Olympic Staffing



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In California, an employer may not employ an employee for a work period of more than five hours per day without providing the employee with a meal period of not less than thirty minutes, except that if the total work period per day of the employee is no more than six hours, the meal period may be waived by mutual consent of both the employer and employee. A second meal period of not less than thirty minutes is required if an employee works more than ten hours per day, except that if the total hours worked is no more than 12 hours, the second meal period may be waived by mutual consent of the employer and employee only if the first meal period was not waived. Labor Code Section 512.

I have read the California Labor Code above and Olympic Staffing Service has also informed me of the requirement to take a meal break. I have opted not to take a meal period break and have not been coerced by either Olympic Staffing Services or the client where I have been assigned. Should I wish to take a lunch break at any time while on assignment, I understand that I am entitled to so.

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Employee Signature Date

|Arcadia Office |Covina Office |

|Phone (626) 447-3558 |Phone (626) 967-5255 |

|Fax (626) 447-2916 |Fax (626) 332-6811 |

|Email: arcadia@ |Email: covina@ |

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