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I/! OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT <br />�`T m FACILITIES DEVELOPMENT DIVISION <br />INSPECTIONS FOR WHICH AGENCY IS APPROVED <br />APPLICABLE SPECIAL <br />By checking 'yes" in Tables 7 through 12 below, the applicant verifies that the agency has the equipment and qualified <br />personnel to perform the indicated special inspections. ONLY mark tests that are listed in accreditation certificate or <br />DSA-LEA. <br />g <br />SOILS AND FOUNDATIONS <br />Special Inspections <br />Yes <br />CodelStandard Field and Types of Inspection Yes Code/Standard Field and Types of Inspection <br />® <br />a. <br />CBC 1705/1705A <br />Cast -in -place Deep Foundations <br />N <br />b. <br />CBC 1705/1705A <br />Driven Deep Foundations <br />® <br />c. <br />e. <br />CBC 170511705A <br />CBC 1813A <br />Soils Excavations and Fills <br />Ground Improvement <br />® <br />❑ <br />d. <br />T. <br />CBC 1812A <br />Shoring <br />® <br />❑ <br />9• <br />❑ <br />h. <br />Special Inspections that are in the agency's scope but are not listed above should be provided in the space(s) below. <br />Yes Code/Standard Field and Types of Inspection Yes CodelStandard Field and Types of Inspection <br />❑ <br />a <br />❑ <br />b. <br />❑ <br />C <br />❑ <br />d. <br />❑ <br />e <br />❑ <br />f. <br />9 <br />CONCRETE <br />Special Inspections <br />Yes <br />CodelStandard Field and Types of Inspection <br />Yes <br />CodelStandard <br />Field and Types of Inspection <br />N <br />a. <br />CBC 1705/1705A <br />Post -Installed Anchors <br />N <br />b. <br />CBC 1705/1705A <br />Shotcrete <br />® <br />CBC 170511705A & <br />Pre -Stressed Concrete <br />® <br />d <br />CBC 1705/1705A & <br />ACI 318 <br />Reinforced Cast -In -Place Concrete <br />c, <br />ACI 318 <br />® <br />a' <br />CBC 170511705A & <br />Reinforced Pre -Cast Concrete <br />® <br />f <br />CBC 1705/1705A <br />and ASTM C94 <br />Batch Plant <br />ACI 318 <br />CBC 170511705A & <br />El <br />h <br />CBC 1911 A & ICC- <br />Fiber Reinforced Polymer (FRP) <br />® <br />g' <br />AWS D1.4 <br />Rebar Weldin 9 <br />ES AC 178 <br />Composites <br />❑ <br />i. <br />❑ <br />I. <br />Special Inspections that are in the agency's scope but are not listed above should be provided in the space(s) below. <br />Yes <br />CodelStandard I Field and Types of Inspection <br />Yes <br />CodelStandard <br />Field and Types of Inspection <br />❑ <br />a <br />❑ b. <br />❑ <br />C. <br />❑ d. <br />❑ <br />e <br />❑ f. <br />OSHPD <br />'Access to Safe. Quality Healthcare Fawronmenls [hat Meet Califarnia's Diverse and Dynamic Needs <br />STATE OF CALIFORNIA — HEALTH AND HUMAN SERVICES AGENCY <br />OSH-FD-OPAA-100 (6124/2016) Page 12 of 19 <br />3/2812017 OPAA-0010-16 <br />