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KLEINFELDER INC.
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Last modified
7/16/2021 11:53:59 AM
Creation date
7/16/2021 11:49:26 AM
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Contracts
Company Name
KLEINFELDER INC.
Contract #
A-2021-121-02
Agency
Public Works
Council Approval Date
7/6/2021
Expiration Date
7/5/2024
Insurance Exp Date
1/1/1900
Destruction Year
2029
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;IAD TL-0113: CALTRANS ACCREDITATION LABORATORY INSPECTION REPORT <br />STATE OF CALIFORNIA <br />DEPARTMENT OF <br />TRANSPORTATION <br />CALTRANS ACCREDITATION LABORATORY INSPECTION REPORT <br />Expiration Date:2020-11-21 <br />Inspected By: Ashley Shaw <br />IA No.: 68 <br />Phone: 949-279-8731 <br />RSP #: 206 <br />File: Material Category 500 <br />Laboratory: Kleinfelder, Inc. <br />Address: 20411 South Susana Road Unit E Long <br />Beach CA, 90810 <br />Lab QC Mgr.: Mike Dorsch <br />E-mail: mdorsch@kleinfelder.com <br />Telephone: 909-657-1716 <br />Fax #.: 662-432-1796 <br />A certified Independent Assurance (IA) visited this <br />laboratory on 2019-11-21 <br />Only the equipment to be used on Caltrans Construction <br />projects and/or local construction projects on the <br />National Highway System was checked for qualification. <br />At the time of Caltrans Accreditation, this laboratory had <br />all necessary equipment to perform the test methods <br />indicated below. <br />Testing personnel shall be Caltrans Qualified and <br />possess a current Caltrans Certification Form TL-0111 <br />or AASHTO Proficiency Form TL-0115 prior to <br />performing any sampling or testing. <br />CT 105 <br />CT 106 <br />CT 125 ADMIX <br />CT 125 AGG <br />CT 125 BIT <br />CT 125 GEN <br />CT 125 HMA <br />CT 125 PCC <br />CT 201 <br />CT 202 <br />CT 205 <br />CT 206 <br />CT 216 <br />CT 217 <br />CT 226 <br />CT 227 <br />CT 229 <br />CT 231 <br />CT 301 <br />CT 304 <br />CT 308 <br />CT 309 <br />CT 366 <br />CT 370 <br />CT 375 <br />CT 382 <br />CT 504 <br />CT 518 <br />CT 521 <br />CT 523 <br />CT 524 <br />CT 533 <br />CT 539 <br />CT 540 <br />CT 552 <br />CT 556 <br />CT 557 <br />A visual check was performed and documents provided as necessary for the following items: <br />✓ Facility Safety Manual <br />✓ Laboratory Procedures Manual <br />✓ Laboratory Quality Control Manual <br />✓ Proper test equipment <br />✓_Copies of current applicable test procedures <br />✓_Calibration and service documentation <br />✓_Calibration stickers allied to test equipment <br />(dated within the 12 months) <br />On 2019-11-21 , this laboratory was Caltrans Qualified by: Q 1 <br />Ashley R. Shaw Rr jf�' { L , J ' <br />(Printed name of IA person) (Signature o AA person) <br />Please verify lab accreditation by visiting SIAD website: https://sia.dot.ca.gov/ <br />Page 1/1 <br />
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