Laserfiche WebLink
O_, OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT <br />FACILITIES DEVELOPMENT DIVISION <br />7 <br />TEST TECHNICIANS <br />Provide Following Information for Each Test Technician Employed by the Agency (Attach <br />additional sheets if needed) <br />*To update expiration date a renewal application for OPAA and proof of renewal for certification/license shall be required <br />Test Technician's <br />Certification/ <br />Certification/ <br />Certification/ <br />Name <br />License Type <br />Licensing Agency <br />License Number <br />Expiration Date* <br />Comments <br />NICET LEVEL III <br />NICET <br />129413 <br />06-01-19 <br />Soils <br />NICET Level III <br />NICET <br />129413 <br />06-01-19 <br />Asphalt <br />NICET Level III <br />NICET <br />129413 <br />06-01-19 <br />Michael Magana <br />Concrete <br />CI Aggregate <br />ACI <br />01112801 <br />12-20-21 <br />Updated since DSA App <br />CI Field Testing <br />CI <br />01112801 <br />03-17-17 <br />ech <br />CI Strength <br />CI <br />01112801 <br />08-13-19 <br />Testing Tech <br />Caltrans - Soils <br />Caltrans <br />Na <br />1-31-19 <br />Updated since DSA App <br />Updated Since DSA <br />Michael Magana <br />Caltrans - Concrete <br />Caltrans <br />Na <br />12-2-18 <br />PP <br />Caltrans - Asphalt <br />Caltrans <br />Na <br />9-17-17 <br />Mario Sanchez <br />CI Strength <br />CI <br />0138403 <br />11/10/21 <br />esting Tech <br />CI Field Testing <br />CI <br />na <br />5-12-17 <br />Eric Finley <br />Tech <br />HMA / SOILS / PCC <br />Caltrans <br />Na <br />12-31-17 <br />CI Field Testing <br />CI <br />Na <br />12-14-18 <br />Tech <br />Edmond Jabbour <br />ACI Strength Test <br />CI <br />Na <br />11-14-18 <br />Tech <br />HMA / SOILS / PCC <br />Caltrans <br />Na <br />1-31-19 <br />Curtis Bullis <br />ecField Testing <br />CI <br />Na <br />3-17-17 <br />CI Field Testing <br />CI <br />Na <br />1-17-20 <br />Dominic Montemayor <br />Tech <br />Soils / PCC <br />Caltrans <br />Na <br />5-9-17 <br />CI Field Testing <br />CI <br />00988756 <br />3-16-18 <br />Thomas Rebosky <br />Tech <br />ICC Soils <br />ICC <br />8083156 <br />10-18-19 <br />Soils, Concrete <br />NICET <br />130583 <br />10-1-2019 <br />Asphalt <br />Jeffrey Diaz <br />Soils, Concrete, <br />Caltrans <br />na <br />Various <br />Asphalt <br />Reinforced Conc, Mas, <br />ICC <br />5320836 <br />2-07-2018 <br />Fireproofing, Soils, <br />CI (Multi) <br />CI <br />01074782 <br />Various <br />Test Technicians with expired license shall not be permitted to perform Tests. <br />"Access to Safe, Qualitv Healthcare Environments that Meet California's Diverse and Dvnamic Needs" <br />OSHPD <br />STATE OF CALIFORNIA — HEALTH AND HUMAN SERVICES AGENCY <br />OSH-FD-OPAA-100 (6/24/2016) <br />3/28/2017 <br />OPAA-0010-16 <br />Page 10 of 19 <br />