Report of
Employee Interviews
County
Section
Route
District
Contract No.
Job No.
Project
A representative number of employees, employed on this project, were interviewed by me. The duties of these employees as well as the tools or equipment used by each were in conformance with their work classification. The overtime hourly wage rate paid each employee was at least 1 1/2 times his/her required minimum wage rate, and each employee indicated that there are no unusual or unauthorized deductions or “kick-backs” from wages due. (List any exceptions to the above statements at the bottom of this page.)
The following employees were interviewed:
Full Name / Work
Classification / Actual
Wage Rate / Required
Minimum
Wage Rate / Employer
Exceptions to Paragraph 1 and remarks:
Signature of Interviewer / Date

Printed 5/13/2006 BC 163 (Rev. 7/97)