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iAD TL-0113: CALTRANS ACCREDI7A710N LABORATORY INSPECTION REPORT <br />s A' <br />DEPARTMENT OF <br />CALTRANS ACCREDITATION LABORATORY INSPECTION REPORT <br />Expiration Date: 2020-11-21 <br />Inspected By: Ashley Shaw <br />IA No.: 68 <br />Phone: 949-27940731 <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 #.: 562-432-1796 <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 anti/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 lest 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 />C7 125 GEN <br />CT 125 HMA <br />CT 125 FCC <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 />Cf 504 <br />CT 518 <br />CT 521 <br />CT 523 <br />07624 <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 ✓ Copies of current applicable test procedures <br />...................... <br />✓ Laboratory Procedures Manual ✓ Calibration and service documentation <br />✓ Laboratory Quality Control Manual ✓ Calibration sticker allied to test equipment <br />✓ Proper test equipment (dated within the 12 months) <br />On 2019-11-21 , this laboratory was Caltrans Qualified by <br />Ashley R. Shaw <br />(Printed name of IA person) <br />(Signature o A person) <br />Please verify lab accreditation by visiting SIAD website: https:llsia.dot.ca.gov/ <br />Page 1/1 <br />S ubsp; <br />C;ily Council <br />&nbsp;21 lndash;&nbsp;I93 <br />7/b/2021 <br />@nhsP, <br />