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OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT <br />Tim FACILITIES DEVELOPMENT DIVISION <br />�'ll�uidt' <br />14 <br />SPECIAL INSPECTORS (Continued) <br />Provide Following Information for Each Special Inspector 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 />Inspector's Name <br />Certification/ <br />License Type <br />Certification/ <br />Licensing Agency <br />Certification/ <br />License Number <br />Expiration Date* <br />Comments <br />Soils ICC <br />8324546 <br />1-24-2018 <br />Zach Roush <br />Steel and Bolting <br />ICC <br />8324546 <br />12-8-2018 <br />Reinforced Concrete <br />ICC <br />8324546 <br />-26-2019 <br />Michael Carman <br />Wing & Bolting <br />ICC <br />5032377 <br />5-25-2018 <br />Special Inspectors with expired license shall not be permitted to perform Special Inspections. <br />Access t- Safe, Qaality Healthcare En*anmants that Meal Califbmia's Divers- and Dynamic Needs <br />OSHPD <br />STATE OF CALIFORNIA — HEALTH AND HUMAN SERVICES AGENCY <br />OSH-FD-OPAA-100 (612412016) <br />3/28/2017 OPAA-0010-16 <br />Page 16 of 19 <br />