| LCA CASE NUMBER | I-200-16340-766176 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 12/5/2016 |
| DECISION DATE | 12/9/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/15/2016 |
| EMPLOYMENT END DATE | 12/14/2019 |
| LCA CASE EMPLOYER NAME | SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT |
| EMPLOYER ADDRESS | 733 CEDAR STREET |
| EMPLOYER CITY | GARBERVILLE |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95542 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7079233921 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | WALD, GREGORY |
| AGENT ATTORNEY CITY | SAN FRANCISCO |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | CLINICAL LABORATORY MANAGER |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 46.30 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 48.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | GARBERVILLE |
| WORKSITE COUNTY | HUMBOLDT |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95542 |
