 6. REGULATIONS COMPLIANCE Width 14 135 ('x"properbox) Yes No Ceiling Height 8 8 Water Square Feet 131.6 126.9 Electricity No. of Rooms Site No. of Beds, . Single ScreenIng No. of Beds or . Bunks, Double Heatm 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 2 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 1 (NO- type) abc 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have the housing described herein of?ce and/or Employment and Training Admini reviewed the housing regulations of the US. meets does not meet such standards. Em oner?s Signature i 77 4"?1 I Typed Name and Title ?my L. /71 (mi/<6 10. Hai?iNG INSPECTED BY: Vt Signature of Authorized Official r? 1?51 Typed Name and Title Debra Minish, State Monitor Advocate Date a, '7 Mum 11. APPROVAL: Housing apgroved for occupancy by workers rec ruited interstate. Signature of Authorized Of?cial Typed Name and Title Debra Minish,State Monitor Advocate Date I 7/ I I?lmy/ If) FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department ofl.abor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Mike's Turf Farm PO. Box 1153 Raymore, MO 64083 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 25210 205th House Pleasant Hill, MO 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. 8 MeasureUSE ONLY CAPACITY Length 115 11 5 109 116 115 (AdamREGULATIONS COMPLIANCE Width 126 1411 145 108 153 (?x"properbox) Yes No Ceiling Height 8' 8' 8' 8' 8' Water IE Square Feet 144.9 162.27 158.05 125.28 175.95 Electricity IE No. of Rooms Site No. of Beds. . Single 2 3 3 3 Screening No. of Beds or . Bunks, Double 2 bunks Heating El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 3 3 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 2 1 Cook Stoves Refrigerators Garbage containers irst-aid Kits Fire Extinguishers (No. typeCOMMENTS 2 of 6 fire extinguishers had inspection dates tags, 3 wall mounted, 3 standing, spaced around household. Ladder against window in basement for means of egress if needed but still does not com area requirements for this area. There should be no beds in this basement area. ply with sleeping 9. CE I CERTIFY THAT I have reviewed the housin the housing described herein meets RTIFICATION: of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. 9 regulations of the US. 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 Employer?s Signature Typed Name and Title Date K, Brian Rape, Manager 10. HOUSING INSPECTED BY: Signature of Authorized Of?cial Typed Name and Title Date 90% Joyce Hahn, Program Coordinator Housing approved for occupancy by workers recruited interstate. Typed Name and Title Date Signature of Authorized Of?cial Joyce Hahn, Program Coordinator Eek/2? FORM R-JULY 1969 Al Form Approved Budget Bureau NO. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Mike's Turf Farm EMPLOYER FURNISHED HOUSING AND FACILITIES '30 BOX 1153 (s . . Raymore, MO 64083 66 Inst! ucrrons on Rm 5e) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 25210 205th House Pleasant Hill, MO 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY I II II I 5- CAPACITY Length 115 11 5 109 116 115 (AdultsREGULATIONS COMPLIANCE Width 126 1411 145 108 153 ("x?properbox) Yes No Ceiling Height 8' 8' 8' 8' 8' Water El Square Feet 144.9 162.27 158.05 125.28 175.95 Electricity No. of Rooms Site No. of Beds. . Single 2 3 3 3 Screening NO. of Beds or . Bunks. Double 2 bunks Heating 7. FACILITIES (Number Of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 3 3 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 2 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. 8. typeCOMMENTS 2 Of 6 fire extinguishers had inspection dates tags, 3 wall mounted, 3 standing, spaced around household. Ladder against window in basement for means of egress if needed but still does not comply with sleeping area requirements for this area. There should be no be in this gTrent area. (GI-3 01? 99%; A KI a) IIN-vaogm TCYHOACI 09?: KI?II-?htng 1% re Yv?colel a4 lxo use @009. 9. EMPLOYERS CERTIFICATION: U) CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Emplo 's ure Typed Name and Title Date Mb Brian Rape, Manager 1o. Housmp INSFETEO BY: I Sign Authorized Of?cial a Typed Name and Title Dat 1% Anita Dixson, MSFW Program Coordinator or 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. . I Of?cial/ Typed Name and Title te Anita Dixson, MSFW Program Coordinator 4 I 7 I FORM R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reverse) US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1 . NAME AND ADDRESS Mike's Turf Farm PO. Box 1153 Raymore, MO 64083 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 25210 205"1 House Pleasant Hill, MO 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY CAPACITY Length 115 115 109 116 115 (Mu/tsREGULATIONS COMPLIANCE Width 126 1411 145 108 153 (?x"properbox) Yes No Ceiling Height 8' 8' 8' 8' 8' Water El Square Feet 144.9 162.27 158.05 125.28 175.95 Electricity No. of Rooms Site No. of Beds, . . Single 2 3 3 2 ES Screening No. of Beds or . Bunks. Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 3 3 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 2 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 2 2 (No. type) 3k 6 8. COMMENTS 2 of 6 fire extinguishers had inspection dates tags, 3 wall mounted, 3 standing, spaced around household. Ladder against window in basement for means of egress if needed but still does not comply with sleeping area requirements for this area. There should be no beds in this basement area. 9. CERTIFICATION: the housing described herein meets I CERTIFY THAT I have reviewed the housing regulations of the US. 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 Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer's Signature Typed Name and Title Date .. - . {xii/15 - b/ 41/ ?7 10. HOUSING INSPECTED BY: Signature of Authorized Of?cial Typed Name and Title Date DANA Matt Debr ?/12 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. ?gpature of Authorized Of?cial Typed Name and Title 5 J9 0 ml Date "ii; 5' FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Mike's Turf Farm PO. Box 1153 Raymore, MO 64083 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 25210 205th House Pleasant Hill, MO 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY I II I I 5- CAPACITY Length 115 115 109 116 115 (AdultsREGULATIONS COMPLIANCE Width 126 1411 145 108 153 (?x"properbox) Yes No Ceiling Height 8' 8' 8' 8' 8' Water Square Feet 144.9 162.27 158.05 125.28 175.95 Electricity [3 No. of Rooms Site No. of Beds. . Single 2 3 2 3 Screening El No. of Beds or - Bunks, Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 3 3 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 2 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS 2 of 6 fire extinguishers had inspection dates tags, 3 wall mounted, 3 standing, spaced around household. Ladder against window in basement for means of egress if needed but still does not comply with sleeping area requirements for this area. There should be no beds in this basement area. 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Tr does not meet such standards. I hereby authorize represen the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. aining and Employment Service, and that tatives of the State Employment Service Emjlg??SSig/ntatgm, - Typed. Name and Title Da/te Brian Rape, Manager ?7274.76 g. 10. HOUSING INSPECTED BY: sWthorized 0% Typed Name and Title Date Joyce Hahn 22/ 5 11. APPROW Housthg approved 1?0)r occupancy by workers recruited interstate. Typed Name and Title Date Jo ce Hahn .7721 Signgz/ojlhorized any [2/7/93 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (Sec Instructions on Reverse) 1. NAME AND ADDRESS Murphy Family Ventures 5752 Hwy 117 8. Wallace, NC 28466 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 22693 E. B. Hwy House . Sheldon, MO 64784 4. SLEEP ROOMS a. Dormitory Type 5 b. Family Type (No. a MeasureUSE ONLY . 5. CAPACITY Length (Adults) . 1 6. REGULATIONS COMPLIANCE W'dth ail, ID. ID 7 II (?x"proper box) Yes No Ceiling Height 3 g; 8 Water Square Feet ?as; 1% W3 ?35 63 I2 235mg 30 Electricity XI [3 No. of Rooms Site No. of Beds, . Single 2 1 a? CR 0'2 Screening No. of Beds or . Bunks. Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry I tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers I (N0 g? type) a I Un?t Ida??\tg?\ Q'i 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Employer? Signature Typed Name and Title Date I ?1 3% II qumq Mane 3V 2 10. HOUSING INSPECTED Joyce Hahn I Signature of Authorized Of?cial Typed Name and Title Date 96% 74/41? Joyce Hahn, Program Coordinator 2/13/18 Housing approved for ocwpancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date WW Joyce Hahn, Program Coordinator 2/13/18 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES . NAME AND ADDRESS Murphy Family Ventures 5752 Hwy 117 8. Wallace, NC 28466 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 22693 E. B. Hwy House Sheldon, MO 64784 4, SLEEP ROOMS a. Dormitory Type b. Family Type . . 5. CAPACITY Length 137 73 as 711 20 (MWREGULATIONS COMPLIANCE Width 96 1010 137 187 711 (Y?properbox) Yes No Ceiling Height 8 a a Water Square Feet 131.52 78.78 135.33 132.95 142.20 Electricity No. of Rooms 1 1 1 1 1 Site No. of Beds, . Singie 2 1 2 2 3 Screening No. of Beds or Bunks. Double Heating 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. 5 typeCOMMENTS 1 dryer on site Weekly trash pickup 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housl the housing described herein meets oflice and/or Employment and Training ng regulations of the US. 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 stration regional of?ce to inspect the above housing at any reasonable time. Employer? SI nature Typed Name and Title mvel mt 60nd S-l?QLy??ondl My? 1125/19 10. HOUSING INSPEHTED BY: Signature of Authorized Of?cial Typed Name and Trtie Date 00m Wm Joyce Hahn, Program Coordinator 1/25/19 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 1/25/19 @42me FORM ES-838-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Murphy Grain, LLC EMPLOYER FURNISHED HOUSING AND FACILITIES PO BOX 225 Maiden, MO 63863 (See Insrructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 7607 Hwy 6 bedroom house Parma, MO 63870 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY I 5. CAPACITY th . 99 [Ill Ian (AdultsREGULATIONS MPLIANCE W'dth 13 [Lb [5 8 [0 LI (?x"properbox) Yes No Ceiling Height 2 2 2? Water Square Feet Electricity No. of Rooms Site No. of Beds. . Single Screenm No. of Beds or . . . . Bunks, Double db I ,2 db] [Ab I \dbl 1 db] Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry . tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) ?madam 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service Of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employe ignature Typed Name and Title Date - r14 mm? 3 AM ow I ?f 10. HOUSING INSPECTED BY: Signature of Authorized Of?cial Typed Name and Title Date 90% 7% Joyce Hahn, Program Coordinator [71/5 I 11. RPPKOVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date hn Pr i ?r 90% M1, Joyce Ha ogram Coord nator #7 (3 0 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration i .S. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Moseley Farms, LLC PO Box 175 Meadville, MO 64659 1. NAME AND ADDRESS 2. HOUSING LOCATION 102 Mallard Drive Brook?eld, MO 2 story house 3. HOUSING DESCRIPTION 2M 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length 75 (Adults) Width 6. REGULATIONS COMPLIANCE proper box) Yes Bunks. Double No Ceiling Height 8 Water El Square Feet Electricity No. of Rooms Site $131.93); Beds. /0 Screening No. of Beds or Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs I (pvt/W Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) amiamu 8. COMMENTS 0 9. CERTIFICATION: the housing described herein meets CERTIFY THAT have reviewed the housing regulations of the US. Department of La does not meet such standards. I hereb of?ce and/or Employment and Training Administration regional of?ce to inspect the a bor, U.S. Training and Employment Service, and that authorize representatives of the State Employment Service bove housing at any reasonable time. Employer'ZSignature Typed Name and Title Date B/?/ly/f 1o. HOUSING /7056/e// man/oer Joyce Hahn, Program Coordinator Signature of Authorized Of?cial Typed Name and Title Date 00% Joyce Hahn, Program Coordinator 5 ,5 (3 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date 651/18 7% FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Moyer Farms, 1. NAME AND ADDRESS LLC 39909 160th St Richmond, MO 64085 tubs Cook Stoves I Refrigerators I Garbage containers First-aid Kits Fire Extinguishers (No. type) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 12664 Hwy 13 House Richmond, MO 64085 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY I I 5. CAPACITY Length /0 /j (Adults) . .- 6. Width a (?x"proper box) Yes NO Ceiling Height Water ?m Square Feet 0 Electricity No. of Rooms Site No. of Beds. . Single Screening J2 No. of Beds or . . Bungs. Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 8. COMMENTS the housing described herein 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. 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 and Training Administration regional of?ce to inspect the above housing at any reasonable time. meets Employer's Sign Typed Name and Title Date A ?44,4 Maw/c W743 10. HOUSING INSPECTED BY: Joyce Hahn Signature of Authorized Of?cial Typed Name and Title Date 05% M1, Joyce Hahn, Program Coordinator 4/9/18 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 8 4/9/18 FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Pin Oak Farms, Inc. 2431 Hwy New Haven, MO 63068 1. NAME AND ADDRESS 2. HOUSING LOCATION 200 Maupin Street New Haven, MO 63068 3. HOUSING DESCRIPTION 5 bedroom house 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY Length 14'11 11'2 13'2 17'2 5? 32532REGULATIONS Width 171 17 171 172 "proper ox) Yes No Ceiling Height 8'9 8'9 8'9 8'9 Water [2 Square Feet 2412 190 225 295 Electricity No. of Rooms 1 1 1 1 Site No. of Beds, . Single a Screening El No. of Beds or . . Bunks. Double 1 king 2 double 1 double Heating 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 1 tubs Cook Stoves 1 3 Refrigerators 1 Garbage containers First-aid Kits 1 Fire Extinguishers (No. 8. type) 1abc 8. COMMENTS Trash pick up is twice a week. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer's Signature Typed Name and Title Date Ducting Zita?(?8) 10. HOUSING INSPECTED BY: Si ture of Authori ed Of?cial . Typed Name and Title Date W9 Joyce Hahn, Program Coordinator 2,26,18 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Mp Joyce Hahn, Program Coordinator 2/26/18 FORM R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Pin Oak Farms, Inc. 2431 Hwy New Haven, MO 63068 2. HOUSING LOCATION 200 Maupin Street New Haven, MO 63068 3. HOUSING DESCRIPTION 5 bedroom house 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . 5. CAPACITY (Adults) 5 . . 6. REGULATIONS COMPLIANCE w'dth [7 I1, I I?lla ('x"proper box) Yes No Ceiling Height C7 LB ?8 Water El Square Feet 3- )q 0 36} 5 Electricity No. of Rooms I I I Site 3:39}: Beds, Screening . fBed . . 33m; DojbcI: Iam 1 I Ayb ?93""9 IE 7 FACILITIES (Number ofeach) Flush Toilets Privy Urinals Lav. orWashbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 3 (N0. type) 8. COMMENTS Twice, a, up 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the Department of Labor. U. 8 Training and Employment Service and that the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time does not meet such standards. I hereby authorize representatives of the State Employment Service Employer?s Signature I Ian/:1 RAW Typed Name and Title DMOOL BTU r11 Date 3. 9 10 INSPECTED BY: Anita Dixson Signatur uthorized Of?cial Typed Name and Title Date 5% Anita Dixson, State Monitor Advocate 3 Housing approved for occupancy by workers recruited interstate. Signatur of thorized Of?cial Typed Name and Title Date V4145 Anita Dixson, State Monitor Advocate CI FORM ES-338-R2 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Pierce Farming Co. EMPLOYER FURNISHED HOUSING AND FACILITIES 1375 C0 Hwy 344 MO 63830 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 1822 CO Hwy 344 House Caruthersville, MO 63830 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY Length 122 122 121 5? 32ml? 3 . . . 6. REGULATIONS COMPLIANCE W'dth 11 11 5 88 proper box) Yes No Ceiling Height 8 8 8 Water Square Feet 134.20 140.3 106.48 Electricity I: No. of Rooms 1 1 1 Site No. of Bed . . Single 5 Screening No. of Beds or . Bunks, Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage'containers First-aid Kits Fire Extinguishers 8. COMMENTS (3 m6 IJFQ 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Empl r's natu Typed Name and Title Date . a . 4/ 10. BY: Signature of Authorized Of?cial Typed Name and Title Date WW Joyce Hahn, Program Coordinator {4 11/ APPROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date 9.9% Joyce Hahn, Program Coordinator 57/37 a FORM R-JULY 1969 Al 5 mil/Jada ?60 Melvin IOP Form Approved Budoet Bureau No. 44-R1358 1. NAME AND ADDRESS Pride Harvestng, LLC 729 Peacock Avenue Lahigh Acres, FL 33974 3. HOUSING DESCRIPTION US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See mi Reverse) 2. HOUSING LOCATION 108 NE Street Parma, MO 63870 Barracks style housing 4, SLEEP ROOMS a. Dormitory Type b.Tamin Type (No. &MeasureUSE ONLY 5, CAPACITY . . Length 31H ll . 7 (Adults) 30 . 6. REGULATIONS COMPLIANCE width 2C I 3 O. ?5 proper box) Yes No I Ceiling Height 8 Water g] SQuare Feet 2/023] 72515, Electricity No. of Rooms I I Site No. of Beds, . Single 3 Screening IZI CI No. of Beds or . Bunka Double 2 ?93??9 7. FACILITIES (Number or each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 3 . (No. type) 0? 0? a? MC, Nomi/K Drug-r (ms the pigl?up 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US Department of Labor. US. Training and Employment Service. and that the housing described herein meets does not meet Such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. Employer's Signature Typed Name and Title Date I . - . Q?q ?Volta-11:15 ?5 10, HOUSING IN ED BYC Signature of Authorized Of?cial Typed Name and Title Date . '7 ?4 7% Joyce Hahn. Program Coordinator (If; 11. OVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Jo ce Hahn, Pro ram Coordinator 4 _Qoqp? 9 - f? FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Providence Farm EMPLOYER FURNISHED HOUSING AND FACILITIES 3171 HWY 92 Bee Branch, AR 72013 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 20770 St. Hwy 76 House Cassville, MO 65625 Length I 5? $2333? I Width )2 I I I 6. ?fgl??ysogf COMPLIANCE Yes No Ceiling Height 3/ Water Kl El Square Feet 0134 2 Electricity No. of Rooms I Site KI Egg}: Beds, Screening El saizi?sszb?; 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads A 02 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry a tUbs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers I (Na W99COMMENTS I hf?A Csx?Ily/ics. TKI ?g3l 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Egoy?ASSignature Typed ?Name and Title Date ,7 ?Md/7 Wr??m e/ 5,25, 7 10. INSPECTED BY: A I Signatu of uthon?ze Of?cial Typed ame andfTitle Date A 0AM Anon. r1 5/,13 I7 1. Housinng forfoccupancy by workers recruited I I Interstate. Type Name and Title . Date Alp ASA >43de Saig/ I FORM ES-338-R2 R-JULY 19? Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reverse) US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Roth Herford Farms of Missouri, Inc 32503 E. State Route 2 Harrisonville, MO 64701 2. HOUSING LOCATION 32800 E. State route 2 Harrisonville, MO 64701 3. HOUSING DESCRIPTION Ranch House 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . 5. CAPACITY Length 94 10 10 10 9 5 (Adults) 6. REGULATIONS COMPLIANCE Width 13 13 11 10 14 (?x?proper box) Yes No Ceiling Height Water Square Feet 117.33 130 110 100 126.41 Electricity No. of Rooms Site No. of Beds, . Single Screening No. of Beds or . Bunks. Double Heating El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 2 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS Garbage Service 9. CERTIFICATION: the housing described herein meets I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that does not meet such standards. I hereby authorize representatives of the State Employment Servroe of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Emp/v4r??m Signature )2 cl Name and tle Date leD/ [?04 {If} r? lime/? Sczfa?l??-?lg/ /22 10. HOUSING INSPECTED BY: I ature of Authorize r?ial Typed Name and Title Date 0 \xL \3 SLI Debra Minrsh, State Monitor Advocate 30? 0? 17PPROVAL: Housing approved for occupancy by workers recruited interstate .gnature of Authorized Of? Typed Name and Title Date UL ?ux a\I\ Debra Monitor Advocate FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYER NAME AND ADDRESS U.S- TRAINING AND EMPLOYMENT SERVICE Roth Hereford Farms of Missouri, Inc. EMPLOYER FURNISHED HOUSING AND FACILITIES 32593 E- State Route 2 (Se MO 64701 Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 32800 E. State Route 2 Ranch House Harrisonville, MO 64701 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . 5. CAPACITY Length (Adults) 1 1 . 6. REGULATIONS COMPLIANCE WIdth Ceiling Height Water Square Feet 117.33 130 110 100 126.41 Electricity [2 No. of Rooms Site No. of Beds, . Single ScreenIng No. of Bedspr? . BuanDouble/ Heatrng I: 7. of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS Garbage Service 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employmer? and Training Administration regional of?ce to inspect the above housing at any reasonable time. Empl yer? Signature Typed Name and Title Date I ,0 ?er/?z/e may CaroIRoth Ingecrgb BY: Signature orized Official Typed Name and Title Date . 4 Joyce Hahn 11. APPZOVAL/Housinggapproved for occupancy by workers recruited interstate. SiWuthorizedgg/ciz/ Typed Name and Title Date 47%. e/e rm FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Ragsdale Egg Production LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 39638 Bahner Quarry Road TIpton, MO 65081 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 510 North Osage Single Family Home Tipton, MO 65081 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY . I . 5. CAPACITY Length /5 i 9 ?7 I5 3 (AdultsREGULATIONS COMPLIANCE ?('x"proper box) Yes. No Ceiling Height Water 8] 3 Ft . ?836 2??ng Elct" quare ee I Moi 25% [a rIcIty No. of Rooms 1 I I I Site . of Beds. . Single ScreenIng a No. of Beds or . - Bunks. Double 1 db Ab Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads I Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs I Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. a type) 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meets El does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. ?cyer?s Signature Typed Name and Title/ Date 7 .- - 10. HOUSING Joyce Hahn Signatu?fA thorized Of? Typed Name and Title Date Wu 21;; Joyce Hahn, Program Coordinator 7 11 Hou?ing approved for occupancy by workers recruited interstate. Signature 9t uthorized Of?c Typed Name and Title Date Joyce Hahn, Program Coordinator .- -. 7 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department ofLabor, Employment and Training Administration 1? EMPLOYERS NAME AND ADDRESS us. TRAINING AND EMPLOYMENT SERVICE Ridgetop Farms LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 3140 St; HWY Scott City, MO 63780 (See Instruc'lions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 3531 State Hwy House Scott City, MO 63780 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. a MeasureUSE ONLY . t_ 5. CAPACITY Length 1 I a I [a 7 (Adults) . I . 6. REGULATIONS COMPLIANCE W'dth 6? I ("x?pmperbox) Yes No Ceiling Height 8 Water I: Square Feet Electricity No. of Rooms Site No. of Beds. . Single ScreenIng No. of Beds or - . Bunks, Double 0 9A HeatIng El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. 8.7m) 8. COMMENTS DTUBQV 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the S. Department of Labor U. S. Training and Employment Service and that the housing described herein meets does not meet such standards I hereby authorize representatives of the State Employment Service of?ce and/or Employment/and?? raining Administration regional of?ce to inspect the above housing at any reasonable time. Employe?ignature Typed Name and Title Date W3 10 HOUSING INSPECTED BY: Signature of rized Of?cial Lz?/ Typed Name and Title ahn, Pr or in b7 Joyce 09 am Co ato 11. APPROYADW ?ousing approved foyoccupancy by workers recruited interstate Signature thorized Of?cial Typed Name and Title Date 41/] Joyce Hahn, Program Coordinator - ?j FORM ES-338-R2 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Rx3, LLC 15825 Old Pike Road Dearborn, MO 64439 1. NAME AND ADDRESS 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 603 Main Street Frame Home Dearborn, MO 64439 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY . . 5. CAPACITY Length 12 13 15 7 15 6 (Mans) 8 . . . 6. REGULATIONS COMPLIANCE Width 94 11 144 11 ('x"proper box) Yes No Ceiling Height 8 8 8 8 Water IE Square Feet 112.8 143 217.44 171.6 Electricity No. of Rooms 1 1 1 1 Site El No. of Beds, . Single 2 1 2 3 Screening No. of Beds or - Bunks. Double Heating El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 n/a 1 1 iathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 n/a 1 n/a /a Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 1 (No. type) 1 abc 8. COMMENTS 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. 28%?6 Typed Name and Title Kevin Rawlings, Owner Date 0225 10. HOUSING INSPECTED BY. joyoe Hahn Signatur A orized Of?cia Typed Name and Title Date W4 Joyce Hahn, Program Coordinator 11 Housing approvegjor occupancy by workers recruited interstate. Signature 0 orized Typed Name and Title Date 1,744 Joyce Hahn, Program Coordinator 225' 1 7 FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS us. TRAINING AND EMPLOYMENT SERVICE Rx3, LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 15825 Old Pike Road (See Inst Dearborn, MO 64439 motions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 603 Main Street Frame Home Dearborn, MO 64439 1 a. Izonmtory :ype 4 1 b.2FamIly Ty3pe 4 ES USE ONLY Length 12 13 157 15'6 5' 32:33? 8 \Mdth 9'4 11 14?: 11 6? ?fg??vg? Yes No Ceiling Height 8 a a 8 Water [3 Square Feet 112.8 143 217.44 171.6 Electricity IE No. of Rooms 1 1 1 1 Site :39: Beds. 2 1 <2 3 Screening a E1 El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 n/a 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 n/a 1 n/a la Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 1 1 (No. type) 1 abc 8. COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Em lo r's Si ture Typed Name and Title Date . Kevin Rawlings, Owner j, 10. Joyce Hahn Signatur ?61 horized Of?ci Typed Name and Title Date W6 13/ Joyce Hahn, Program Coordinator 3 - - lie 11. Housing approved for occupancy by workers recruited interstate. SW Authorized orti I Typed Name and Title Date Joyce Hahn, Program Coordinator 3 - {(27 ?/42 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 (See Instructions on Reverse) US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS LLC 15825 Old Pike Rd Dearborn, MO 64439 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 603 N. Main Frame home Dearborn, MO 64439 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY . -. 5. CAPACITY Lew? 7Q 3 7 IO (Adults) 4 - . 6. REGULATIONS COMPLIANCE W'dth (1 I?ll ?7 z/ ("x"proper box) Yes No Ceiling Height 8? 57 Water SQUare Feet ?92g /-43 97/7. 4?7; 7 (4 Electricity No. of Rooms Site [2 No. of Beds, . Single 02 1 3 Screening No. of Beds or . Bunks. Double I Heating '2 7. FACILITIES (Number of each} Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) at c; 8. COMMENTS the housing described herein 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. 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 Employment and Training Administration regional office to inspect the above housing at any reasonable time. meets Em dyer's Si ature \l Typed ame and Date sap/5 10. HOUSING Ti I .r Qu/ 'I?j Signature of Authorized Official Typed Name and Title Date 0? ?kwmk Debra Minish, State Monitor Advocate 3/6/2015 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. ?7 nature of Authorized Of?cial Typed Name and Title Date a} . . a Debra Minish, State Monitor Advocate 3/5/2015 I X- FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC #1 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3319 Hwy 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Barrack #1 Sleeping Quarters Only ?$222231Length 40 5. g?gijigITY 59: b/ 7?0 Width 70 6. Fisguo?rrlgods COMPLIANCE Ye; No Ceiling Height Water Square Feet Electricity No. of Rooms Site gage; Beds, 5? Screening .3025 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typebathrooms. kitchen or laundry facilities are located in this building. Kitchen facililties are located in buildings 2 and 3. Laundry facilities are located in buildings 6 and 7. 8. COMMENTS Inspected using OSHA 1910.142 regulations. Heating is not needed as workers are not working during cold weather. Lounge area in front of barracks with 2 sinks with portable water. Wall lockers for all workers on the premises are located in this building. 4 Smoke Detectors. 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signature\ Typed Name and Titl Date i . . lav/t3? Li I 5/71?: 10. HOUSING INSPECTED BY: Joyce Hahn Signature of Authorized Official Typed Name and Title Date 93W 7% Joyce Hahn, Program Coordinator 3 git?I Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date 90W 7% Joyce Hahn, Program Coordinator 5 I 3 a FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 3319 Hwy 00 Building #2 Kitchen and Shower Facilities Farmington, MO 63640 22x55 feet 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length (Adults) Seats 32 Width 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water ?3 Square Feet Electricity No. of Rooms Site No. of Beds, . Single Screening No. of Beds or . Bunks. Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 5 5 5 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 6 2 2 (No. type) 3 ABC Dry 8. COMMENTS Inspected using OSHA 1910.142 regulations. 4 picnic tables, large area for preparing food 5 kitchen sinks 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Emyloyer?s?ISignature Typed Name and Title, Date ,r/xunf? c?cwj/ 3 Q/d/j ?10. BY: Joyce Hahn Signature of Authorized Official Typed Name and Title Date 90% WW Joyce Hahn, Program Coordinator 3- ll- Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator -- 3? 00% WW /7 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Royal Farms, LLC 273 Ashley 289 Crossett, AR 71635 1. NAME AND ADDRESS 2. HOUSING LOCATION 3319 Hwy 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Building #3--Kitchen/Shower Facilities 40x40 feet 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length (Adults) Seats 104 Width 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site No. of Beds. - Single Screening No. of Beds or . Bunks, Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 8 9 8 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 5 6 2 2 (No. 8. type) 3 ABC Dry 8. COMMENTS Inspected using OSHA 1910.142 regulations 13 picnic tables, large area for preparing food 8 kitchen sinks 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer's Sjgnatu?) Typed Name and Title Date . an.) [14/7167] [rt/115 3 (X 10. HOUSING INSPECTED BY: Joyce Hahn Signature of Authorized Of?cial Typed Name and Title Date M1, Joyce Hahn, Program Coordinator 3? 3" I 1 Housing approved for occupancy by workers recruited interstate. Si nature of Authorized Of?cial Typed Name and Title Date 7% Joyce Hahn, Program Coordinator 3, (3 ya FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3319 Hwy 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Barracks #4 Sleeping Quarters Only 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY 5. CAPACITY . . Length 40 (Adults) 46/1 . 6. REGULATIONS COMPLIANCE W'dth 60 (?x"proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site No. of Beds, Single Screening No. of Beds or . Bunks. Double 16 Heating El 7. FACILITIES (Number of each) No bathrooms, kitchen or laundry facilities are Flush Toilets Privy Urinals Lav. or Washbasins Showerheads located this building. 2 . . . . kitchen facrlities are located In burldings 2 and Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 3- tubs Laundry facilities are located in buildings 6 and Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 7- 2 (No. type) 1 ABC Dry 8. COMMENTS Inspected using OSHA 1910.142 regulations. Heating is not needed as workers are not working during cold weather. Wall lockers for all workers on the premises are located in this building.#1. Laundry and kitchen facilities are in close proximity to sleeping quareters (within 100 feet). 3 Fire/Smoke Detectors 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signatu Typed Name and Title Date '1 - "1 do.? IX 10. HOUSING INSPECTED BY: Joyce Hahn Signature of Authorized Of?cial Typed Name and Title Date 96% Joyce Hahn, Program Coordinator 3 H) Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 3' ?3 92%? 7% FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Royal Farms, LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 273 Ashley 289 . . . Crossett, AR 71635 (see 0M Rel 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 3319 Hwy 00 Barracks #5 Farmington, MO 63640 Sleeping quarters only 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY - . 6. REGULATIONS COMPLIANCE W'dth 60 ("x?proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms 1 2 Site El No. of Beds. . Single ?1 7 9 Screening No. of Beds or - Bunks. Double Heatrng CI 7. FACILITIES (Number of each) No bathrooms. kitchen or laundry facililties are Flush Toilets Privy Urinals Lav. or Washbasins Showerheads located in this building. Kitchen are located In 2 and Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 3- tubs -- Laundry facilities are located in buildings 6 and Cook Stoves Refrigerators Garbage containers First?aid Kits Fire Extinguishers 7- 2 (No. 8. type) 1 ABC Dry 8. COMMENTS Inspected using OSHA 191.142 regulations. Heating is not needed as workers are not working during cold weather. Wall lockers for all workers on the premises are located in this building. Laundry and kitchen facilities are in Close proximity to Sleeping quarters (within 100 feet). 4 fire/smoke detectors 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signature ,5 Typed Name and Titl Date 775a 7) QB 716215 3 3? "8 HOUSING INSPECTED BY: Joyce Hahn I Signature of Authorized Of?cial Typed Name and Title Date @6304 WW Joyce Hahn, Program Coordinator 3124,13 11. Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date 90% WW Joyce Hahn, Program Coordinator 5 l? FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3319 Hwy 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Laundry Facility #6 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length (Adults) Width 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site 3315; Beds. Screening No. of Beds or Heating Bunks, Double 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines -- 4 Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers irst-aid Kits Fire Extinguishers (No. type) 8. COMMENTS Inspected using OSHA 1910.142 regulations Heating is not needed as workers are not working during the cold weather. 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Emp7loyer?s 'Si nature I. Typed Name and Tug Date 3444? 10. HOUSING INSPECTED BY: Joyce Hahn Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator [3 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 3?34 8 06%? WW I FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 3319 Hwy 00 Laundry Facility #7 Farmington, MO 63640 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY th 5. CAPACITY 9 (Adults) Width 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water IXI Square Feet Electricity No. of Rooms Site E, No. of Beds, - Single Screening No. of Beds or - Bunks, Double Hemmg IE 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs -- -- 4 5 1 Cook Stoves Refrigerators Garbage containers First~aid Kits Fire Extinguishers (No. type) 8. COMMENTS Inspected using OSHA 1910.142 regulations Heating is not needed as workers are not working during the cold weather. 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer's Signature Typed Name and Title t?l'l Date 32/43 a heft DJLQA 16. HOUSING INSPECTED BY: Joyce Hahn Signature of Authorized Of?cial Typed Name and Title Date 90% Joyce Hahn, Program Coordinator 3?2, /3 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Jo ce Hahn, Pro ram Coordinator . 92?? 9 3 /8 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 U.S. Department of Labor, Empl0yment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC #1 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Family Limited--(Proffer Cattle Company) Barrack Style Sleeping Area 920 5th St. Kitchen/Bath Area Park Hills, MO 63640 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . 5. CAPACITY Length 39 7 (Adm) 36 . . 6. REGULATIONS COMPLIANCE W'dth 638 (?x"proper box) Yes No Ceiling Height 8 Water Square Feet 2533 Electricity No. of Rooms 1 Site . fB . 8319:; 36 Screening No. of Beds or Heating Bunks. Double 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 8 10 8 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 3 tubs 60'7 39'7 Recreation and Eating Area Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS Inspected using OSHA 1910.142 regulations Heating is not needed as workers are ot working during cold weather. Lockers available for each worker. 6 picnic tables for eating. 4 smoke/fire detectors. 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. eets does not meet such standards. I hereby authorize representatives of the State Employment Service Employer?s Signature Name and Title Date . M1110: was?; I 52/73 10. HOUSING INSPECTED BY: Joyce Hahn Si ature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 3194 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 5,414? 03w WW FORM R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1? EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Royal Farms, LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 273 Ashley 2!;9 6 5 (See Instructions on Reverse) AR 1 3 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 3319 Hwy 00 Building #3--KItchen/Shower Facilities Farmington, MO 63640 40x40 feet 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length (Adm) Seats 104 Width 6. REGULATIONS COMPLIANCE (?x?pmper box) Yes No Ceiling Height Water Square Feet Electricity I: No. of Rooms Site gag; Beds. Screening No. of Beds or . Bunks. Double Heatrng 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 8 9 8 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS Inspected using OSHA 1910.142 regulations 13 picnic tables, large area for preparing food 8 kitchen sinks 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer's Sig ture Typed Name andTitIe 7 Date 10. HOUSING INSPECTED BY: Joyce Hahn SignatWorized Of?cI/al??Q Typed Name and Title Date 5 Joyce Hahn, Program Coordinator 3 7 11. A??VALzZHo7Ising?ppvrovegfor occupancy by workers recruited interstate. Signatyorized Of?cial 7 Typed Name and Title Date Joyce Hahn, Program Coordinator 3?7' [7 FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 . NAME AND ADDRESS US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES Royal Farms, LLC 273 Ashley 289 Crossett, AR 71635 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 3319 Hwy 00 Laundry Facility #6 Farmington, MO 63640 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length (Adults) Width 6. REGULATIONS COMPLIANCE ('x?proper box) Yes No Ceiling Height Water Square Feet 5'90?th No. of Rooms Site No. of Beds. . Single Screening No. of Beds or - Bunks, Double ??ung 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs -- 4 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 8. COMMENTS Inspected using OSHA 1910.142 regulations Heating is not needed as workers are not working during the cold weather. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing descri ed herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Empl yment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signatu ul~ In, Typed Name and Title Q1). Date 3/77> 1o. TED BY: /6yce Hahn Signatur thorized Of?cia Typed Name and Title Date Pro ram Coordinator LL oyce a n, 7 11. Hous?rg approved for occupancy by workers recruited interstate. Date Typed Name and Title Joyce Hahn, Program Coordinator 3fl?l?l Signature of horized Of?cial 7 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) . NAME AND ADDRESS Royal Farms, LLC 273 Ashley 289 Crosset?t, AR 71635 2. HOUSING LOCATION 3319 Hwy 00 Farmington, MO 63640 . HOUSING DESCRIPTION Building #2 Kitchen and Shower Facilities 22X55 feet 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length (Adults) Seats 32 Width 6. REGULATIONS COMPLIANCE ('x"proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site . of Bed . Sitngle 5 Screening El No. of Beds or - Bunks. Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 5 5 5 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (N0. typeCOMMENTS Inspected using OSHA 1910.142 regulations. 4 picnic tables, large area for preparing food 5 kitchen sinks 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets of?ce aydfer Efnployment and Training Admini does not meet such standards. I hereby authorize representatives of the State Employment Service stration regional of?ce to inspect the above housing at any reasonable time. Em lover?s Sig ture Typed Name and Title Date (w Luomn Pee CC, 3 4n 10. Housm?ITgE/creo BY: Joyce Hahn Signature thorized Off i Typed Name and Title Date Mf/ \4 :5 Joyce Hahn, Program Coordinator 3, 7- 7 11. APPKOVAV: Housing approved for occupancy by workers recruited interstate. er?monzeW Typed Name and Title Date 771?: 4 Joyce Hahn, Program Coordinator 327* 1 FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC #1 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3319 Hwy 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Barrack #1 Sleeping Quarters Only a. Dormitory Type D. Family Type Length 40 5. 0&3;ng 50 Width 70 6 COMPLIANCE Yes No Ceiling Height Water El Square Feet Electricity No. of Rooms Site :33; Beds, Screening 335.333.3312 25 Heating El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 3 1 (No. type) 4 ABC Dry No bathrooms. kitchen or laundry facilities are located in this building. Kitchen facililties are located in buildings 2 and 3. Laundry facilities are located in buildings 6 and 7. 8. COMMENTS Inspected using OSHA 1910.142 regulations. Heating is not needed as workers are not working during cold weather. Lounge area in front of barracks with 2 sinks with portable water. Wall lockers for all workers on the premises are located in this building. 4 Smoke Detectors. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s?K Si Typed Name and Title Date SILK LU?ur/tcm 37?] 1o BY: Joyce Hahn Signatur Authorized Officia Typed Name and Title Date 71/, 4 . Joyce Hahn, Program Coordinator 3 . ?7 11. Housing approved for occupancy by workers recruited interstate. SigWUlhonzedW/ Typed Name and Title Date Joyce Hahn, Program Coordinator 3777 7 FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Royal Farms, LLC 273 Ashley 289 Crossett, AR 71635 1. NAME AND ADDRESS 2. HOUSING LOCATION 3319 Hwy 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Laundry Facility #7 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length (Adults) Width 6. REGULATIONS COMPLIANCE ('x?proper box) Yes No Ceiling Height Water IE Square Feet Electricity IE No. of Rooms Site No. of Beds, . Single Screening No. of Beds or . Bunks, Double Heating El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs -- -- 4 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 8. COMMENTS Inspected using OSHA 1910.142 regulations Heating is not needed as workers are not working during the cold weather. the housing described herein 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the U. Department of Labor 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 Employment and Training Administration regional office to inspect the above housing at any reasonable time eets It) Employers Sign ure 72 Typed Name and Title Date 7 77 10. HOUSING INSP ED BY: Joyce Hahn Signature thorizedOf? 9c Q14) v? Typed Name and Title Joyce Hahn, Program Coordinator Date 5/747 11 Ho?sing approved for occupancy by workers recruited interstate. Typed Name and Title Joyce Hahn, Program Coordinator Date a 7 l7 Of?ci I I FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Royal Farms, LLC 273 Ashley 289 Crossett, AR 71635 1. NAME AND ADDRESS 2. HOUSING LOCATION 3319 Hwy 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Barracks #4 Sleeping Quarters Only 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. &MeasumUSE ONLY Length 40 5. (?253ng 40 Width 60 6. ngl??tlgogf COMPLIANCE Yes No Ceiling Height Water El Square Feet Electricity No. of Rooms Site Sling: Beds. 6 Screening 16 Heating El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 3- tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 7~ 2 (NO- type) 1 ABC Dry No bathrooms, kitchen or laundry facilities are located in this building. kitchen facilities are located in buildings 2 and Laundry facilities are located in buildings 6 and 8. COMMENTS Inspected using OSHA 1910.142 regulations. Heating is not needed as workers are not working during cold weather. Wall lockers for all workers on the premises are located in this building.#1. Laundry and kitchen facilities are in close 3 Fire/Smoke Detectors proximity to sleeping quareters (within 100 feet). 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Employer's Signature\ 4 Typed Name and Title Date - -. .v 3 H) 10. HOUSIN SP JED Bv/ Joyce Hahn Sig ure 0 Authorized Of? Typed Name and Title Date Ce, Joyce Hahn, Program Coordinator I7 11. Housing approved for occupancy by workers recniited interstate. orized Officia Typed Name and Title Date Signature Joyce Hahn, Program Coordinator 3-7-17 ?7&4 FORM R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3319 Hwy 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Barracks #5 Sleeping quarters only 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length 40 (Adam 36 . 6. REGULATIONS COMPLIANCE ?mm 60 ('x?pmper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms 1 2 Site No. of Beds, . 14 8 Screen-n9 IE No. of Beds or Bunks. Double 7 Heating 7~ FACILITIES 0? 680?!) No bathrooms, kitchen or laundry facililties are Flush Toilets Privy Urinals Lav. or Washbasins Showerheads located this building. Kitchen are located in burldings 2 and Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 3- tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 2 (No. type) 1 ABC Dry Laundry facilities are located in buildings 6 and 7. 8. COMMENTS Inspected using OSHA 191.142 regulations. Heating is not needed as workers are not working during cold weather. Wall lockers for all workers on the premises are located in this building. Laundry and kitchen facilities are in close 4 ?re/smoke detectors proximity to sleeping quarters (within 100 feet). 9. CERTIFICATION: CERTIFY THAT I have reviewed the housin does not mee the housing described herein of?ce and/or Employmth and Training Administration regio meets regulations of the US. Department of Labor, U.S. Training and Employment Service. and that tsuch standards. I hereby authorize representatives of the State Employment Service nal office to inspect the above housing at any reasonable time. Employer?s Sign Typed Name and Title 0 Date I . IN A Job? 1o. BY: Joyce Hahn Signathrized Of?cial Typed Name and Title Date 5W5 Joyce Hahn, Program Coordinator 3 ?7 [7 11. APPRQOAL: Housing appr/gved for occupancy by workers recruited interstate. Signatu horized Of?ci V, Typed Name and Title Date 4 Joyce Hahn, Program Coordinator FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Royal FarmS, LLC #1 EMPLOYER FURNISHED HOUSING AND FACILITIES 2?73 Ashley 289 Crossett, AR 71635 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Family1 Limited--(Proffer Cattle Company) Barrack Style Sleeping Area 920 5 St. Kitchen/Bath Area Park Hills, MO 63640 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY . 5. CAPACITY Length 397 (Adam) 36 - . 6. REGULATIONS COMPLIANCE ?mm 63 8 ('x?proper box) Yes No Ceiling Height 8 Water Square Feet 2533 Electricity No. of Rooms 1 Site [2 . . 3:191; Be 36 Screenlng No. of Beds or - Bunks. Double HeatIng 7. FACILITIES (Number of each) 60'? 39'? Recreation and Eating Area Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 8 10 8 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs -- 3 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (N0. typeCOMMENTS Inspected using OSHA 1910.142 regulations Heating is not needed as workers are ot working during cold weather. Lockers available for each worker. 6 picnic tables for eating. 4 smoke/?re detectors. 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s s- 7 Typed Name and Title 4 Date I6 LU Own 97/7 10. PECTED BY: ngoe Hahn Signatu horized Of?cial - Typed Name and Title Date Max A Joyce Hahn, Program Coordinator 7- I7 Housing for occupancy by workers recruited interstate. Signature thorized Of? Typed Name and Title Date CL Joyce Hahn, Program Coordinator )7 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 1. NAME AND ADDRESS Royal Farms, LLC #1 273 Ashley 289 Crossett, AR 71635 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 3319 Hwy 00 Barrack #1 Farmington, MO 63640 Sleeping Quarters Only 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length 40 (Adults) 50 . 6. REGULATIONS COMPLIANCE math 70 ('x?proper box) Yes No Ceiling Height Water El Square Feet Electricity El No. of Rooms Site No. of Bed - Single 3 Screening le El No. of Beds or - Bunks, Double 25 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers 3 First-aid Kits 1 Fire Extinguishers (N0. type) L4 ABC Dry No bathrooms, kitchen or laundry facilities are located in this building. Kitchen facililties are located in buildings 2 and 3. Laundry facilities are located in buildings 6 and 7. 8. COMMENTS Inspected using OSHA 1910.142 regulations. Heating is not needed as workers are not working during cold weather. Lounge area in front of barracks with 2 sinks with portable water. Wall lockers for all workers on the premises are located in this building. LI Smng. cIIL?I-ed-vrs 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service. and that the housing described herein of?ce and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. meets does not meet such standards. I hereby authorize representatives of the State Employment Service Signat a Typed Name and Title Joyce Hahn, Program Coordinator Employer?s ature Typed Name and Title Date I Ron CM S?g??l?fa/ ?71 10. HOUSING INSPECTED BY: Joyce Hahn Signatu uthorized Of?cia Typed Name and Title Date Mg Joyce Hahn, Program Coordinator A 11. Housing approved for occupancy by workers recruited interstate. vutho Date 4446. FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3319 Hwy 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Barracks #4 Sleeping Quaiters Only 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY 5. CAPACITY . 6. REGULATIONS COMPLIANCE math 60 proper box) Yes No Ceiling Height Water Square Feet Electricity IE I: No. of Rooms Site No. of Beds. - Single 6 Scream No. of Beds or . Bunks, Double 16 Heating 7. FACILITIES (Number of each) No bathrooms. kitchen or laundry facilities are Flush Toilets Privy Urinals Lav. or Washbasins Showerheads located this building. kitchen facilities are located in bwldings 2 and Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 3' tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 2 (No. type) 1 ABC Dry Laundry facilities are located in buildings 6 and 7. 8. COMMENTS Inspected using OSHA 1910.142 regulations. Heating is not needed as workers are not working during cold weather. Wall lockers for all workers on the premises are located in this building.#1. Laundry and kitchen facilities are in close proximity to sleeping quareters (within 100 feet). 3 Fire/Smoke Detectors 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. 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 the housing described herein of?ce and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. meets Employ ignature Typed Name and Ti Rm .520 tle Date 4444 10. HOUSING INSPECTED BY: Joyce Hahn Signature uthorized Of? Typed Name and Title Date . Joyce Hahn, Program Coordinator 4.4-4; 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. Date Signature 0 Typed Name and Title Joyce Hahn, Program Coordinator 4+ 4 uthorized Offi: I 4.5? FORM ES-338-R2 R-JULY 1989 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Royal Farms, LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 273 Ashiey 289 (See Instructions on Reverse) crossettl AR 71 635 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 3319 Hwy 00 Barracks #5 Farmington, MO 63640 Sleeping quarters only 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length 40 (Adults) 36 . 6. REGULATIONS COMPLIANCE math 60 ('x?pmper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms 1 2 Site No. of Beds. . Single 14 8 Screening No. of Beds or . Bunks. Double 7 Heating 7. FACILITIES (Number of each) No bathrooms. kitchen or laundry facililties are Flush Toilets Privy Urinals Lav. or Washbasins Showerheads located in this building. KItchen faCIlItIes are located In 2 and Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 3- tubs -- -- Laundry facilities are located in buildings 6 and Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 7- 2 (N0. type) 1 ABC Dry 8. COMMENTS Inspected using OSHA 191.142 regulations. Heating is not needed as workers are not working during cold weather. Wall lockers for all workers on the premises are located in this building. Laundry and kitchen facilities are in close proximity to sleeping quarters (within 100 feet). 4 ?re/smoke detectors 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meets I: does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Empl r?s Signatu Typed Name and Title Date ?3 [1:95 k/L HOUSING INSPECTED BY: Joyce Hahn Signature uthonzj?ozk" Typed Name and Title Date (z Joyce Hahn, Program Coordinator 11. ARPROVAL: l-Iousing approved for occupancy by workers recruited interstate. Signature thorized Off 0' Typed Name and Title Date Joyce Hahn, Program Coordinator LI I. a FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Royal Farms, LLC 273 Ashley 289 Crossett, AR 71635 Bunks, Double (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 3319 Hwy 00 Building #2 Kitchen and Shower Facilities Farmington, MO 63640 22x55 feet 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. a. MeasureUSE ONLY 5. CAPACITY Length (Adm) Seats 32 Width 6. REGULATIONS COMPLIANCE ('X'Jroper box) Yes No Ceiling Height Water Square Feet Electricity I: No. of Rooms Site No. of Beds, Single Screening No. of Beds or Heating 7. FACILITIES (Number of each) 5 kitchen sinks Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 5 5 5 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS Inspected using OSHA 1910.142 regulations. 4 picnic tables, large area for preparing food 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets I: does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Typed Name and Title Date lav/t 51/; J: (f Signatu Authorized Of? ial Typed Name and Title Date 0,4? 1 ALL, Joyce Hahn, Program Coordinator 11. Housing approved for occupancy by workers recruited interstate. Date Typed Name and Title Joyce Hahn, Program Coordinator 4446? SignatuZ Authorized cial 4e, FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Royal Farms, LLC 273 Ashley 289 Crossett, AR 71635 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 3319 Hwy 00 Building #3--Kitchen/Shower Facilities Farmington, MO 63640 40x40 feet 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length (Adults) Seats 104 Width 6. REGULATIONS COMPLIANCE (?x"proper box) Yes No Ceiling Height Water El Square Feet Electricity No. of Rooms Site No. of Beds. . Single Screening No. of Beds or . Bunks, Double Heating El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 8 9 8 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 5 6 2 2 (No. type) 3 ABC Dry 8. COMMENTS Inspected using OSHA 1910.142 regulations 13 picnic tables, large area for preparing food 8 kitchen sinks 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. meets does not meet such standards. I hereby authorize representatives of the State Employment Service Joyce Hahn, Program Coordinator Employe Signature Typed Name and Title Date /2?9n 5L a 10. OUSING INSPECTED BY: Joyce Hahn Signat Authorized cial Typed Name and Title Date Wn/ Joyce Hahn, Program Coordinator 4 11. Pfousing approved for occupancy by workers recruited interstate. Typed Name and Title Date ##44 Simuthonzw Zcial W, FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Royal FarmsI LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 273 Ashley 289 Crossett, AR 71635 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 3319 Hwy 00 Laundry Facility #6 Farmington, MO 63640 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length (Adults) Width 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site No. of Beds. . Single ScreenIng No. of Beds or . Bunks. Double HeatIng 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs -- -- 4 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 8. COMMENTS Inspected using OSHA 1910.142 regulations Heating is not needed as workers are not working during the cold weather. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. Typed Name and Title Date . HOUSING INSPECTED BY: Joyce Hahn Signature thorized Typed Name and Title Date ?ag Joyce Hahn, Program CoordInator 11. Housving approyed for occupancy by workers recruited interstate. Signature 0 thorized Of?ci Typed Name and Title Date 4; Joyce Hahn, Program Coordinator 4/ 7/ FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Royal Farms, LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 273 Ashley 289 (See Instructions on Reverse) AR 71635 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 3319 Hwy 00 Laundry Facility #7 Farmington, MO 63640 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length (Adults) Width 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site giggle; Beds. Screening I: No. of Beds or . Bunks, Double Heating El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs -- -- 4 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 8. COMMENTS Inspected using OSHA 1910.142 regulations Heating is not needed as workers are not working during the cold weather. 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signature Typed Name and Title Date an VC/ao/~( ?ak/V120)? d?l?l? 10. HOUSING INSPECTED BY: Joyce Hahn Off Typed Name and Title Date Joyce Hahn, Program Coordinator LI 11. Housing approved for occupancy by workers recruited interstate. Signature 0 thorized Of?ci Typed Name and Title Date dinator Joyce Hahn, Program Coor 4 HQ FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Royal Farms, LLC #1 EMPLOYER FURNISHED HOUSING AND FACILITIES 273 AShley 289 Crossett, AR 71635 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Family Limited--(Proffer Cattle Company) Barrack Style Sleeping Area 920 5 St. Kitchen/Bath Area Park Hills, MO 63640 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. a MeasureUSE ONLY . 5. CAPACITY Length 39 7 (Adults) 36 - . 6. REGULATIONS COMPLIANCE math 63 8 proper box) Yes No Ceiling Height 8 Water [j Square Feet 2533 Electricity No. of Rooms 1 Site No. of Beds. . Single 36 Screening No. of Beds or . Bunks. Double Heatlng 7. FACILITIES (Number of each) 60'? 39'? Recreation and Eating Area Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 8 1o 8 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs -- -- 3 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS Inspected using OSHA 1910.142 regulations Heating is not needed as workers are ot working during cold weather. Lockers available for each worker. 6 picnic tables for eating. 4 smoke/?re detectors. 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signature Typed Name and Title Date 10. HOUSING INSPECTED BY: Joyce Hahn Signature 0 orized Of?cial Typed Name and Title Date ?710 x4 Joyce Hahn, Program Coordinator 444; 11. APPROVAL/Housingvapproved for occupancy by workers recruited interstate. Signat Authorizw Typed Name and Title Date W0 Joyce Hahn, Program Coordinator FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1858 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES 273 Ashley 289 (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC #1 Crossett, AR 71635 2. HOUSING LOCATION 3319 Highway 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Barrack Style Housing #1 Sleeping Quarters Only 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. &MeasureUSE ONLY 5. CAPACITY Length 40 (Adults) 5 Width 70 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water '3 Square Feet Electricity No. of Rooms Site No. of Beds. - Single ScreenIng No. of Beds or - Bunks, Double 6 6 Heating 7. FACILITIES (Number of each) No bathrooms, kitchen or laundry facilities are Flush Toilets Privy Urinals Lav. or Washbasins Showerheads located in this building Kitchen facilities are located in buildings 2 and Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 3 tubs Laundry facilities are located in buildings 6 and Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 7- 1 (No. typeCOMMENTS Inspected using OSHA 1910.142 regulations. LI CI (SIG Heating is not needed as workers are not working during cold weather Lounge area in front of barracks with 2 sinks with potable water. Wall lockers for all workers on the premises are located in this building. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the U. S. Department of Labor S. Training and Employment Service and that the housing described herein meets does not meet such standards I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer 5 Signal/7 re Typed Name and Title Date IL) MWN Lu 0 (WW Inf/4.171? 4/6/2015 10 HOUSING INSPECTIISI Signature of Authorized Official Typed Name and Title Date Debra Minish, State Monitor Advocate 4/6/2015 11. APPROVAL. Housing approved for occupancy by workers recruited interstate. :ignature of Authorized Official I IL I Typed Name and Title Date Debra Minish, State Monitor Advocate 4/6/2015 FORM R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC #1 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3319 Highway 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Building 2 - Kitchen and Shower Facilities tubs 28 55 Feet 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureUSE ONLY 5. CAPACITY Length (Adults) 6. REGULATIONS COMPLIANCE Width .. proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site No. of Beds, . Single Screening No. of Beds or - Bunks. Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 5 5 5 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 6 2 (No. type) 3 ABC Dry 8. COMMENTS InSpected using OSHA 1910.142 regulations. 4 picnic tables, large area for preparing food 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housin the housing described herein of?ce and/or Employment and Training Admini meets regulations of the US. 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 stration regional office to inspect the above housing at any reasonable time. Employer?s at Typed Name and Title Date . i i, wk, lk?alt rc~ zit/m \amcll 4/6/2015 10. BY: Signature of Authorized Of?cial Typed Name and Title Date Debra Minish, State Monitor Advocate 4/6/2015 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. Iignature of Authorized Official Typed Name and Title Date Debra Minish, State Monitor Advocate 4/6/2015 FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC #1 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3319 Highway 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Building 3 - Kitchen and Shower Facilities Inspected using OSHA 1910.142 regulations. 13 picnic tables, large area for preparing food 40 40 Feet 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length (Adults) Width 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water Square Feet Electricity '2 El No. of Rooms Site No. of Beds. Single Screening No. of Beds or - Bunks, Double Heating I: 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 8 a C1 8 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers Firstaid Kits Fire Extinguishers (No. typeCOMMENTS 9. CERTIFICATION: CERTIFY THAT I have reviewed the housin the housing described herein meets office and/or Employment and Training Admini regulations of the US. Department of Labor, U.S. Training and Employment Service. and that does not meet such standards. I hereby authorize representatives of the State Emplo ment Service stration regional of?ce to inspect the above housing at any reasonable time. Employer's Sign re Typed me and Title Date I I U5 0 Ma? 4?5?2015 10. HOUSING INSPECTED BY: Signature of Authorized Official Typed Name and Title Date \cht Debra Minish, State Monitor Advocate 4/6/2015 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. lignature of Authorized Of?cial Typed Name and Title Date 4/6/2015 Lb Lives/AIL Debra Minish, State Monitor Advocate FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC #1 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3319 Highway 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Barrack Style Housing #4 Sleeping Quarters Only 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length 40 (Adults) ?3 Width 60 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site No. of Beds. . Single Screening No. of Beds or . Bunks, Double I (p ?93""9 7. FACILITIES (Number of each) No bathrooms, kitchen or laundry facilities are located in this building Heating is not needed as workers are not working during cold weather Wall lockers for all workers on the premises are located in building 1. 5 Make: Laundry and Kitchen facilities are close proximity to sleeping quarters (within 100 feet). Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Kitchen facilities are located in buildings 2 and Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 3 tubs Laundry facilities are located in buildings 6 and Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 7- (No. type) <32? 1 ABC Dry 8. COMMENTS Inspected using OSHA 1910.142 regulations. 3 i 4? e. Qi?c?rc: 3 9. CERTIFICATION: CERTIFY THATI have reviewed the housin the housing described herein office and/or Employment and Training Admini meets regulations of the US. 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 stration regional office to inspect the above housing at any reasonable time. Employer's S/?gwire U) I Typed Name and Title [Go lut- I i?M" Date 4/6/201 5 10. HOUSING IN ECTED BY: Signature of Authorized Of?cial Typed Name and Title Debra Minish, State Monitor Advocate Date 4/6/201 5 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. ;ign_at_ure of Authorized Of?cial J13 In IL 7'12/ JIM. Typed Name and Title Debra Minish, State Monitor Advocate Date 4/6/201 5 FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Royal Farms, LLC #1 273 Ashley 289 Crossett, AR 71635 1. NAME AND ADDRESS 2. HOUSING LOCATION 3319 Highway 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Barrack Style Housing #5 Sleeping Quarters Only Inspected using OSHA 1910.142 regulations. Heating is not needed as workers are not working during cold weather Wall lockers for all workers on the premises are located in building 1. Laundry and Kitchen facilities are close proximity to sleeping quarters (within 100 feet). 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY - Length 40 (Adults) \j (c - 6. REGULATIONS COMPLIANCE 60 proper box) Yes No Ceiling Height Water [3 Square Feet Electricity No. of Rooms Site I: No. of Beds, . Single Screening No. of Beds or . Bunks, Double 7 Heating 7. FACILITIES (Number of each) No bathrooms, kitchen or laundry facilities are Flush Toilets Privy Urinals Lav. or Washbasins Showerheads located in this building A Kitchen facilities are located in buildings 2 and Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry 3 tubs Laundry facilities are located in buildings 6 and Cook Stoves Refrigerators Garbage containers irst-aid Kits Fire Extinguishers 7' (No. type) 1 1 ABC Dry 8. COMMENTS . (I erT'C F5 9. CERTIFICATION: CERTIFY THAT I have reviewed the housin the housing described herein of?ce and/or Employment and Training Admini meets regulations of the US. 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 stration regional office to inspect the above housing at any reasonable time. Employer's Si ure Typed Name and Title Date . 4 . LU .. a? pm; Mum 4/5/2015 10. HOUSING BY: Signature of Authorized Official . Typed Name and Title Date \m A, \1 Debra Minish, State Monitor Advocate 4/6/2015 . l. . 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. ?uignature of Authorized Official Typed Name and Title Date Debra Minish, State Monitor Advocate 4/6/2015 \ma NC: \vl/ia? FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Royal Farms, LLC #1 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3319 Highway 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Building 6 - Laundry facility Bunks, Double 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. &MeasureUSE ONLY 5. CAPACITY Length (Adults) Width 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site No. of Beds, . Single Screening No. of Beds or Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 4 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. 8. type) 8. COMMENTS Inspected using OSHA 1910.142 regulations. Heating is not needed as workers are not working during cold weather 9. CERTIFICATION: CERTIFY THAT I have reviewed the housin the housing described herein of?ce and/or Employment and Training Admini meets regulations of the US. 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 stration regional office to inspect the above housing at any reasonable time. Employer's Sig LU Typed Name and Ti 0 AL 0/ II ?at? 641;; ate 4/6/201 5 1o. BY: Signature of Authorized Of?cial Typed Name and Ti Debra Minish, State Monitor Advocate tle Date 4/6/2015 I I I. L241 .0 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. lignature of Authorized Of?cial Typed Name and Ti Debra Minish, State Monitor Advocate tle Date 4/6/201 5 I LHAL- FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reverse) US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Royal Farms, LLC #1 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3319 Highway 00 Farmington, MO 63640 3. HOUSING DESCRIPTION Building 7 - Laundry facility Bunks. Double 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. a. MeasureUSE ONLY 5. CAPACITY Length (Adults) Width 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site NO. of Beds. . Single ScreenIng No. of Beds or Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines 4 1 Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 8. COMMENTS Inspected using OSHA 1910.142 regulations. Heating is not needed as workers are not working during cold weather 9. CERTIFICATION: the housing described herein meets I CERTIFY THAT I have reviewed the housing regulations of the US. 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 office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Date Employer's Sig tu Typed Name and Title . . . . I LO It I ?44, 4/6/2015 10. HOUSING INSPECTED BY: Signature of Authorized Official Typed Name and Title Date I . I Debra Minish, State Monitor Advocate 4/6/2015 . z' \x I (l \1 ma?a, 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. ?ignature of Authorized Official Typed Name and Title Date Debra Minish, State Monitor Advocate 4/6/2015 .2: mug-4k FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reverse) US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Royal Farms, LLC #1 273 Ashley 289 Crossett, AR 71635 2. HOUSING LOCATION 3. HOUSING DESCRIPTION L3 9 Lockers available for each worker Inspected using OSHA 1910.142 regulationsSt. Barrack Style Sleeping Area Park MO 63640 Kitchen/Bath Area 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. &MeasunsUSE ONLY 5. CAPACITY Length 3Q. 7 (Adults) 3 E. Width 6. REGULATIONS COMPLIANCE L. 3. proper box) Yes No Ceiling Height Water Square Feet 35-33 Electricity i:I No. of Rooms I Site IE No. of Beds, . Single 3 Screening No. of Beds or . Bunks, Double Heating 7. FACILITIES (Number of each) I . . . . (00.7 39/ Flush Torlets Privy Urinals Lav. or Washbasrns Showerheads 8 1o 8 and?; AS orch Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 4 4 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS Ki 5 '3 Heating is not needed as workers are not working during cold weather of?ce and/or Employment and Training Admini 9. CERTIFICATION: CERTIFY THAT I have reviewed the housin regulations of the US. Department of Labor, U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service stration regional of?ce to inspect the above housing at any reasonable time. Employer's Sig ure Typed Name and Title 0 Date i . twig-?XXIV LO ?0 (F) 4/6/2015 10. HOUSING IWECHED BY: Si ature of Authorized Official . Typed Name and Title Date 6; KWOL I Debra State Monitor Advocate 4/6/2015 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. jgnature of Authorized Official Typed Name and Title Date Debra Minish, State Monitor Advocate 4/6/2015 0L (N an A) IL FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Signet Builders, Inc. 535 NW 1250 Chilhowee, MO 64733 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 513 Chapin Drive Unit A Apartment Clinton, MO 64733 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. &MeasureUSE ONLY i 5. CAPACITY Length 4 [0 1 I 5 (Adults) 0 . . 6. REGULATIONSC MPLIANCE w'dth I I a I. ('x"properbox) Yes No Ceiling Height 45 ?8 3 Water a A Square Feet (I2 ?0 q] I I 4%7?5? . Electricity a L1. No. of Rooms Site KI No. of Beds, - Single Screemng KI No. of Beds or . Bunks. Double I BIL. Heating IE 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs - Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers ?Ti? 8. COMMENTS 1 ?Di 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Emyr?asarew Typed Name and Title Date xi Li 4 i, 10. HOUSING INSPECTED BY: Joyce Hahn Signature orized Typed Name and Title Date 6? - Joyce Hahn, Program Coordinator 11. APP VA . Housing approved for occupancy by workers recruited interstate. Typed Name and Title Joyce Hahn, Program Coordinator Date Signatuwed Of?cial FORM ES-338-R2 R-JULY 1969 AI 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) 1. NAME AND ADDRESS Signet Builders, Inc. 535 NW 1250 Chilhowee, MO 64733 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 513 Chapin Drive Unit Apartment Clinton, MO 64733 Length 9 /o 5' $25353" 207/ .7 9 7/ 6- trams? N. Ceiling Height 2 5 Water Square Feet $710 67.10 Electricity No. of Rooms Site ?313; Beds. Screening 23i??.3323b?; 1. a; 1 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. orWashbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cock Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 8. COMMENTS i ?Diskcoeckw 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housin the housing described herein of?ce and/or Employment and Training Admini meets 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 stration regional of?ce to inspect the above housing at any reasonable time. Employer's Typed Name and Title Date 1o. HOUSING INSPECTED BY: Joyce Hahn Sig of Authorized cial Typed Name and Title ate Joyce Hahn, Program Coordinator Housing approved for occupancy by workers recruited interstate. Signat fAuthorized cial Typed Name and Title Date ?1 Joyce Hahn, Program Coordinator v? - 7 FORM R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reverse) US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Signet Builders, Inc. 535 NW 1250 Chilhowee, MO 64733 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 8. COMMENTS (D Lk? 111 S. 4th Street Apt. 3A Apartment Clinton, MO 64735 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. &MeasureUSE ONLY I 5. CAPACITY Length [0 4, I a (Adults) . 6. REGULATIONS COMPLIANCE I w'dth la /32 ('x"proper box) Yes No Ceiling Height 8 2 Water Square Feet ?37} [4 (P Electricity No. of Rooms Site No. of Beds. . SESIL I Screening No. of Beds or - Bunks, Double 5K I Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers I (No. type) A c. 9. CERTIFICATION: the housing described herein meets I CERTIFY THAT I have reviewed the housing regulations of the US. 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 Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employ Si re Typed Name and Title Date 4% IL 70. HOUSING INSPECTED BY: Joyce Hahn Signature of nzed Of?cial Typed Name and Title Date . i: Joyce Hahn, Program Coordinator 11 APP OVA Housing approved for occupancy by workers recruited interstate. Date Typed Name and Title Joyce Hahn, Program Coordinator Signawythorized Of?ci FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reverse) US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. NAME AND ADDRESS Signet Builders, Inc. 535 NW 1250 Chilhowee, MO 64733 2. HOUSING LOCATION 111 S. 4th Street Apt. 18 Clinton, MO 64735 3. HOUSING DESCRIPTION Apartment 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. a. MeasureUSE ONLY a 5. CAPACITY Length a 5 (Adults) - a 6. REGULATIONS COMPLIANCE math /0 J- cl proper box) Yes No Ceiling Height 8 2 Water Square Feet 3"33 Electricity at No. of Rooms Site No. of Beds, . Single I Screening I: No. of Beds or . Bunks. Double I GK Heating (a 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers Ae< 8. COMMENTS "Deskicaslxa DWW 9. CERTIFICATION: the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the a CERTIFY THAT I have reviewed the housing regulations of the US. Department of Lab does not meet such standards. I hereb or, US. Training and Employment Service, and that authorize representatives of the State Employment Service bove housing at any reasonable time. Empl ure Typed Name and Title Date till/l4 fo.? HOUSING INSPECTED BY: Joyce Hahn Sign uthorized Of?ci Typed Name and Title Joyce Hahn, Program Coordinator Date 7?44; 11 Housing approved for occupancy by workers rec ruited interstate. Simtho?nd Typed Name and Title Joyce Hahn, Program Coordinator Date FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Signet Builders, Inc. 535 NW 1250 Chilhowee, MO 64733 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 111 s. 4?h Street Apt. 10 Apartment Clinton, MO 64735 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY I A 5. CAPACITY Length a, ?2 (Adults) . . 6. REGULATIONS COMPLIANCE w'dth I?f 7 ('x"proper box) Yes No Ceiling Height Water 5% Square Feet Electricity a No. of Rooms Site . . . 33.9% I Screenmg No. of Beds or Bunks, Double I a4 ?93""9 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) ?62 ?DishoesIN/V 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of La does not meet such standards. I hereb the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the a bar, US. Training and Employment Service. and that authorize representatives of the State Employment Service have housing at any reasonable time. . Employ Sign re Typed Name and Title Date 10. HOUSING INSPECTED BY: Joyce Hahn Signatur thorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 11. APRROVA. Housing approved for occupancy by workers recruited interstate. Signatminzed Of?cial Typed Name and Title Date Jo ce Hahn, Pro ram Coordinator 3 '5644 9 FORM ES-338-R2 R-JULY 1969 AI Form App oved Budget BL reau 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) 1. NAME AND ADDRESS Schweizer Orchards 7419 CO RD 432 Savannah, MO 64485 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 7419 CO RD 432 Trailer #1 Savannah, MO 64485 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureCAPACITY Length 25.8 ?dults) 6. REGULATIONS COMPLIANCE \Mdth 11'2 proper box) Yes No Ceiling Height 8 Water Square Feet 288.96 Electricity No. of Rooms 1 Site No. of Beds, . Single 5 Screening No. of Beds or . Bunks. Double ?33""9 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 (No. type) 1 abc 8. COMMENTS Large dumpster on site. Washer and dryer on site. Clothes line on site. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment does not meet such standards. I hereby authorize representatives of the State Em; the housing described herein meets office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Service, and that onment Service Employer's'jigniturex? . Typed Name and Title Date 1 . - . M?s . Cory Schwerzer 5/9/18 10. HOUSING INSPECTED BY: Sign ore of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 5/9/18 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 5/9/18 9:4 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Schweizer Orchards 7419 CO RD 432 Savannah, MO 64485 2. HOUSING LOCATION 7419 CO RD 432 Savannah, MO 64485 3. HOUSING DESCRIPTION Trailer 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY 5. CAPACITY Length 25.8 (Adm) 5 . 6. REGULATIONS COMPLIANCE w'dth 11'2 proper box) Yes No Ceiling Height 8 Water Square Feet 288.96 Electricity No. of Rooms 1 Site No. of Beds. Single 5 Screening 8 No. of Beds or - Bunks, Double Heamg 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators 1 Garbage containers First-aid Kits 1 Fire Extinguishers (NO- 8- type) 1 abc 8. COMMENTS Large dumpster on site. Washer and dryer on site. Clothes line on site. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein 8 meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. I: does not meet such standards. I hereby authorize representatives of the State Employment Service Employer?s Signature Typed Name and Title Cory Schweizer, CEO 5/9/18 10. HOUSING INSPECTED BY: Si nature of Authorized Of?cial Typed Name and Title Qaw M1, Joyce Hahn, Program Coordinator 5/9/18 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Joyce Hahn, Program Coordinator 5/9/18 WW F0 RM R-JULY 1969 AI Form Approii ed Budget Bureau No. 44-R1358 I I US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reva-ye) 1. NAME AND ADDRESS Schweizer Orchards 7419 CO RD 432 Savannah, MO 64485 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Large dumpster on site. Washer and dryer on site. Clothes line on site. 7419 CO RD 432 Trailer #3 Savannah, MO 64485 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. &MeasureCAPACITY Length 25.6 (Adults) 5 . 6. REGULATIONS COMPLIANCE w'dth 11'2 ("x'proper box) Yes No Ceiling Height 8 Water Square Feet 286.72 Electricity No. of Rooms 1 Site No. of Beds, Single 5 Screening No. of Beds or Bunks, Double ?98""9 XI 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 1 1 1 a 8. COMMENTS the housing described herein 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US Department of Labor, U.S. Training and Employment Service, and that does not meet such standards. I hereby authorize representatives of the State Employ ment Service office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. meets Employer?s Signatur Typed Name and Title (34 S?Jwyw? Cory Schweizer, CEO 519/1 8 10. HOUSING INSPECTED BY: Signature of Authorized Of?cial Typed Name and Title 9.9% 75/41?, Joyce Hahn, Program Coordinator 5/9/18 1VAPPROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator 5/9/18 90% WW FORM 1969 Al Form Approv ed Budget Bure au No. 44-R1358 US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Schweizer Orchards EMPLOYER FURNISHED HOUSING AND FACILITIES 7419 CO RD 432 Savannah, MO 64485 (See on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 7419 CO RD 432 Trailer #4 Savannah, MO 64485 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. 8. MeasureUSE ONLW 5. CAPACITY Length 25.6 (Adam) 5 . 6. REGULATIONS COMPLIANCE W'dth (?x?proper box) Yes No Ceiling Height 8 Water El Square Feet 286.72 Electricity No. of Rooms 1 Site No. of Beds, . Single 5 Screening No. of Beds or . Bunks, Double HeatIng 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 1 1 (No. 8. type) 1 abc 8. COMMENTS Large dumpster on site. Washer and dryer on site. Clothes line on Site. 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer's Signature Typed Name and TItle 4. 3956"" Cory Schweizer, CEO 5/9/18 10. HOUSING INSPECTED BY: Signature of Authorized Of?cial Typed Name and Title 00% 7% Joyce Hahn, Program Coordrnator ?l/9/18 KWPROVAL: Housing approved for occupancy by workers recmited interstate. Signature of Authorized Of?cial Typed Name and Title Date . yaw Joy Hahn, Program Coordinator 9/9/18 FORM ES-338-R2 R-JULY 1969 Al Form Appro red Budget Bu No. US. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) Schweizer Orchards 7419 CO RD 432 Savannah, MO 64485 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 7419 CO RD 432 Cafeteria Savannah, MO 64485 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. 8. MeasureCAPACITY Length A dult 3) Width 6. REGULATIONS COMPLIAN (?x'proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site No. of Beds. Single Screenm IE No. of Beds or Bunks, Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 2 1 2 1 (Na type) 1 abc 8. COMMENTS Large dumpster on site. Picnic tables on site. 4 tables chairs 2 sinks 2 stoves 3 door cooler freezer Smoke alarm 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the us. De does not meet such standards. I hereby authorize representatives of the State Employ the housing described herein office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. meets partment of Labor, U.S. Training and Employment S?vice and that ent Service Employer's Signature Typed Name and Title Da Co Schweizer CEO 5/9/18 I .. 10. MING INSPECTED Signature of Authorized Of?cial Typed Name and Title Da 00% Joyce Hahn, Program Coordinator 5/9/18 11/ WROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Da Joyce Hahn, Program Coordinator 5/9/18 WW i F0 2M ES-338-R2 R-JULY 1969 Al Form Appro 'ed Budget Bur No. 44-R1358 US. Department of Labor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Schweizer Orchards 7419 CO RD 432 Savannah, MO 64485 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 7419 CO RD 432 Shower/Lavatory Savannah, MO 64485 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureCAPACITY Length (Adults) Width 6. REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height Water Square Feet Electricity No. of Rooms Site No. of Beds, . Single Screening No. of Beds or Bunks, Double Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 6 2 2 6 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (NO- type) 2 abc 8. COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor, U.S. Training and Employment SE rvice, and that the housing described herein meets office and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authorize representatives of the State Employment Service Employer's Si nature Typed Name and Title (I Cory Schweizer, CEO 5/9/18 .1 10. HOUSING INSPECTED BY: Signature of Authorized Of?cial Typed Name and Title 90% 7% Joyce Hahn, Program Coordinator /9/18 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Joyce Hahn, Program Coordinator 5/9/18 92w M. FORM R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Schwope Brothers Tree Farms, LLC 5609 N. Blue Valley Rd Independence, MO 64058 2. HOUSING LOCATION 36305 E. Bone Hill Rd. Sibley, MO 64088 3. HOUSING DESCRIPTION Single Family Frame House 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY . . 5. CAPACITY Length 13 6 15 2 (Adm) 1O . . . 6. REGULATIONS COMPLIANCE W'dth 12 9 12 1 (?x"proper box) Yes No Ceiling Height 9 9 Water Square Feet 172 183 Electricity No. of Rooms Site No. of Beds, . smgie Screenmg El No. of Beds or . Bunks. Double 2 3 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers irst-aid Kits Fire Extinguishers 1 1 2 (No. type) 2 8. COMMENTS the housing described herein meets 9, CERTIFICATION: 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 Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Signatymhorized Joyce Hahn, Workforce Specialist IV Emp yer?s Sign re Typed Name and Title Date 365001016; WWI Ma, I .4 I INSPECTED BY: Joyce Hahn Typed Name and Title Date 11. Hofising approved for occupancy by workers recruited interstate. Signature of honed/(K Typed Name and Title Date Joyce Hahn, Workforce Specrallst IV 13/37)) FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 U.S. Department of Labor, Employment and Training Administration 1' EMPLOYERS NAME AND ADDRESS U.S. TRAINING AND EMPLOYMENT SERVICE Schwope Brothers Tree Farms, LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 5609 N- Blue Valley Rd- . Independence, MO 64058 (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 22309 Blue Mills Rd. Single family house Independence, MO 64058 4. SLEEP ROOMS . Do 't b. m'l (No. &Measure) 1 a 2 Bype USE ONLY 5. CAPACITY Lew? D?l 61* l?l (Adults) I . . 6. REGULATIONS COMPLIANCE W'dth ?9'8 6 0t (?x"properbox) Yes No Ceiling Height $3 Water [3 Square Feet Electricity No. of Rooms I Site El Beds. Screening El No. of Beds or . Bunks, Double 2? 1 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 51 (QC p0 Lori be proodai ?Qw? Gama-W155 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor. U.S. Training and Employment Service. and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Emplo r?s Signature I Typed Name and Title Date . deg KIWI ?aoem/ Meg Dre-? WSING INSPECTED BY: Signature of Authorized Of?cial Typed Name and Title Date 00% 7% Joyce Hahn, Program CoordInator (2, (g ,f 3 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial Typed Name and Title Date Joyce Hahn, Program Coordinator .47 i FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration 1 US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) . NAME AND ADDRESS Schwope Brothers Tree Farms, LLC 5609 N. Blue Valley Rd Independence, MO 64058 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 21704 E. Old Atherton Independence, MO 64058 Single Family House 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. MeasureUSE ONLY Length 235 25 10's 13'6 a5; 5' 32:33REGULATIONS COMPLIANCE proper box) Yes No Ceiling Height 10 10 8 8 3 Water [3 Square Feet 679 583 134 173 d5; Electricity No. of Rooms Site El No. of Beds, . Single Screening No. of Beds or . Bunks, Double 4 5 2 2 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 4 3 5 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. typeCOMMENTS Laundry facilities in Buckner-5 miles 3 microwaves 9. CERTIFICATION: CERTIFY THAT I have reviewed the housing regulations of the US. Department of Labor. U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. Employer?s Signature Typed Name and Title Date e-Qf?idmj (-3qu Wing @4848 10. W6 INSPECTED BY: Joyce Hahn Signature Wind Of?cial Typed Name and Title Date Jo ce Hahn, Pro ram Coordinator at; 9 11. [Housing approved pr occupancy by workers recruited interstate. Signatureo'f??zed Of?cial Typed Name and Title Date Jo ce Hahn, Pro ram Coordinator W49 9 ?15 I FORM ES-338-R2 R-JULY 1969 AI lig- 5. Department of Labor. and Trainir TRAINING AND EMPI SFRVIFE EMPLOYER FURNISHED HOUSING AND FACILITIES (Si i [Hill Form Apprmed Budggt Bureau No. 4481358 ii'isTiBLovER's NAME AND ADDRESS Schwope Brothers Tree Farms. LLC 5609 N. Blue Valley Rd Independence. MO 64058 2 HOUSING LOCATION 21704 E. Old Atherlon Independence, MO 64058 3 HOUSING Single Family House 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. aMeaSurQ_1_ USE ONLY Length 235 25 1013 1315 5? 1:2:ng 26 . . . 6, REGULATIONS COMPLIANCE Width 29 234"? 036?? -1. (.1 "proper box) Yes No Ceiling Height 10 10 8 8 Water Square Feet 679 583 134 173 Electricrty .1 No of Rooms I - 1 -- No of Beds. . Single I Sueenm IE No olBeds or - Bunks. Double 5 2 2 I Heamg -. L3. 7 FACILITIES (Number oleach) Flush Toilets Privy Urinals Lav. or Washbasiris Showerheads 4 3 5 .-. .. Bathtubs Movable Bathtubs Laundry niadiines Fixed laundry tubs Movable laundry i tubs I 1 Cook Stoves Refrigerators Garbage containers amide?xii? Fire Extinguishers (No. 6 type) 5 5 3 6 8 COMMENT 3 microwaves Laundry facilities in Buckner-5 miles 9 EMPLOYER CERTIFICATION CERTIFY THAT I have revrewed the housing regulations ol the does not meet such standards I hereby authorize representatives ol the State Employment Service the housrng described herein office arid/or Employment and Training Administration regional office to inspect the above hoasing at any reasonable time meets epartment of Labor. Training and Employment Service. and that Emplo r's Signature Typed Name?a-iirTT?itle . b'aE' I Jwi?m (be?pew illmmei' my I 7 . (o HORSINEI Isezc?om: Ace Hahn of A thorized Offici I Typed Name and Title Date if Joyce Hahn. Program Coordinator - $1 7 tor occupancy by workers recruited interstate. . Date Typed Name and Title I Joyce Hahn. Program Coordinator FORM ES-338-R2 mow Form Approved Budget Bureau No. 44421358 I IRS of Labor. [implement and 'l?mining Administration 1 EMPLOYERS NAME AND ADDRESS I TRAINING AND EMPLOYMENT Schwope Brothers Tree Farms, LLC I EMPLOYER FURNISHED HOUSING AND FACILITIES 5509 N. Blue Valley Rd ,3 I . . . Independence, MO 64058 mum Iltuh nil Re n. I 2 HOUSING LOCATION 3. HOUSING DESCRIPTION I 36305 E. Bone Hill Rd. Single Family Frame House Sibley. MO 64088 4. SLEEP ROOMS a. Dormitory Type - b. (No. 8 Measure95E ONLY . . 5 CAPACITY Lef?g?f? . If? I - EL (Adults) . 6 REGULATIONS COMPLIANCE I 12? 13' (?x"pmper box) Yes No Ceiling Helght 9 9 Water Square Feet 172 183 Electricity . -J- . No. of Rooms Site . Single Screening N0. OI Beds 0! i I Bunks. Double 2 3 ?mm 7. FACILITIES (Number 0! each) lush Toilets Privy Urinals Lav or Washbasins Showerheads 1 1 1 B~athtubs_ Movable Bathtubs LaundTy machines Fixed laundry tubs Movable laundry tubs 1 1 Emit Stovcs Relngerators Fir-slam Kits Fire COMMENTS 9 CE RTIFICATION I CERTIFY THAT I have revueweo the housm meets oIIice and/or Employment and Training Admlni I I the housing descnbed herein I I ployer's Signatu Mia does not meet Such standards I hereby authorize stratlon regional office to inspect the above housing at any reasonable time. regulations 01 the 5 Department at Labor. 5 Training and Empl epresentatives ot the State Employment Service nyped Name and Tile I'J?di KIN3 6cm! rtI Mame! oyment Sen/Ice. and that "Dare II lo, .ioyce Hahn ?Sig?ature OI tiled 0% ITyped Name and Title IDatc Joyce Hahn. Workforce SpeCIallst IV /g 7 L11 Housing approved for coaupancy by workers recruited interstate Signature $0"sz . - Name and Title {Date 1 Joyce?Hahn. Werkiorce Spemalist lV 41:) 1 FORM ES-338-R2 R-JULY 1969 Al FormA pprovad Bu__dgat Bureau No. 44-51858 us. or Labor, Employment and Training Administration 1- WE ??533 us. TRAINING AND EMPLOYMENT SERVICE Schwope Brothers Farms, LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 5509 3'08 Valley Rd Independence. MO 64058 (Sea [Minter/on: an Reverse) 2. HOUSING women 3. HOUSING 21704 E. Old Atherton Single Family House independence, MO 64058 4. SLEEP ROOMS a. Dormitory Type b. Funny Type (No. a mumUSE ONLY Length 23% 25 too rare 5' mfy 26 Width 29 23's: 12?s COMPLIANCE N, cm Height to 10 a a Water [3 Square Feet 679 134 173 Electricity No. 0! Room Site 8 go. of Bede. screening 3355.33.93?? 5 2 2 "wine El 7. FACILITIES (Nunber a! each) Flush Toilets Privy Urinals Lav. Showerheada 4 3 5 Bettitobe Movable Laundry machines Fixed laundry tuba Movebie laundry tuba 1 Cook Stoves Refrigerators Garbage container: Firataatd Kit: Fire Extinguishers (no. a typeCOMMENTS Laundry facilities in Buckner-5 miles 3 microwaves 9. EMPLOYERS CERTIFY Tt-Wl? I have reviewed uaing regulations of the us. Department of Labor. 0.8. Training and Empioyment Service. and that the homing deserted herein 8 mt: does not meet such atandarda. I hereby authorize rapreaentativee ot the State Employment Service ottlce audio: Employmi and Training Administration rogtonai once to inspect the above housing at any reason-bra time. Emu r?a Typed Name and Title Data Je#14?t' ?mm 1 H?y?msp?mo??'vz Jyyoo Hahn Ion oi horizod Name and Titta Date 8 (71% I 1/ M, vyoyce Hahn, Program Coordinator [2-2/4 11. musing Itpprov,? for occupancy by worker: mourned Inietutate. Signature thorizart Otnoi Typed Name and Tttie Date 1&2? lzd?/Lf' Joyce Hahn. Program Coordinator Ala/<1 FORM ewe-m R-JULY 1969 AI Form U.S. TRAINING AND EMPLOYMENT SERVICE (See Instructions on Reremj US. Department of Labor, Employment and Training Administration EMPLOYER FURNISHED HOUSING AND FACILITIES 1. EMPLOYERS NAME AND ADDRESS Schwope Brothers Tree Farm, LLC 5609 N. Blue Valley Rd independence, MO 64058 Wags. 2. Housme LOCATION 36305 E. Bone Hill Rd. 3. HOUSING Single Family Frame House Sibley, MO 64088 4. SLEEP acorns a. Dormitory Type (Na 8. themeUSE ONLY Length 1313 192 5? (5sz 10 e. neeuwrorrs continuance Width 1213 121 (?X?pwpar W) Ya. No Ceiling Height 9 9 Water Square Feet 172 183 No. of Rooms Site 3.59:: Beds, Screening No. ct Beds or Burrito. Doubie 2 3 Heating 7. FACILITIES (Number of each) Fiuali Toilets Privy Urinela Lav. orWashbaeins Showeriruda 1 1 1 Bathtubs Movable Bathtube Laundry machines Fixed laundry tubs Mg'vabie laundry Id 1 1 Cook Stoves Refrigerators Garbage containere Firet-aid Kits Fire Extingulahera (NoCOMMENTS 9. EMPLOYERS CERTIFICATION: the housing deecrlbed herein 8 meeta CERTIFY THAT have reviewed the housing regulations or the Department ol Labor. 3 Training and Empioymant Service. and that does not meet such standards hereby authorize representatives oi the State Empioyment Service ottice andlor Employment and Training Administration regional oilica to inspect the above housing at any reeaonaNe tune. Si nature Ollici/e I Joyce Hahn. Workforce Specialist IV re Sig at Typed Name and Tltie 0'10 6W1 [2 191 no?srrie?iusr?e?cre?o?v: Moe Hahn Typed Name and Title Date it. Homing approvled for occupancy by workers recruited interstate. Signat?e olAytIrorized Ollicial Typed Name and Title Date Joyce Hahn. Workforce Specialist IV [919/7/ FORM season: R-JULY 1089 AI Form Approved Budget Bureau No. 44-R1358 1. NAME AND ADDRESS .3 -. "j US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE Schwope Brothers Tree Farms, LLC EMPLOYER FURNISHED HOUSING AND FACILITIES 5609 N- Blue Valley Road (See Instructions on Reverse) Independence? MO 64058 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 21704 E. Old Atherton Single Family Frame House Independence, MO 64058 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY . . . 5. CAPACITY Length 77% (Adults) . . 6. REGULATIONS COMPLIANCE w'dth D79 I 5 7 proper box) Yes No Ceiling Height 0 (g c; Water I quare ee 76/ 52(9) /73 EectrICIty No. of Rooms Site . fB . 8519?; s, ScreenIng No. of Beds or . . Bunks. Double ,2 a; Heating 7. FACILITIES (Numb of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers 5 3 (No. type) 8. COMMENTS . .- Mice 5 Km BMC 6 lei) 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housin the housing described herein office and/or Employment and Training Admini meets regulations of the US. 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 stration regional of?ce to inspect the above housing at any reasonable time. Empl er?s Signat Typed Name and Title Date gang/WM 10. BY: Signature of Authorized Of?cial Typed Name and Title Date . . . ,th CL, Y1 Debra MInIsh, State Monitor Advocate 11. APPROVAL: Housing approved for occupancy by workers recruited interstate. Signature of Authorized Of?cial . Typed Name and Title Date . Debra Minish,State Monitor Advocate . A m. wet/x I .2 4g, FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor, Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS Schwope Brothers Tree Farms, LLC 5609 N. Blue Valley Road Independence, MO 64058 2. HOUSING LOCATION 36305 E. Bone Hill Rd. Sibley, MO 64088 3. HOUSING DESCRIPTION Single Family Frame House Flush Toilets Privy Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits 97 Fire Extinguishers (No. 38) 4. SLEEP ROOMS a. Dormitory Type D. Family Type (No. MeasureUSE ONLY c, 5. CAPACITY Length 2 (Adults) Width 6. REGULATIONS COMPLIANCE (?x?pmper box) Yes No Ceiling Height Water Square Feet /702 Electricity No. of Rooms Site No. of Beds, . Single Screening No. of Beds or . Bunks, Double 0? \3 Heating 7. FACILITIES (Number of each) Urinals Lav. or Washbasins Showerheads 8. COMMENTS 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housi the housing described herein of?ce and/or Emryoyment and Training Administration reg meets does not ng regulations of the US. Department of Labor U.S. Training and Employment Service, and that eet such standards. I hereby authorize representatives of the State Employment Service ional of?ce to inspect the above housing at any reasonabIe time. Typed Name and Title 69/157 fed/W/ ?W/{lif/ Date {/57/w Emp er?s Signa re l? IED BY: . INSPE Signature of Authorized Of?cial Typed Name and Title Date 1? . . . I rAdvoc te ?3 (X It LQ i\ Debra State Mon to a 1. APPROVAL: Housing approved for occupancy by workers recruited interstate. (Signature of Authorized Of?c' I. Typed Name and Title Date \Jc (k (sz .M Qi\ Debra Minish,State Monitor Advocate - 5? FORM ES-338-R2 R-JULY 1969 AI Form Approved Budget Bureau No. 44-R1358 U.S. Department of Labor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 1. NAME AND ADDRESS SOL Harvesting LLC 2721 Sequoyah Dr. Haines City, FL 33844 2. HOUSING LOCATION 21531 State Hwy Waverly, MO 64096 Housing #1 3. HOUSING DESCRIPTION Barracks Style 4. SLEEP ROOMS a. Dormitory Type b. Family Type (No. 8. MeasureUSE ONLY . . . . 5. CAPACITY Length 219 219 219 219 (AdunsREGULATIONS COMPLIANCE Width 118 118 118 118 (?x"properbox) Yes No Ceiling Height Water Xi Square Feet 258 258 258 258 Electricity No. of Rooms Site No. of Beds. . Single Screening No. of Beds or . Bunks. Double 2 2 2 2 Heat'"9 El El 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 4 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Cook Stoves Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 4 4 4 4 8. COMMENTS Lock boxes provided. Bused to grocery store once a week. Bused to do laundry once a week. elm maiif?sgtf 9. CERTIFICATION: CERTIFY THAT I have reviewed the housin the housing described herein office and/or Employment and Training Admini meets regulations of the US. 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 stration regional of?ce to inspect the above housing at any reasonable time. aw Signature on A ($412 Typed Name and Title ?Pe ire/V 3 Date Wit/Its 1o. HOUSING INSPECTED BY: Joyce Haly?(/ Signaturwrized Official I Name and Title Woyce Hahn, Program Coordinator 11. APPROVAL: using approved for occupancy by workers [r?elcruited interstate. 0571/57 I ,Typed Name and Title yce Hahn, Program Coordinator Signature Wrized Of? (?Wu W4 5/ FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 US. Department of Labor. Employment and Training Administration US. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See on Reverse) 1. NAME AND ADDRESS SOL Harvesting LLC 2721 Sequoyah Dr. Haines City, FL 33844 2. HOUSING LOCATION 21531 State Hwy Waverly, MO 64096 Housing #2 3. HOUSING DESCRIPTION Barracks Style 472777422327 1 3- . I 4 ES Length 15'6 15'6 15's 15's 5' (Ef?gw Width 15'4 15'4 154 154 6' ?fig?Tr-Igogf COMPLIANCE Yes No Ceiling Height Water Square Feet 240 240 240 240 Electricity No. of Rooms Site gag; Beds. Screening I: No. of Beds or 2 2 2 2 Heating Bunks, Double 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 2 4 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry Cook Stoves 4 4 4 Refrigerators Garbage containers tubs First-aid Kits Fire Extinguishers 4 (No. type) 4 8. COMMENTS Lock boxes provided. Bused to grocery store once a week. Bused to do laundry once a week. Vt \bMY?me mot (g foiqgt 9. CERTIFICATION I CERTIFY THAT I have reviewed the housing regulations of the S. Department of Labor S. Training and Employment Service and that the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time does not meet such standards. I hereby authorize representatives of the State Employment Service Em ?5 Signature m914 '3 Square Feet Electricity No. of Rooms Site No. of Beds. Single Screening No. of Beds or Bunks. Double Heating El 7. FACILITIES (Number oleach) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads 1 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 1 Cook Stoves Relrigerators Garbage containers First-aid Kits Fire Extinguishers (No. type) 1 1 1 1 8. COMMENTS Pull type travel trailer. the housing described herein 9. CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the US 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 and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. meets Employer?s Signature Maw Typed Name and Title Aubree Thouvenel, Owner Date Hit/4 10 HOUSING INSPECTED BY: Joyce Hahn Signatur?rythorizedW/ Typed Name and Title Joyce Hahn, FLC Coordinator Date 11. APPQOVAL: [Housing approved for occupancy by workers recruited interstate. Of?cia A Typed Name and Title Joyce Hahn, FLC Coordinator Date l?M- FORM ES-S38-R2 R-JULY 1969 AI Form Approved Budaet Bureau No. 44-R1358 1. EMPLOYER'S NAME ANO ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE 4L Land, LLC 6558 County Road 273 Hannibal, MO 63401 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 5934 County Road 260 Palmyra, MO 63461 4. SLEEP ROOMS 5 Bedroom Farm House , a. Dormitory Type (No. & Measure) 1 2 b. Family Type 4 1 2 3 4 Length 13'10 9'9 14'8 12'9 11'4 Width 7'11 13'10 9'9 11 12'9 3 ES USE ONLY 5. CAPACITY 5 (Adults) 6. REGULATIONS COMPLIANCE tx• proper box) Yes Ceiling Height Water Square Feet Electricity No. of Rooms Site No. of Beds, Single No. of Beds or Bunks, Double 1 1 1 1 Screening 1 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals No • • • • • Lav. or Washbasins Showerheads 1 1 Bathtubs Movable Bathtubs 1 Laundry machines Fixed laundry tubs Movable laundry tubs First-aid Kits Fire Extinguishers (No. & type) 1 Cook Stoves Refrigerators 1 Garbage containers 1 1 3 1abc 8. COMMENTS 1 dryer Dumpster at farm for disposal of trash. 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein 1:8] meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. Date Typed Name and Title Employer's Signature D ~ ~..Q 10. ~ U§JHGI NSPECTED BY: Joyce Hahn A~ Leh enb~ v--e.f. memtur - Typed Name and Title Signac 1 : :ed~ffici l L - - Joyce Hahn, Program Coordinator )-~0~1 ·7 Date /- ?3- /7 11. APPRCWAL: liousing approy ed for occupancy by workers recruited interstate. Typed Name and Title Signatu ; : :O: A f ( I Joyce Hahn, Program Coordinator Date /-;i_?rll ,. FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget B ureau No. 44-R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPL OYMENT SERVICE 4L Land, LLC 6558 County Road 273 Hannibal, MO 63401 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 5934 County Road 260 Palmyra, MO 63461 4. SLEEP ROOMS (No. & Measure) 1 5 Bedroom Farm House a. Dormitory Type 2 3 Length Width b. Family Type 2 3 4 1 13'10 9'9 711 14'8 13'10 12'9 9'9 11 ES USE ONLY 4 11'4 12'9 5. CAPACITY (Adults) Water Square Feet Electricity No. of Rooms Site 1 1 1 1 Yes ("x " proper box) Ceiling Height No. of Beds , Single No. of Beds or Bunks, Double 5 6. REGULATIONS COMPLIANCE Screening 1 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins No • • • • • Showerheads 1 1 Bathtubs Movable Bathtubs 1 Laundry machines Fixed laundry tubs Movable laundry tubs First-aid Kits Fire Extinguishers (No. & type) 1 Cook Stoves 1 Refrigerators 1 Garbage containers 1 3 1abc 8. COMMENTS 1 dryer Dumpster at farm for disposal of trash. 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S . Department of Labor, U.S. Training and Employment Service, and that the housing described herein [gJ meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. D Typed Name and Title Date Typed Name and Title Date ~ ~ . , { e,.cbp7~ 0 10( H~ ~G INSPECTED BY: o Authorize< ) fficial Signat ~lru~ .~ rrr~ 11. APYfPVAI: 1--ifur1 I°' l Joyce Hahn, Program Coordinator /-(/-! i Ho sing approved for occupancy by workers recruited interstate. Sigt rof AL hor"ze I Joyce Halul Typed Name and Title Joyce Hahn, Program Coordinator Date I- II-Ix FORM ES-338-R2 R-JULY 1969 Al Fotm Approved BU dIQ etB ureau No. 44R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of1Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE A.S. Inc. 1102 Nixon Industrial Blvd. Macon, MO 63552 EMPLOYER FURNISHED HOUSING AND FACILITIES (See hrstructio11s 011 Re11e1·sej 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 305 N. Rubey St. Mason, MO 63552 Large 2 story home Lower Floor a. Dormitory I ype 4. SLEEP ROOMS (No. & Measure) 3 2 1 Length 12 15'5 Width 14'7 13'11 b. Family Type 4 2 1 3 ES USE ONLY 4 5. CAPACITY 8 (Adults) 6. REGULATIONS COMPLIANCE ("x" proper box) Yes Ceiling Height Square Feet 175.35 Electricity 215.93 No. of Rooms No. of Beds, Single No. of Beds or Bunks, Double [21 [21 [21 [21 [21 Water Site Screening 2 bunks 2 bunks Heating 7. FACILITIES (Number of each) Flush Toilets Urinals Privy Lav. or Washbasins No • • • • • Showerheads 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. & type) 1 Cook Stoves 1 1 1 1 1abc 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein cgj meets does not meet such standards. I hereby authorize representatives of the State Employment Service office andfor Employment and Training Administration regional office to inspect the above housing at any reasonable time. D I Typed Name and Trtle Empu ~ ~ Si~;:ut~z~ial 10. HOUSING INSPECTED BY: 1 t'.APPROVAL: David McClellan VP Date ·- Joyce Hahn Typed Name and ntte Joyce Hahn, Program Coordinator I 2/15/18 Date 2/15/18 Housing approved far occupancy by workers recruited interstate. Signature of Authorized Official (),~ If~ Typed Name and litle Joyce Hahn, Program Coordinator \ Date 2/15/18 (I FORM ES-338-R2 R-JUL Y 1969 Al Form Approved Bud1• et Bureau No. 44 -R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE AS. Inc. 1103 Nixon Industrial Blvd Macon, MO 63552 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION L,· -ce ;;)~--o~ Tt'tri,e 13e~o~house 305 N. Rubey St Macon, MO 63552 4. SLEEP ROOMS (No. & Measure) ~lcor Lt~?e1a. Dormitory Type 2 3 1 Length ll . 7 l .~ .2 Width ,3,3 13,~ 4 b. Family Type 2 3 1 ES USE ONLY 4 5. CAPACITY (Adults) 6. REGULATION $" COMPLIANCE Yes ("x" proper box) i Ceiling Height Water Square Feet Electricity la;] Site @ \'-ll 17'"/ .5' No. of Rooms No. of Beds, Single No. of Beds or Bunks, Double Screening ::2_ [Kl Healing 7. FACILITIES (Numberofeach) Flush Toilets Privy Urinals Lav. orWashbasins Showerheads Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. & type) \ Cook Stoves \ \ \ l I o..~ c.. 8. COMMENTS ~ \ t" "':'. -\-~ ..__~e. ~SC,<:. °"o-L r-. 11. APPROVAL: Debra Minish, State Monitor Advocate ('(\ ,e ""' , ~)\. 3/9/2015 Housing approved for occupancy by workers recruited interstate. Typed Name and Title iignature of Authorized Official I ~ c \ •i-{ r~ Date ¾ ~ , 1~ .~ l'-- Debra Minish, State Monitor Advocate Date 3/9/2015 FORM ES-338-R2 R-JULY 1969 Al Fonn Approved Bud1qet Buraau N o. 44 -R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Tnstructioris 011 Reve1·se) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 305 N. Rubey St. Mason, MO 63552 4. SLEEP ROOMS (No. & Measure) A.S. Inc. 1102 Nixon Industrial Blvd. Macon, MO 63552 Large 2 story home Upper Floor a. Dormitory Type 2 3 1 Length 11'7 13'2' Width 13'3 13'2 4 b. Family Type 2 3 1 ES USE ONLY 4 5. CAPACITY 8 (Adults) 6. REGULATIONS COMPLIANCE Yes ('x' proper box) Ceiling Height r;gJ Water 143 Square Feet Electricity 174.50 No. of Rooms Site No. of Beds, Single No. of Beds or Bunks, Double r;gJ r;gJ Screening I 2 bunks 2 bunks Heating 7. FACILITIES (Number of each) Flush Toilets Urinals Privy Lav. or Washbasins No • • • • • Showerheads 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. &type) 1 Cook Stoves 1 1 1 1 1abc 8. COMMENTS 2 fire escape rope ladders and steps that exit to outside. 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein [8'J meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. D Employers Signature /4.(d ~ 10. HOUSING INSPECTED BY: Signature of Authorized Official c)A~A II~ 1tf A(i,'pROVAL: Typed Name and Title Go-~n II~ ! Date 2/15/18 David McClellan VP I Typed Name and Title Joyce Hahn, Program Coordinator Housing approved for occupancy by workers recruited interstate. Signature of Authorized Official Cl Joyce Hahn I I Typed Name and Title Joyce Hahn, Program Coordinator I Date 2/15/18 I 2/15/18 Date u FORM ES-338-R2 R-JULY 1969 Al Form Approved BudQet Bureau No. 44-R1358 1. EMPLOYER'S NAME AND ADDRESS \ U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE A.S. Inc. 1102 Nixon Industrial Blvd. Macon, MO 63552 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 305 N. Rubey St. Mason, MO 63552 a. Dormitory Type 2 3 4. SLEEP ROOMS (No. & Measure) 1 Length large 2 story home lower Floor 12 Width b. Family Type 2 3 1 4 5. CAPACITY 15'5 14'7 (Adulls) 13'11 IZI IZI IZI IZI IZI Water 175.35 215.93 Electricity No. of Rooms No. of Beds, Single No. of Beds or Bunks, Double 8 6. REGULATIONS COMPLIANCE ("x. proper box) Yes Ceiling Height Square Feet ES USE ONLY 4 Site Screening 2 bunks 2 bunks Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals No • • • • • Lav. or Washbasins Showerheads 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs 1 Cook Stoves Refrigerators 1 Garbage containers First-aid Kits 1 1 1 Movable laundry tubs Fire Extinguishers (No. & type) 1abc 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. Date Employer's Signature Typed Name and Title 181 O David McClellan VP 10. HOUSJlill, INSPECTED BY: S( %uthorized °JY Joyce Hahn 'tlt1~ /,...,._ 11. APPRO~J.: Typed Name and Title Joyce Hahn, Program Coordinator Typed Name and Title I Date 3/10/17 Housing approved ~ r occupancy by workers recruited interstate. Sig7 l :~Offici~ t 3/10/17 Joyce Hahn, Program Coordinator Date 3/10/17 V FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. 1RAINING AND EMPLOYMENT SERVICE A.S. Inc. 1102 Nixon Industrial Blvd . Macon, MO 63552 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Rever11e) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 305 N. Rubey St. Macon, MO 63552 4. SLEEP ROOMS (No. & Measure) 1 Large 2 story home Lower Floor a. Dormitory Type 2 3 Length 12 15'5 Width 14'7 13'11 b. Family Type 2 3 1 4 ES USE ONLY 4 5.CAPACITY 8 (Adults) 6. REGULATIONS COMPLIANCE Yes r·x· proper box) Ceiling Height r.8J r.8J r.8J r.8J r.8J Water Square Feet 175.35 215.93 Electricity No. of Rooms Site No. of Beds, Single No. of Beds or Bunks, Double Screening 2 2 Heating 7. FACILITIES (Numberofeach) Flush Toilets Privy Urinals Lav. or Washbasins No • • • • • Showerheads 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. &type) 1 Cook Stoves 1 1 1 1 1 abc 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein [8] meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. D Employer's Signature /Vd!- 9-e,v.);) Typed Name and Title David McClellan VP ''10. HOUS~G INSPECTED BY: ., Joyce Hahn Typed Name and Title Si( b :thorize~ _..,- ,_,,,,,.., 11. A 'iPRO/ AL: rSign& Joyce Hahn, Program Coordinator - ~_.L j/ o 3./.a.,q htM. Date !/--~-It Kousing app~ved for occupancy by workers recruited interstate. thoriz7 / / V Date ,,,v - Typed Name and Title - Joyce Hahn, Program Coordinator Date 3--~ . ./t FORM ES-338-R2 R-JULY 1969 Al Form Approved Buf!.. V\tw WiMt,ct.) 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing descr~ herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office an;-·r•y,,•y,r~~Mmo'Vaining Administration regional office to inspect the above housing at any reasonable time. D E~ J , / _ 10. HOU~ Sig{ G 1t¢'PECTED BY: 1 1 :: a ni l ~ s c " 7 -~~ 17 Joy;,1 Hahn e f e .orized Offic~ . , , 1 'kt/fA - Date Typed Name and Title Joyce Hahn, Program Coordinator I Date 17--- ::it:- /7 11 . App.SnvA~ -/ Housing approved !.S}I" occupancy by workers recruited interstate. r ~ orized Officia' f ( I 1/'.A"' f __,/Y ,, ,,I Typed Name and Title Joyce Hahn, Program Coordinator Date r?· ;Jt,~ /7 , FORM ES-338-R2 R-JULY 1969 Al , Form Approved BudJOOII Bu reau No. -44--R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment lllld Training Administration U.S. 1RAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) AJ&E Container Tree Farm, LLC 7393 HwyN O'Fallon, MO 63368 3. HOUSING DESCRIPTION 2. HOUSING LOCATION 720 sq ft Trailer 5248 State Hwy 77 Trailer C Benton, MO 63736 4. SLEEP ROOMS (No. & Measure) 1 a. uormrtory lype 2 3 Length 10'9 10'11 Width 8'3 11'5 ES USE ONLY 4 5.CAPACITY 4 (Adults) 6. REGULATIONS COMPLIANCE Yes ("lt" proper box) 8 8 110.19 116.26 1 1 Site 2 2 Screening Ceiling Height Square Feet b. Family Type 2 3 1 4 No. of Rooms No. of Beds, Single No. of Beds or Bunks, Double [81 Water l8l l8l l8l IZI Electricity Heating 7. FACILITIES (Number of each) Flush Toilets Privy Lav. or Washbasins Urinals No • • • • • Showerheads 1 1 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. &type) 1 Cook Stoves 1 1 1 1 1 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet Such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. D ~ - I Typed Name and Title ign~__L_ ~tl/YJJA- 10. HQ.VSINGINSPECTED BY: 7/,,,,_:'/42 II ~SC C. . Joyce Hahn I Signature of Authorized Official ~~M1 Joyce Hahn, Program Coordinator -A I Date 8123/18 I Date 8/23/18 Housing approved for occupancy by w011cers recruited interstate. I Signature of Authorized Official n- I Typed Name and Trtle Ifa6e, ,1 ((Af,f,ROVAL: ,-p v <..S Typed Name and Title Joyce Hahn, Program Coordinator l(ak,, ! Date 8/23118 v' 17 FORM ES-338-R2 R-JULY 1969 Al ·.1 Form Approved Budget Bureau No. 44-R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Alewelt Concrete Inc. 18358 County Hwy D-20 Alden , Iowa 50006 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 3. HOUSING DESCRIPTION 2. HOUSING LOCATION 1028 Sonnock Ave Lot #M Moberly, MO 65270 ti c.J 16 x 80 Mobile Home a. Dormitory Type 4. SLEEP ROOMS (No. & Measure) 1 2 3 Length 13'6 13.6 13.6 Width 11.6 11 .6 11.6 8 8 8 160 160 160 Ceiling Height Square Feet b. Family Type 2 3 1 4 ES USE ONLY 4 5. CAPACITY 12 (Adults) 6. REGULATIONS COMPLIANCE Yes f"x" proper box) IZI IZI Water Electricity No. of Rooms Site No. of Beds, Single No. of Beds or Bunks, Double Screening 2 2 IZI Heating 2 7. FACILITIES (Numberofeach) Flush Toilets Privy Urinals Lav. or Washbasins Bathtubs 2 Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs Refrigerators Garbage containers First-aid Kits Fire Extinguishers (No. & type) 2 Cook Stoves 1 1 1 1 • • • • • Showerheads 2 2 No 2 8. COMMENTS Smoke and Carbon Monoxide Detectors - 4 City trash pick-up Local laundry matt New quality built construction 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein 1:8] meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/~r.~mployment al)d--T-ra[ning Administration regional office to inspect the above housing at any reasonable time. O ( -~m~ ature ..-t:,.~.,,_ ~L~---···· r. .-;,, - T~ame and Title l if,-:r=,"7 S /(. L . . __Cc:'/..(,q'-. ~ A?.e.LJiWt" Date 4nI201s T o-:- flous1NG INSPECTED BY: --l~ u~ of Authorized Official, 1--.1 Q>J-lft 11 . APPROVAL: Typed Name and Title , fY\ ,~I l -~ j\___ 4n1201s Housing approved for occupancy by workers recruited interstate. Typed Name and Tille ~ignature of Authorized Official I c\).o_\}-,t c\. Debra Minish, State Monitor Advocate Date '\ \\.,c:~ l ~, }\.._ Debra Minish, State Monitor Advocate Date 4ll/2015 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budqet Bure.iu No 44-R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Augusta Wine Company 5601 High Street; PO Box 8 Augusta, MO 63332 EMPLOYER FURNISHED HOUSING AND FACILITIES (~ee !11s/111clio11s on R<'l•crse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 542 Crow Creek Lane Augusta, MO 63332 4. SLEEP ROOMS (No. & Measure) 1 Ranch Home a. Dormitory Type 2 3 Length 12 12 Width 11 11 Ceiling Height 8 8 Square Feet 132 132 No. of Rooms 1 1 4 b. Family Type 2 3 1 3 5.CAPACITY (Adults) 6. REGULATIONS COMPLIANCE ("x" proper box) Yes Electricity k3''D Site Screening I E'J Heating 7. FACILITIES (Number of each) Flush Toilets No • g,· • Water :;, No. of Beds, Single No. of Beds or Bunks~ ES USE ONLY 4 Privy Urinals Lav. or Washbasins • Showerheads 1 1 Bathtubs Movable Bathtubs Laundry machines 1 Fixed laundry tubs Movable laundry tubs First-aid Kits Fire Extinguishers (No. & type) 1 Cook Stoves Garbage containers Refrigerators 1 1 1 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that· the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office ang.(or Employment and Training Administration regional office to inspect the above housing at any reasonable time. D t8J Empl7)1J/~ tL '& 'Wt; Sig2):;:1;:;;i:cial 10. HOUSING INSPECTED BY: 11 0\PffROVAL: a7'1./7 Joyce Hahn - Date Debbie Brinkman Typed Name and Title 12/6/18 Date Joyce Hahn, Program Coordinator 12/6/18 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Official (}~ II~ (/ ~ Typed Name and Title Typed Name and Title Joyce Hahn, Program Coordinator Date 12/6/18 (/ FORM ES-338-R2 R-JUL Y 1969 Al 'form Approved :. Budget Bureau No. 44-R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Adprinistration U.S. TRAJNING AND EMPLOYMENT SERVICE Augusta Wine Company .. ,: .. 5601 High Street; Po'Box 8·'< ' Augusta, MO 63332 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 520 Crow Creek Lane Augusta, MO 63332 1 2 12 Length 3 b. Familylype 1 4 2 3 ES USE ONLY 4 5. CAPACITY 12 (Adults) 3 6. REGULATIONS COMPLIANCE Width 11 11 Ceiling Height 8 8 Square Feet 132 132 No. of Rooms 1 1 Site 2 Screening No. of Beds, Single No. of Beds or Bunks, Double ("x" proper box) • • • • • Water Electricity 1 Db Privy Heating Urinals No Yes 7. FACILITIES (Number of each) Flush Toilets ' l Ranch Home a. Dormitory Type 4. SLEEP ROOMS (No. & Measure) I 3. HOUSING DESCRIPTION • • • • • Lav. or Washbasins Showerheads 1 1 Bathtubs Movable Bathtubs Laundry machines 1 Fixed laundry tubs 1 Cook Stoves Refrigerators 1 Garbage containers First-aid Kits 1 1 Movable laundry tubs Fire Extinguishers (No. & type) 8. COMMENTS 9. EMPLOYER'S CERTIFICATION : the h,~ office I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that i described herein [81 meets does not meet such standards. I hereby authorize representatives of the State Employment Service dl r Employment and TraininQ::.Administration regional office to inspect the above housing at any reasonable time. D Em~ e~ Typed Name and Title -lj::-#·d:J,V'V • - ~.%' /_ Debbie Brinkman Date t~ 10~ HOUSING.Jf,ISPECTED BY: Joyce Hahn Signatuy z :horized I ~~;It~ .,.. - Typed Name and Title - ioyce Hahn, Program Coordinator Date 11. APPri)vd, Housing approv1d for occupancy by workers recruited interstate. Signatur z ; ; : : : r ~ I - p,~ I - Typed Name and Title Joyce Hahn, Program Coordinator 1, /1,~,_ ... Date ,,-~ :J.--'/(, FORM ES-338-R2 R-JULY 1969 Al l.'.S. Dq1amncnt of L~bor. Emp!Py111c111 ;,nd- ~~~ni;1g t:.s. TRAIJ\ING AND E:V1PLOYMEl\:T Sf.RVICf Form Approved Budget Bureau No. 44-R1358 Admir:,~r.:t:~;--·--• --·1 1 EMPLOYER'S NAME AND ADDRESS Augusta Wine Company 5601 High Street; PO Box 8 Augusta, MO 63332 EMPLOYER FURNISHED HOUSING AND FACILITIES I Rc1r,..,. J (Sn Jw,:ra,·1;on, f, 1: 12. l HOUSING LOCATION 3. HOUSING DESCRIPTION 520 Crow Creek Lane Augusta, MO 63332 i 4. SLEEP ROOMS Ranch Home a. Dormitory Type i (LNeon. g&thMeasure) _ - , - , [ 12 l-- -W-id-th- - - - - j - - -1-1- .j 2 I 1 12 -t-l-1 - 1--,-i- No . of Rooms _j __ • - - -1 .... --·-· -~ -·-+----! 7 _1_3_2 ~~3}_ I ; --!---- _ -~·-I l I --;-·---+-----+- - - -,- - - ! 1 No.of Beds, Single No. of Beds or Bunks, Double 1 : i I , fr 3 • ----T - - __ 1 f-S_q_u_a_re _ F_ e_ e1_ _~ f- • 6. J~:i~TIO~S COMPLIANCE ----("x " proper bo"l_ _ __ __ __v_, e_s__N_o--1 j_ 8_ !,_ __s_ _....,_ _-+--·-·--f-----1-- ---J____ _J____ ~lingHeight___ i b . Family Type -i----+·· I ! __ 1 - 1--- - - - - ·--<----·-i-··- - .. +--- r I 4----:-·-,- r· .ci=~3~-,--4-- __, 5. CAPACITY ES USE ONLY 3 _ __ Water ---r---~1-+· --~------:_ __ _ _ Eleclric1ty I ----t - ---i ---~--- - _ _ __ D D D __D _-1 ______ ____ •O- -•D Site ---S-c-re_e_ n-i n~--. ------ ·- - - -- - -1 - + - - - - - ___ _ _ __ __ _ __. D D ! 1 , Db , : Heating t------'-----'-----'--------'--- -- - - - - - -- - -- ---+----.., ··- "--·---- -·--- - - ------ I, 7. FACILITIES (Number of each) I Privy Flush Toilets L l Bathtu_b_s- - - -+-l'l-1o_v_a_bl_e_B_a_th-tubs 1 i ~t~;e""s__ I : Urinals ; i 1 IShowerheads 1 t-1L;L;;;d~ ~~chi~-es·- --;-Fi-xe_ o_' -,a-u-nd-,,;: ~bs I i Lav . or Washbasins ~-,_~;ab!~ I· i ;-c~cfry - tubs i I .,.j I R-e-f-ri-g-e r_a_to . _r.:___ TGarbage containers-+/-F1-·rs-t--a-id_K_i•-5---·-+-F-ir_e_E~ting°Ci-sh_e_r~- 1 i 1 i I ; I i i 1 (No & type) 8. COMMENTS 9 EMPLOYERS CERTIFICATION I CERTIFY THAT I have reviewed tfie'hous,ng regulations ot the U.S. Departmen! of Labor, U.S Training and E:rnployrnent Service, and that 1 I the housing described hereir. [2J meets D does not meet such standards. I hereb,- authorize representatives of the State Employment Service 1 I office and/or Employment and Training Administratio_'.:l_regio_n~I office to inspect the above t-.ous ing_ reascnable __t:me. __ ---~ 1 IEmplo~e l S\ re,. .,,.., / . . Typed Name and Title I Date I ' . w ?ffivl"vtL??t 10. HOUSING INSPECTED BY: uifvv1. l 11. APf:ROV~:L;_': I Jcyce Hahn Signature of Authorized Official _. Debbie Brinkman Typed Name and Title ,.. .. . ~ o ~sing app;cv:d for occupancy . Joyce Hahn, Program Coordinator Date J; "\. by workers recru;teti interstate. FORM ES-338-R2 R-JUL Y 19t+ Al Form Approved Bud1aet 8 ureau No. 44-R 1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Augusta Wine Company 5601 High Street; PO Box 8 Augusta, MO 63332 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 520 Crow Creek Lane Augusta, MO 63332 4. SLEEP ROOMS (No. & Measure) 1 Ranch Home a. Dormitory Type 2 3 Length 12 12 Width 11 11 Ceiling Height 8 8 132 132 1 1 Square Feet No. of Rooms No. of Beds, Single No. of Beds or Bunks, D.JlWU§. b. Family Type 2 3 1 4 5. CAPACITY (Adults) 6. REGULATIONS COMPLIANCE ("x pproper box) Yes • • • • • Water Electricity Site :) I ES USE ONLY 4 Screening ' Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals No • • • • • Lav. orWashbasins Showerheads 1 1 Bathtubs Movable Bathtubs 1 Laundry machines Fixed laundry tubs 1 Cook Stoves Refrigerators 1 Garbage containers First-aid Kits 1 1 Movable laundry tubs Fire Extinguishers (No. & type) 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein [81 meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/9 f Employment and Training Administration regional office to inspect the above housing at any reasonable time. D Emplol l l k ~fel~!Uv' 10. HOUSING INSPECTED BY: Signau Debbie Brinkman Date /-IV-//,, Jo1ce Hahn orized Offi# - - c ,....., e~ Typed Name and Title Typed Name and Title Joyce Hahn, Program Coordinator Date ;-ltf-J? 11. APPFj.6VA, / Housing approv¢ for occupancy by workers recruited interstate. I Sign ~horized ~ -v/// t / - - Typed Name and Title Joyce Hahn, Program Coordinator Date /-1~/e, FORM ES-33B-R2 R-JULY 1969 Al Form Approved Budget Bureau No. 44-R135B 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Brenda Benner Stables, Inc 6901 Oakland Gravel Rd Columbia, MO 65202 EMPLOYER FURNISHED HOUSING AND FACILITIES (See instructions on Re-verse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION Same as Above 4. SLEEP ROOMS (No. & Measure) Apartment adjacent to Stables a. Dormitory Type 2 3 1 4 b. Family Type 2 3 1 Length 11' Width 12' Ceiling Height 8' Square Feet 242' No. of Rooms 1 No. of Beds, Single No. of Beds or Bunks, Double ES USE ONLY 4 5. CAPACITY 1 (Adults) 6. REGULATIONS COMPLIANCE ("x" proper box) Yes rgJ rgJ rgJ rgJ rgJ Water Electricity Site Screening 1 Heating 7. FACILITIES (Numberofeach) Flush Toilets Privy Urinals Lav. or Washbasins No • • • • • Showerheads 1 1 Bathtubs Movable Bathtubs Laundry machines 1 Fixed laundry tubs Movable laundry tubs First-aid Kits Fire Extinguishers (No. & type) 1 Cook Stoves Refrigerators Garbage containers 1 1 1 1 abc 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein [8J meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. D Typed Name and Title Employer';;; Signature ~\J/~ ~/vvvu./ 10. HOUSING INSPECTED BY: ,,, f Joyce Hahn L !!~;~:orized Off~ ~ Brenda Benner, President Typed Name and Title / ,. ,, ' .- 11. ~PPR9Vf,L: I / · / ' . , f 7 Joyce Hahn, Program Coordinator 11/20/16 Date 11/20/16 Housing appro,i,ed for occupancy by workers recruited interstate. Signat11re q(Authorized Offi9i,Ei)/ ' 1 ·~ _ Date /__,/41..( Z-7 l . t ·4 / , /-r ---- Typed Name and Title Joyce Hahn, Program Coordinator Date 11/20/16 f ( FORM ES-33B-R2 R-JUL Y 1969 Al t-orm Approvea Buoget Bureau No. 44-R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLIJYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Imtructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION I Same as Above 4. SLEEP ROOMS (No. & Measure) Brenda Benner Stables, Inc 6901 Oakland Gravel Rd Columbia, MO 65202 Apartment adjanct to·stables 1 a. Dormitory Type 2 3 4 b. Family Type 2 3 1 Length 11' Width 12' Ceiling Height 8' ES USE ONLY 4 5. CAPACITY 3 (Adults) 6. REGULATIONS COMPLIANCE ("xn proper box) Yes Electricity 1 No. of Rooms No. of Beds, Single No. of Beds or Bunks, Double • • • • • Water 242' Square Feet No Site Screening 1 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. orWashbasins Showerheads 1 1 Movable Bathtubs Bathtubs Laundry machines Fixed laundry tubs 1 1 Cook Stoves Refrigerators Garbage containers 1 1 First-aid Kits 1 Movable laundry tubs Fire Extinguishers (No. &type) 1 abc 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein 12] meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. D Typed Name and Title Employer's Signature --&il lr-.. Brenda Benner, President .I\,\ 10. HOUSING IN..§.PECTED BY: Signa~ 11. APPRCJVAL{ Typed Name and Title Joyce Hahn, Workforce Specialist IV . 1;/q/;/ ' Housing approved for occupancy by workers recruited interstate. Sign( / 4Authorized ~ / _ ({rt/'/./ - ( I I \;)./Cf I '-{ Joyce Hahn rized Offi~ ~ 3/ u.-- Date l - Typed Name and Title Joyce Hahn, Workforce Specialist IV I ~a;Jq/;J I I cncaia• cc ~Qa I D'l Fonn Approved Budcet Bureau No. 44-R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Briggs Traditional Turf Farm, Inc. 22414 S. Harper Peculiar, MO 64078 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION nd 160 W . 2 St. Peculiar, MO 64078 4. SLEEP ROOMS (No. & Measure) 1 Frame Barracks a. Donnitory Type 2 3 Length q11 ~q·1 Width (l,' \' \'?, I q 4 b. Family Type 2 3 1 ES USE ONLY 4 5. CAPACITY ' 14 \~, I Ceiling Height · i'"' ) 10. HOUSING INSPECTED BY: Signature of Authorized Official - ~ _ \' (, \..-l ~ r:\ 11. APPROVAL: 1 Typed Name and Title _ Debra Minish, Program Coordinator ~Nd..(} Date Q - Q..5- {"J- Housing approved for occupancy by workers recruited interstate . : :ized Or n ~ /i\-1 ~J h Typed Name and Title Debra Minish, Program Coordinator Date Jl -d.5- lSFORM ES-338-R2 R-JUL Y 1969 Al Form Approved BudJQet Bureau No. 44- R1358 1 EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Happy Apple 527 Commercial Drive Washington, MO 63090 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 305 North Three St. Marthasville, MO 63357 4. SLEEP ROOMS (No. & Measure) Split Level HOUSE#3 a. Dormitory Type 2 3 1 b. Family Type 2 3 4 1 Length 14 16 13 13'5 12'5 Width 10 13'5 12 10 13'5 ES USE ONLY 4 5. CAPACITY 20 (Adults) 6. REGULATIONS COMPLIANCE ("x" prooer box) Yes Ceiling Height Water Square Feet 140 208'5 156 130'5 156'10 No. of Rooms Electricity Site No. of Beds, Single No. of Beds or Bunks, Double Screening 2 2 2 2 2 Heating 7. FACILITIES (Numberofeach) Flush Toilets Privy Urinals Lav. or Washbasins 3 Movable Bathtubs Laundry machines 3 Fixed laundry tubs Movable laundry tubs First-aid Kits Fire Extinguishers (No. & type) 2 3 Cook Stoves Refrigerators 3 Garbage containers 2 3 2 • • • • • Showerheads 5 Bathtubs No 2ABC Dry 8. COMMENTS 2 Driers 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein [8J meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. D Employer's Signature Typed Name and Title Edward Reidy, President 10. HOUS~ CTED BY: 6/30/16 Joyce Hahn JI __/ Offi' -L Typed Name and Title Signar zized Official pt,,,/~ Date -:;1\/-- - - Joyce Hahn, FLC Coordinator Date 6/30/16 11. APP"6VA~ ~using aj5prove~for occupancy by workers recruited interstate. Signa& 1 rized /I t... ~J".J-,,,t__ - Typed Name and Title Joyce Hahn, FLC Coordinator Date 6/30/16 r FORM ES-338-R2 R-JULY 1969 Al Form Approved Budoet Bureau No. 44-R135B 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Happy Apple 527 Commercial Drive Washington, MO 63090 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 300 North Three St. Marthasville, MO 63357 Split Level HOUSE#2 a. Dormitory Type 4. SLEEP ROOMS (No. & Measure) 1 2 3 Length b. Family Type 4 1 2 3 4 14 16 13 13'5 12'5 10 Width 13'5 10 12 13'5 ES USE ONLY 5. CAPACITY (Adults) 20 6. REGULATIONS COMPLIANCE ("x nproper box) Yes Ceiling Height Water 140 Square Feet 208'5 130'5 156 156'10 No. of Rooms Electricity Site No. of Beds, Single No. of Beds or Bunks, Double Screening 2 2 2 2 2 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Bathtubs Movable Bathtubs 2 Laundry machines 3 Fixed laundry tubs Movable laundry tubs First-aid Kits Fire Extinguishers (No. & type) 2 Cook Stoves Refrigerators 2 Garbage containers 2 2 2 • • • • • Showerheads 5 2 No 2 ABC Dry 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the hOusing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Admin istration regional office to inspect the above housing at any reasonable time. D Typed Name and Title Employer's Sig~t re m-;vg_·/ 10. HOUS~ Edward Reidy, President .,, Date 6/30/16 SPECTED BY: _,Joyce Hahn / ~horized O~ / ·r~ /-v - Typed Name and Trtle - Joyce Hahn, FLC Coordinator Date 6/30/16 11 . ,YPRO~ L~ Hofising approv~ for occupancy by workers recruited interstate. j Si~ a~ :ized ~ (/ Typed Name and Title Joyce Hahn, FLC Coordinator Date 6/30/16 (.,, FORM ES-33B-R2 R-JULY 1969 Al Fann Approved Bud!let Bureau No. 44-R135B 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Happy Apple 527 Commercial Drive Washington, MO 63090 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Re-verse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 200 South Three St. Marthasville 4. SLEEP ROOMS (No. & Measure) Split Level House#1 a. Dom1itory Type 2 3 b. Family Type 2 3 4 1 Length 10 15 11 13 12 Width 13 13 11 13 14 1 ES USE ONLY 4 Ceiling Height 5. CAPACITY (Adults) 18 6. REGULATIONS COMPLIANCE ("x" proper box) Yes Water Square Feet 130 121 195 169 168 No. of Rooms No. of Beds, Single No. of Beds or Bunks, Double 1 1 2 1 1 2 2 Electricity Site rgi Screening rgi Heating rgi 7. FACILITIES (Numberofeach) Flush Toilets Privy Urinals Lav. or Washbasins No • • • • • Showerheads 2 2 Bathtubs Movable Bathtubs Laundry machines 2 Fixed laundry tubs Movable laundry tubs First-aid Kits Fire Extinguishers (No. & type) 1 washer Cook Stoves Refrigerators Garbage containers 4 2 2 3 3ABC Dry 8. COMMENTS 2 Driers 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein [8] meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. D Typed Name and Title E~ Edward Reidy 10. HOU~ S( ez PECTED BY: Joy~ horized Official / / / '_/l.r1,,4~ "" /V 11 . AP j 'R<))IAi / Housing appro~ I Sig~ .... /,,' / 6/30/16 ahn Typed Name and Title Joyce Hahn, FLC Coordinator Date 6/30/16 for occupancy by workers recruited interstate. horized ° ( . ~ / .., I Date v-- - Typed Name and Title Joyce Hahn, FLC Coordinator Date 6/30/16 FORM ES-338-R2 R-JULY 1969 Al Form Approved Budget Bureau No. std-R1358 (3.3. Department at Labor, Employment and Training Administration US. TRAINING AND SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES {See [extinctions an Reverie) I. NAME AND ADDRESS AIeweIt Concrete, Inc. 18358 County Hwy Alden, IA 50006 2. HOUSING LOCATION 605 E. Fields Blvd. El Dorado Springs, MO 64744 3. 16X80 Mobile Home 4. SLEEP ROOMS a. Dormitory Type I). Family Type (No. MeasureUSE ONLY Length 14'10 16'2 5? $2533REGULATIONS COMPLIANCE W.dth I I 3 113 113 (?x'pmper box) Yes No Ceiling Height 8 8 8 Water K4 [1 Square Feet 160 135 183 Electricity X4 No. of Rooms Site No. of Beds. . Single 1 $6!?an No. ot Beds or . Books. Double 2 2 1 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinais Lav. or Washbasins Showerheads 2 2 Bathtubs Mot-able Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs 2 Cook Stoves Refrigerators Garbage contalners Firstvald Kits Fire 1 1 1 1 (No. type) 2 Kiddie 8. COMMENTS Smoke/Carbon Monoxide Detectors New quality built construction 9. EMPLOYERS CERTIFICATION: I CERTIFY THAT I have reviewed the Nursing regulations of the U.S. Department of Labor, 0.8. Training and Employment Service. and that the housing described herein meets of?ce and/or Employment and Training Administration regional of?ce to inspect the above housing at any reasonable time. does not meet such standards. I hereby authonze representatives of the State Employment Service Employer?s Signature ff. Typed Name and Title Date f/lir/[z? {Zia}! ?415"? It? I 1 ?1 HOUSING INSPECTED BY: Jche Hahn Signatory thorized Of?cial Typed Name and Title Date Joyce Hahn. Program Coordinator L, 1 t. Housing crammed for occupancy by workers recruited interstate. Signature Authorized Oltici Typed Name and Title Date QM Joyce Hahn, Program Coordinator 3% I FORM 1969 AI Fonn Approved 1:ludoet Bureau No. 44-R135B 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 2949 State Hwy E Steele, MO 63877 4. SLEEP ROOMS (No. & Measure} House a. uprmilory Type 2 3 1 8'11 Length 21'3 4 Celllng Height Square Feet 90.02 281.16 143.88 No. of Rooms 1 No. of Beds, Single No. of Beds or Bunks, Double b. FamilvType 2 3 1 5. CAPACITY 3 (Adults) 6. REGULATIONS COMPLIANCE ("x" proper box} Yes 10'9 8 1 I 1 1 ES USE ONLY 4 13'2 11'10 13'2 8 8 Width Storey Farms HwyE. Steele, MO 63877 Water Electrtclty Site Screening Heating 1db 7. FACILITIES (Numberofeech) Privy Flush Toilets Urinals No • • • • • Lav. or Washbasins Showerheads 2 2 Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs 1 Refrigerators Cook Stoves Garbage containers First-aid Kits 1 1 1 Movable laundry tubs Fire Extinguishers (No. & type) 1 8. COMMENTS Dryer on site. 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulalions of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to lnapect the above housing at any reasonable time. Employer's Signature IT% NameandTrtle_ :~ 181 },/ V7J-J'J /& 7,, D 4~r~-- 10. HOUSING INSPECTED BY: JoyceHa~ s~ ; :u;s,zcial I · ;ra,n.e¼1 12- & I Joyce Hahn, Program Coordinator Typed Name and Tille 1¥.'~ROVAL: Housing approved for occupancy by workers recruited interstate. Signature of AUthorized Official Typed Name and Trtte ~£11'.L #'a.in, vl I Joyce Hahn, Program Coordinator Ae-- 'Dal~,~ ,,, IR IDate 2/8/18 I Date 2/8/18 fl FORM ES-338-R2 R-JULY 1969 Al Form Approved Bu·d1aet Bureau No 44-R 1356 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Terra Farms, Inc. 24820 S. Miller Road Harrisonville, MO 64701 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 12710 E. 249th Street Peculiar, MO 64078 LOWER LIVING QUARTERS 4. SLEEP ROOMS (No. & Measure) 1 Full Upper House with a Full Apartment in the rear, front entrance to upper, rear entrance to lower apartment a. Dormitory Type 2 3 b. Family Type 2 3 1 4 12 Length Width Square Feet 5. CAPACITY 12 12 (Adults) 7'3" 7'3" 7'4" 7 7 7 87.6 87.6 88.8 Ceillng Height ES USE ONLY 4 6 6. REGULATIONS COMPLIANCE Yes ("x" proper box) [g] [g] [g] [gl [g] Water Electricity No. of Rooms Site No. of Beds, Single No. of Beds or Bunks, Double 1-B 1B 1-B 0 0 0 Screening Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Movable Bathtubs Laundry machines Bathtubs Refrigerators Cook Stoves Garbage containers 1 1 1 D D D • 1 Fixed laundry tubs 1 0 • Lav. or Washbasins Showerheads 1 2 No First-aid Kits Movable laundry tubs Fire Extinguishers (No. & type) 1 1 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein 12:J meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or j,:m ployment and Training Administration regional office to inspect the above housing at any reasonable time. D Typed Name and Title o: r :~ tatyre Er ~/\..tlJ 10\~ 0 lJSING INSPECTED BY: Signa\u; e 6/ , .hori;.ed Offici~ rr~Ykl'~ oR14 ~ T~ Name and T~ k ·-· CA-, ~• -• ~ ~-,, 11 . APPJ3QVAL:f Housing approved for occupancy by workers recruited lntet\!Jte. / .,/r Si ? / 4f Authorized.4 .'/"-7_~ ,, I I / Ty~ ..L_ ,.. I Date wta.~l,(_c./,/ v' l """-- Date 7~3/ ,../~ ' Date ndTitl~ (._ a. _ l) f-3(-J't' """-I ~3 . .;~ FORM ES-338-R2 Form Approved Bud1oet Bureau N o. 44- R13 58 1. EMPLOYER'S NAME AND ADDRESS J U.S. Department of Labor, Employment and Training Administration Terra Farms, Inc. 24820 S. Miller Road Harrisonville, MO 64701 U.S. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse} 2. HOUSING LOCATION 3. HOUSING DESCRIPTION th 12710 E. 249 Street Peculiar, MO 64078 UPPER LIVING QUARTERS 4. SLEEP ROOMS (No. & Measure) 1 Full Upper House with a Full Apartment in the rear, front entrance to upper, rear entrance to lower appartment a. Dormitory Type 2 3 4 b. Family Type 2 3 1 Length 11 12 9'1" Width 12'6" 11'2" 9'4" 9 9 9 138.6 134.4 85.54 Ceiling Height Square Feet ES USE ONLY 4 No. of Rooms 5. CAPACITY (Adults) 6. REGULATIONS COMPLIANCE ("x" proper box) Yes I'~ -0-- Water Electricity Site No. of Beds, Single No. of Beds or Bunks, Double 0 2 1 0 Screening 0 Heating 7. FACILITIES (Number of each) Flush Toilets Urinals Privy Lav. or Washbasins _Bathtubs Movable Bathtubs Laundry machines 2 Fixed laundry tubs 1 2 Refrigerators Cook Stoves Garbage containers First-aid Kits 1 1 1 • • • • • Showerheads 2 2 No 1 Movable laundry tubs Fire Extinguishers (No. & type) 1 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards . I hereby authorize representatives of the State Employment Service office and/o; Employment and Training Administration regional office to inspect the above housing at any reasonable time. O E\ l\ eJ : 1:!v- 1(\_P(OUSING INSPECTED BY: Date I Signa .orized Officia'.../.-L /,("")/AG 1 1. APPROVAL: ,-rJ/ ~- l / Typ\d Name and Title Joyce Hahn, FLC Program Coordinator l-~J..12 Date / ~3/-13 iji6J.ising ap~roved for occupancy by workers recruited interstate. ,iZ / 2Author'rf.e~ L _ I ~\' \,.) Typed Name and Title Joyce Hahn, FLC Program Coordinator A , Date / -3/~/J FORM ES-338-R2 R-JULY 1969 Al RuddAi.ai:lruu Ho; 44-ftt358 1. EMPLOYeR'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAJNINO AND EMPLOYMBNT SBRVICB Terra Farms, Inc. 24820 S. Miler Road EMPLOYER FURNISHED HOUSING AND FACILITIES Harrisonville, MO 64701 ~e lns/n1t:llom on Rewrse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 111 Full Upper House with a Full Apartment In the rear, front entrance to upper, rear entrance to lower appartment 12710 E. 249 Street ~p~-. Peculiar. MO 64078 UPPER LIVING QUARTERS 4. {No. , • •) a. I.JonnllGCy Type 2 3 1 . b, Famnnypa 1 4 3 2 length 11 12 9'1" Width 12'6" 11'2" 9•4• 9 9 9 138.6 134.4 85.54 Calftng Height Square feet ES USE ONLY 6.CAPACITY 4 /Adult$) 8. REGUlATIONS COMPLJANCE (~x•.nmDBr bod Yes Sile Urlnala 2 0 2 1 Sc,eenlng 1 0 0 HeaUng Lav. or Washbasins Showerheads 2 2 Bathtubs Movable Balhtub.8 laundry madllnes 2 FbPwv.•d for oocupancy by workers recruited bltl!llla!iJ T~ I ., • I andTIUld-4h , · · Ji ..-t f/4/y _ . I I (J , '.. i l fl7 Data Yi ... ,- S~nr;;;;~~ ;,. ~ a.~· r u 3a.~J)[c:t'4... A ~fkr,ri/Jl,,;i ,/-/f~/7 Data .·. 'n ~CMM ,t;v 1~11: 11 • . f l'ORM ES-33B-R2 . RJULY1968 Al l Form Approved Buda,etB ureau No. 44-R1 358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Terra Farms, Inc. 24820 S. Miller Road Harrisonville, MO 64701 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION th 12710 E. 249 Street Peculiar, MO 64078 LOWER LIVING QUARTERS 4. SLEEP ROOMS (No. & Measure) Full Upper House with a Full Apartment in the rear, front entrance to upper, rear entrance to lower apartment a. Dormitory Type 2 3 1 4 1 b. Family Type 2 3 ES USE ONLY 4 5. CAPACITY 5 (Adults) 6. REGULATIONS COMPLIANCE ("x" proper box) Yes Length 12 12 12 1ls Width 7'3" 7'3" 7'4" 3' 7 7 7 7 Water 87.6 87.6 88.8 ;20 Electricity Ceiling Height Square Feet No. of Rooms [8J [8J [8J [8J [8J Site No. of Beds, Single No. of Beds or Bunks, Double 1-8 1 1-8 ) 0 0 0 p Screening Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals 2 Lav. or Washbasins Movable Bathtubs 0 Laundry machines 1 Movable laundry tubs Fixed laundry tubs 1 Cook Stoves Refrigerators 1 Garbage containers First-aid Kits 1 Fire Extinguishers (No. & type) 1 1 • • • • • Showerheads 1 Bathtubs No 1 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. 181 D Date Typed Name and Title E~ lr ,t •, : : ~ nte:S Vrc.J..k~ (~./re11,a /1\. ,:') -d- -;:Jo/( :-, 10~ 0USING INSPECTED BY: Signature of Authorized Official -\) 0'v--1 ,i'\ L.,_ \ .. 11 . APPROVAL: VLt/11l t. __1-J, /i, S)~~'o r-c<- m:. . s f-cde- fYJo/J,"for Date I) J 11 o u;J-e.. :;;_-,;;;_ -16 :sh. Housing approved for occupancy by workers recruited interstate. l!ignature of Authorized Officit D "\. . _, Typed Name and Title .. 0(\_,. ,..,i ,· ,"\ J.... Typed Name and Title ~ ec,--,.._ tt'l , 11: <.)A 1 S~te Mon, h:r 1~ cl Lhc...,-,,4-,,, Date Z-2-Jb. FORM ES-338-R2 R-JULY 1969 Al Form Approved Bud1get Bureau No. 44- R135B 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Terra Farms, Inc. 24820 S. Miller Road Harrisonville, MO 64701 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION th 12710 E. 249 Street Peculiar, MO 64078 UPPER LIVING QUARTERS 4. SLEEP ROOMS (No. & Measure) 1 Full Upper House with a Full Apartment in the rear, front entrance to upper, rear entrance to lower appartment a. Donnitory Type 2 3 b. Family Type 2 3 1 4 Length 11 Width 9'1" 5. CAPACITY 6. REGULATIONS COMPLIANCE 12'6" 11'2" 9'4" 9 9 9 138.6 134.4 85.54 Ceiling Height Square Feet 12 ES USE ONLY 4 (Adults) Electricity 0 2 1 Screening 1 0 0 Heating ,~ 7. FACILITIES (Numberofeach) Privy Urinals 2 Movable Bathtubs Laundry machines II ;)___ 1 Fixed laundry tubs tubs Garbage containers First-aid Kits 1 1 • • • • • Movable laundry 1 Refrigerators No Lav. or Washbasins Showerheads 2 Cook Stoves Yes Water Site No. of Beds, Single No. of Beds or Bunks, Double Bathtubs 1T ("x" proper box) No. of Rooms Flush Toilets ti Fire Extinguishers (No. & type) 1 1 8. COMMENTS 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employment and Training Administration regional office to insped the above housing at any reasonable time. Date Typed Name and Title Em7Jr 1 natu1 - O \, ,; ~ ni-e iJ:xd ~ -J -;J..6/b e. 1~ H-OUSING INSPECTED BY: Typed Name and Title ~ ~e; : :orizi n~ ~ ~~ 11 . APPROVAL: /'7};~} 1~.A ///lo/1, for l td1...,,t.Jc..a./-e Date ;;;, -~ -/6 Housing approved for occupancy by workers recruited interstate. Signature of A~thorized Offi~ial 1 . D,h,.,,.., "5t'C{_f Q_ D ~IM /2 ll2 //)UJ Typed Name and Title 1/ .D;?.J:r, Joyce Hahn Typed Name and Title Joyce Hahn, FLC Coordinator Date / ~;?3,-/S,- 'Housing approved for occupancy by workers recruited interstate. te of Author! /i11J. t ,_,.-r>~ ""----•--<"... Sigr7I1~o?J:a~ 11 . API~d,;AL: Typed Name and Title ,--? ~,.,... #'( Typed Name and Title OL ;{;_ J I Joyce Hahn, FLC Coordinator Date /~,,)3-1-< FORM ES-338-R2 R-JUL Y 1969 Al Form Approved BudQet Bureau No. 44-R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Tri-County Electrical Contractor, LLC 27469 Florida Rd. Center, MO 63436 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 3. HOUSING DESCRIPTION 2. HOUSING LOCATION House 207 Jefferson Street Perry, MO 63462 4. SLEEP ROOMS (No. & Measure) 1 a. Dormitory Type 2 3 b. t- amIy 1ype 2 1 4 3 ES USE ONLY 4 5. CAPACITY 8 (Adults) 6. REGULATIONS COMPLIANCE ("x" proper box) Yes Length 11'4 12'11 15'5 Width 13'4 12'8 11'10 8 8 8 152.76 155 172.05 1 1 1 Site 2 3 3 Screening lSI Heating [SI Ceiling Height Square Feet No. of Rooms No. of Beds, Single No. of Beds or Bunks, Double rZl Water [SI [SI Electricity 7. FACILITIES (Numberofeach) Flush Toilets Privy Urinals Lav. orWashbasins No • • • • • Showerheads 2 2 Bathtubs Movable Bathtubs 1 Fixed laundry tubs Movable laundry tubs First-aid Kits Fire Extinguishers (No. & type) 1 2 Cook Stoves Laundry machines Refrigerators Garbage contj!iners 1 1 1 ' 1 ' ' 8. COMMENTS 1 dryer on-site escape ladder on 2 nd floor \ •. \ . 9. EMPLOYER'S CERTIFICATION: I I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service gf:llce.a_Qdlor Employment and Training Administration regional office to inspect the above housing at any reasonable time. D ('t~ ~ J ; zkM , ,o. HOUSING INSPECTED BY: Signature of Authorized Official ,,,_ ' _J ~ , d Name and TIile ~-.tl~-)~Q,fttPS \ . Joyce Hahn /re rJ rhA+ Typed Name and Title Joyce Hahn, Program Coordinator 11 U PPROVAL: D;kaf r ,,, Date 3/20/18 Housing approved for occupancy by workers recruited interstate. Signature of Authorized Official O,ctt~#~ Typed Name and Title Joyce Hahn, Program Coordinator Date 3/20/1~ ~{/ FORM ES-338-R2 R-JUL Y 1969 Al Form Approved Budciet Bureau No. 44-R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 3. HOUSING DESCRIPTION 2. HOUSING LOCATION 919 Churchill Rd. Fulton, MO 65251 4. SLEEP ROOMS (No. & Measure) Length Width Ceiling Height Square Feet Tri-County Electrical Contractor, LLC 27469 Florida Rd Center, MO 63436 1 Apartment a. Dormitory Type 2 3 4 }/' q 1:2· I // ', ,,Ill 'x I I ' I I q,7 /41c:; t1 'x - l~d b. Family Type 2 3 1 ES USE ONLY 4 5. CAPACITY (\ (Adults) 6. REGULATIONS COMPLIANCE ("x" proper box) Yes Water - 11, I lot) ;J;,., 3 0 EI ectri city Site No. of Rooms No. of Beds, Single No. of Beds or Bunks, Double '~ ;:;-. I Screening 0 Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals Lav. or Washbasins Showerheads Bathtubs Movable Bathtubs Laundry machines Fixed laundry tubs Movable laundry tubs First-aid Kits Fire Extinguishers (No. &lpe) I I Cook Stoves Garbage containers Refrigerators I I I 8. COMMENTS No • • • • • o< 9. EMPLOYER'S CERTIFICATION : I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service ....- office ffild/o~ loyment and Training Administration regional office to inspect the above housing at any reasonable time. C8J C E: ; t :gn~ O ~ :a; an~ _;((U,~ I ko-:""HOUSING INSPECTED BY: Sig~ ; :;v:zcial 11 . ¼PPROVAL: Si~ Typed Name and Title Joyce Hahn, Program Coordinator I Date 9/11/18 Housing approved for occupancy by workers recruited interstate. e of Authorized Official ~;p/4 qt1/tl1~ IIah,,, Typed Name and Title Joyce Hahn, Program Coordinator Date 9/11/18 {/ V FORM ES-338-R2 R-JUL Y 1969 Al Form Approved Budaet Bureau No. 44-R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE Tri-County Electrical Contractors, LLC 27469 Florida Road Center, MO 63436 EMPLOYER FURNISHED HOUSING AND FACILITIES (See Instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 1079 N. tt1 Street Canton, MO 63435 4. SLEEP ROOMS (No. & Measure) Manufactured Mobile Home a. Dormitory Type 2 3 1 b. Family Type 4 1 !I '{/ Length Jo I /!) i Width Ceiling Height 3 2 ~ I I,~{ ,t'/1 t ES USE ONLY 4 t.f 5. CAPACITY (Adufts) 6. REGULATIONS COMPLIANCE ("x" proper box) YW ~ Ci\ fq . Eledricity No. of Rooms :J ;:)._ Screening , 7. FACILITIES (NumbBr of each) l Bathtubs /D,, D ,EJ~ Site No. of Beds, Single No. of Beds or Bunks, Double Flush Toilets -0 Water / /1.11lo1r~ ~Cf~i )\ Square Feet Privy Urinals Lav. or Washbasins Showerheads Movable Bathtubs Laundry machines Fixed laundry tubs I No • ;Q • I Heating , JZl • Movable laundry tubs ' Cook Stoves Refrigerators Garbage containers First-aid Kits I I 8. COMMENTS 1('cfi4ri «'H ( I Fire Extinguishers (No'( type) Wt<\L.\,1 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that ~ ing described herein [8J meets does not meet such standards. I hereby authorize representatives of the State Employment Service 1 d/or Employment and Training Administration regional office to inspect the above housing at any reasonable time. O I l E ::r~ ~hu10 \ ko:-1'.iou~ INSPECTED BY: _1Joyce Hahn Sigr _ : z :thorized /rZ7 11. APF/n.OVW 3igna~ I r,,,/ fo/ thorized Ox t I •u : : r : : d-TiU~ ~.f f e ~ ~ I Typed Name and Title Joyce Hahn, Program Coordinator - Housi~g appro~ ., Da:i : f- S 'l7 I /; I 17 Date S-·/ 7-/ 7 for occupancy by workers recruited interstate. Typed Name and Title -~ Joyce Hahn, Program Coordinator Date ~-)7- 17 FORM ES-338-R2 R-JUL Y 1969 Al Form App roved Budget Bureau No 44-R1358 1. EMPLOYER'S NAME AND ADDRESS U.S. Department of Labor, Employment and Training Administration U.S. TRAINING AND EMPLOYMENT SERVICE EMPLOYER FURNISHED HOUSING AND FACILITIES (See instructions on Reverse) 2. HOUSING LOCATION 3. HOUSING DESCRIPTION 48532 Hwy 10 Hardin, MO 64035 Farm House a. Dormitory Type 4. SLEEP ROOMS (No. & Measure) 1 2 3 4 Length 15'4" 15'4" 15'4" 15'4" Width 13'6" 12'5" 13'5" 13'6" 9 9 9 9 Square Feet 207 190 206 207 No. of Rooms 1 1 1 1 Ceiling Height No. of Beds, Single No. of Beds or Bunks, Double Wright Liberty Farms, LLC 42922 Old Hwy 10 Richmond, MO 64085 i I I b. Family Type 2 3 1 ES USE ONLY 4 5. CAPACITY (Adults) 6. REGULATIONS COMPLIANCE Yes ("x" proper box) 4 cg] cg] cg] cg] cg] Water Electricity Site Screening I Heating 7. FACILITIES (Number of each) Flush Toilets Privy Urinals 1 Lav. or Washbasins 1 Bathtubs Movable Bathtubs Laundry machines 1 Refrigerators Garbage containers 1 1 d._ • • • • • Showerheads 1 Fixed laundry tubs Movable laundry tubs First-aid Kits Fire Extinguishers (No. & type) 1 Cook Stoves No a 8. COMMENTS ETA Regs used for the inspection Propane gas for heating 9. EMPLOYER'S CERTIFICATION: I CERTIFY THAT I have reviewed the housing regulations of the U.S. Department of Labor, U.S. Training and Employment Service, and that the housing described herein meets does not meet such standards. I hereby authorize representatives of the State Employment Service office and/or Employm__ent