Project 213255|DEA:081E5814|EFIS:0816000072|COOP:N/A|Minor:N/A|Permit Number:N/A|Sample Source Name:West Coast Aggregate Test Facility CT HQ - Sacramento Office of Structural Materials Field Laboratory ZZCT DIME Development Laboratory A - Bellflower ZZCT DIME Development Laboratory B - Bellflower Teichert Materials - Sacramento CE Labs - Oakland SCST, LLC. Capitol Engineering Labs - Roseville Sierra Testing Laboratories, Inc. - El Dorado Hills Wallace-Kuhl & Associates - West Sacramento Neil O. Anderson & Associates - Sacramento Ninyo & Moore - Irvine Holdrege & Kull - Nevada City Premier Testing & Inspection - Indio CT D01 - Field Laboratory CT D02 - North Region Materials Lab CT D03 - Field Laboratory CT D05 and 06 - Field Laboratory CT - Southern Regional Laboratory CT D09 and 10 - Field Laboratory CT D11 - Field Laboratory CT HQ - Sacramento Concrete Testing Laboratory Caltrans Vallejo Field Laboratory CT D11 - San Diego Structures Construction Field Laboratory Office 1 San Diego Materials Testing Company Granite Construction - Vista ZZCT - Sacramento DIME Development-AVS Testing Internal ZZEX DIME Development - AVS Testing External Vulcan Materials Company - San Diego Twining Inc. - San Bernardino CT D12 - Huntington Beach Field Laboratory CT D04 - San Jose Field Laboratory CT D04 - Richmond Field Laboratory CT D04 - Hayward Field Laboratory CT D04 - Livermore Field Laboratory CT D08 - Barstow Structures Construction Field Laboratory Office 1 Leighton Consulting, Inc - San Diego American Paving Co. - Fresno Trinity Engineering Laboratories, Inc. - Fresno Builders Concrete, Inc - Fresno RMA Group - Rancho Cucamonga Con-Fab California Corporation - Lathrop Viking Construction Company, Inc. - Rancho Cordova CT D03 - Sacramento Structures Construction Sanders Construction Field Laboratory Office CT D07 - Santa Fe Springs Structures Construction Field Laboratory Office 1 Security Paving Company, INC. - Sylmar CT YBITS2 - Oakland Field Laboratory CT HQ - Sacramento Structural Materials Testing Laboratory CT SC Sub-unit 3669-103 CT SC Sub-unit 3665-104 CT SC Sub-unit 3672-109 CT SC Sub-unit 3664-000 CT SC Sub-unit 3669-102 CT SC Sub-unit 3672-100 CT SC Sub-unit 3672-101 CT SC Sub-unit 3668-100 CT SC Sub-unit 3672-104 CT SC Sub-unit 3669-101 CT SC Sub-unit 3669-106 CT SC Sub-unit 3670-107 CT SC Sub-unit 3668-103 CT SC Sub-unit 3671-106 CT SC Sub-unit 3674-102 CT SC Sub-unit 3669-104 CT SC Sub-unit 3670-100 CT SC Sub-unit 3666-100 CT SC Sub-unit 3670-103 CT SC Sub-unit 3668-102 CT SC Sub-unit 3674-101 CT SC Sub-unit 3670-104 CT SC Sub-unit 3674-106 CT SC Sub-unit 3676-000 CT SC Sub-unit 3672-107 CT SC Sub-unit 3674-104 CT SC Sub-unit 3676-103 CT SC Sub-unit 3676-104 CT SC Sub-unit 3671-104 CT SC Sub-unit 3675-106 CT SC Sub-unit 3668-104 CT SC Sub-unit 3671-101 CT SC Sub-unit 3675-103 CT SC Sub-unit 3667-102 CT SC Sub-unit 3667-109 CT SC Sub-unit 3665-102 CT SC Sub-unit 3671-103 CT SC Sub-unit 3675-107 CT SC Sub-unit 3676-100 CT SC Sub-unit 3677-200 CT SC Sub-unit 3667-105 CT SC Sub-unit 3667-108 CT SC Sub-unit 3676-108 CT SC Sub-unit 3665-100 CT SC Sub-unit 3670-106 CT SC Sub-unit 3676-106 CT SC Sub-unit 3674-105 CT SC Sub-unit 3665-103 CT SC Sub-unit 3668-105 CT SC Sub-unit 4109-100 CT SC Sub-unit 3666-102 CT SC Sub-unit 3667-100 CT SC Sub-unit 3674-100 CT SC Sub-unit 3671-105 CT SC Sub-unit 3672-108 CT SC Sub-unit 3669-100 CT SC Sub-unit 3675-100 CT SC Sub-unit 3670-101 CT SC Sub-unit 3672-105 CT SC Sub-unit 3675-102 CT SC Sub-unit 3665-101 CT SC Sub-unit 3666-103 CT SC Sub-unit 3674-103 CT SC Sub-unit 3675-104 CT SC Sub-unit 3671-102 CT SC Sub-unit 3665-105 CT SC Sub-unit 3671-100 CT SC Sub-unit 3676-102 CT SC Sub-unit 3672-102 CT SC Sub-unit 3672-106 CT SC Sub-unit 3674-107 CT SC Sub-unit 3667-101 CT SC Sub-unit 3676-109 CT SC Sub-unit 3675-105 CT SC Sub-unit 3676-105 G3 Quality, Inc. - Cerritos Syar Industries, Inc. CT D08 - Barstow Field Testing Laboratory CT METS QASI - Los Angeles Design Build Field Laboratory RMA Group - Rancho Cordova CT D07 - Field Laboratory CT D08 - Field Laboratory CT D12 - Field Laboratory CT D05 - Field Laboratory CT D06 - Field Laboratory CT D09 - Field Laboratory CT D10 - Field Laboratory CT - Unassigned/General Field Laboratory Summit Associates YBITS II - 171 Burma Road Field Laboratory CT HQ - Sacramento Aggregate Testing Laboratory CT HQ - Sacramento Cement Testing Laboratory CT QASI - Sacramento Field Laboratory CT QASI - Bay Area Field Laboratory CT QASI - Los Angeles Field Laboratory CT QAM - Sacramento Field Laboratory CT HQ - Sacramento Electrical Laboratory CT HQ - Sacramento Chemistry Laboratory CT HQ - Roadway Material Testing Laboratory Precon Products Twining Inc. - Sacramento Kwik Bond Polymers Oldcastle Precast Inc. Pleasanton Plant Oldcastle Precast Inc. Stockton Plant Forterra Thompson Pipe Group - Los Angeles CT HQ - Sacramento Skid Testing Laboratory CMC Rebar Brighton Structural and Steel Products, Inc. Universal Industrial Sales, Inc. CT HQ - Sacramento Asphalt Binder Laboratory Con-Fab California, LLC CT - Office of Pavement Management & Performance Field Laboratory CT DRISI - Field Laboratory LASTRADA Partners Vulcan Materials Company - Pleasanton Granite Construction - Fresno CT HQ - Hot Mix Asphalt Laboratory Sousa Ready Mix, LLC Granite Construction - Sacramento Vulcan Materials Company - Irwindale Cemex - Central & Southern California Sierra Pacific Materials Jaxon Enterprises - Le Grand Asphalt Jaxon Enterprises - Deer Creek Rock & Asphalt Jaxon Enterprises - Delano Rock & Asphalt CT D08 - Fontana Field Testing Laboratory CT D08 - Hesperia Field Testing Laboratory Truesdell Corporation of California Materials Testing, Inc. Thinh Org Gallagher and Burk Materials DeSilva Gates Aggregates-Sunol HMA Sully-Miller Contracting Co. Graniterock J.F. Shea Construction Inc CGI Technical Services, Inc. Powell Constructors CT D08 - Riverside Field Laboratory CT D08 - San Bernardino 790 Colton-Electrical II Field Laboratory CT D08 - Hesperia Field Laboratory 2 CT D08 - Palm Desert Field Laboratory CT D08 - Hesperia Field Laboratory 1 CT D08 - 850 Via Lata 100-A Field Laboratory CT D08 - 790 Riverside Colton-Electrical Field Laboratory CT D08 - Corona-Maple Field Laboratory CT D08 - 790 Colton-Landscape Field Laboratory CT D08 - 850 Colton #104 Field Laboratory CT D08 - Materials Engineering Field Laboratory CT D08 - Rancho Cucamonga Field Laboratory CT D08 - Corona-Stellar Field Laboratory Integrity Rebar Placers SEMA Construction, Inc. Tullis, Inc. Western Aggregates LLC. Granite Construction - Tracy Wylatti Resource Management Granite Construction - Santa Paula Granite Construction - Buellton Santa Clara County Roads & Airport Department Holliday Rock Co., Inc. Granite Construction - Watsonville Plummerbuilt Inc Pacific Earthscape Flatiron MNS Engineers LAC Metro Spectrum Construction Group, Inc. CT D06 - Construction DNA Industrial Hygine Security Paving Steel Girder LLC Stinger Bridge and Iron California State Polytechnic University Kiewit Infrastructure West Co. Golden State Bridge, Inc Valentine Corporation Hat Creek Construction Inc Universal Industrial Sales Kleinfelder Inc. Knife River Blue Mountain Minerals George Reed CalPortland MDS Engineering & Construction, Inc. Mercer Fraser Company C.A. Rasmussen, Inc. CA Rasmussen, Inc. Mercer-Fraser Company Lehigh Hanson RJ NOBLE COMPANY Central Concrete Supply CT D04 - Concord Field Laboratory CT D04 - Petaluma Field Laboratory CT D04 - San Mateo Field Laboratory CT D04 - Pleasanton Field Laboratory California Commercial Asphalt Pro-Cast Products Inc. Martin Marietta Inc. Salt River Materials Group CEMEX - Rockfield Walsh Construction Company CT D05 - Carpinteria Field Laboratory CT D05 - Santa Barbara Field Laboratory CT D05 - Buellton Field Laboratory CT D05 - Santa Maria Field Laboratory CT D05 - Paso Robles Field Laboratory CT D05 - Whitley Gardens Field Laboratory CT D05 - King City Field Laboratory CT D05 - Prunedale Field Laboratory CT D05 - Santa Cruz Field Laboratory Ortiz Enterprises Inc Cemex Pro-Cast Products Inc. Pleasant Grove ZT Consulting Group Inc Civil Substations Inc CMC Rebar University of Calif Pavement Research Center Cemex Aggregates Pacific Rim Materials Twining, Inc. Knife River Construction Endura Steel Moore Twining Associates, Inc. CT D01 - Crescent City Field Laboratory CT D04 - DME / District Lab BSK Associates Stonemont Solutions, Inc. Bethlehem Construction Inc. UC Pavement Research Center - Davis Jensen Precast Spectrum Construction Group Inc Pacific Steel Group Eagle Peak Rock & Paving, Inc. Sequoia Consultant Sequoia Consultants Kie-Con, Inc. Blue Circle Corp. GCP Applied Technologies Flatiron Construction Brosamer & Wall Aggregate Products Inc CT HQ - IA South CEMEX RM Sacramento Wood Kiewit Infrastructure West Co. 104575 Robertson's CT HQ - Sacramento Corrosion Laboratory Grimes Rock Kleinfelder All American Asphalt OHL USA Fletcher Coating Surecast West Porterville Asphalt, Inc. Seventeen Twenty Oil Company M.F. Maher, Inc. Whitaker Construction Group, Inc. Veleroo - Coolidge Veleroo - NuStar PAT Veleroo Marketing and Supply Harper Precast Ergon Asphalt & Emulsions CTU Precast Freyssinet, Inc Pyramid Construction and Aggregates Ames Construction Old Castle Coreslab Granite Construction - Coastal Disney Construction Precon-Products National Ready Mixed Concrete Company CT Fairfield Construction Office 59-545 Sample Taken Date From: To:

Sample Type Quality Control Annual Source Testing Acceptance Per Request Verification Informational Preliminary Dispute Resolution Quality Assurance Authorization Independent Assurance Stock Recertification Retest Proficiency Control Sample Aggregate Prequalification Program Material Type Concrete Aggregate Soil Job Mix Formula Partial SMTL TM1 - Elastomeric Bearing Pad SMTL TM4 - Prestressing Strand SMTL TM6 - Ductile Iron Cast Samples SMTL TM10 - Wire Rope Choker SMTL TM8 - Welded Wire Mesh SMTL TM6 - Steel Check Sample Plate SMTL TM2 - Type B Elastomeric Joint Seal Polyester Cementitious SMTL TM5 - Welded Hoops SMTL TM5 - Headed Bars SMTL TM5 - Couplers Methacrylate SMTL TM5 - Threaded Bar SMTL TM7 - Epoxy Coated Rebar SMTL TM3 - Nut SMTL TM3 - Washer SMTL TM7 - Epoxy Coated Dowels SMTL TM3 - Fastener Assembly Concrete Core Antistrip Additive Reclaimed Asphalt Pavement Asphalt Binder Hot Mix Asphalt Thermoplastic Asphalt Modifier Crumb Rubber Modifier Asphalt Rubber Binder Warm Mix Asphalt Technology Paint Cable Yield Indicator Asphaltic Emulsion Skid Test Rapid Set High Friction Surface Treatment Sample Received Date From: To:

Test Method Name Material Identification Sample Laboratory Identification Test Date From: To: