State of California Business, Transportation and Housing Agency

							State of California                                                             Business, Transportation and Housing Agency



Memorandum
To:        Mr. STEVE ALTMAN, Chief                                          Date:
           Structural Materials Branch MS - 5
                                                                            File: (Job Stamp)
           5900 Folsom Blvd
           Sacramento, CA 95819

From: CALIFORNIA DEPARTMENT OF TRANSPORTATION
      ENGINEERING SERVICES
      OFFICE OF STRUCTURE CONSTRUCTION

Subject:                JOB ASSIGNMENT INFORMATION

             The Structure Representative on this contract is:


             Project Mailing Address:




             Location of Field Office:




             Field Office Phone:                                Field Office Fax:

             e-mail address:

             Job Resident Engineer:


                                          by Structure Representative

             c:       California Department of Transportation
                      OSM-QASI Branch
                      100 South Main Street, 11th Floor, MS-19
                      Los Angeles, CA 90012-3712

                      California Department of Transportation
                      OSM-QASI Branch
                      690 Walnut Avenue, Suite 150
                      Vallejo, CA 94592-1133




Form DS-OS C1 (Revised 07/01/08)