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OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT <br />FACILITIES DEVELOPMENT DIVISION <br />APPLICABLESPECIAL INSPECTIONS FOR WHICH AGENCY IS APPROVED <br />By checking `yerough 13 below, the applicant verifies that the agency has the equipment and qualified <br />personnel to pered special inspections. ONLY mark tests that are listed in accreditation certificate or <br />DSA-LEA. <br />8 <br />SOILS AND FOUNDATIONS <br />Yes <br />Special Inspections (Qualified Representative of Responsible Geotechnical Engineer) <br />Code/Standard 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 />® <br />b. <br />CBC 1705/1705A <br />Driven Deep Foundations <br />® <br />c. <br />CBC 1705/1705A <br />Soils Excavations and Fills <br />m <br />d. <br />CBC 1812A <br />Shorin <br />® <br />e. <br />CBC 1813A <br />Ground Improvement <br />❑ <br />f, <br />❑ <br />g' <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 <br />Code/Standard <br />Field and Types of Inspection <br />Yes <br />CodelStandard <br />Field and Types of Inspection <br />❑ <br />a' <br />❑ <br />b. <br />❑ <br />c' <br />❑ <br />d. <br />❑ <br />a' <br />❑ <br />f. <br />g <br />CONCRETE <br />Special Inspections <br />Yes <br />code/Standard <br />Field and Types of Inspection <br />YesF1705/1705A <br />Code/Standard <br />Field and Types of Inspection <br />® <br />a. CBC 1705/1705A <br />Post -Installed Anchors <br />M1705A <br />Shotcrete <br />® <br />c <br />CBC 1705/1705A & <br />318 <br />Pre -Stressed Concrete <br />® <br />705A &ACI <br />Reinforced Cast -In -Place Concrete <br />8 <br />e <br />CBC 1705/1705A & <br />ACI 318 <br />Reinforced Pre -Cast Concrete <br />705A <br />Batch Plant <br />C94 <br />® <br />g <br />CBC 1705/1705A & <br />AWS D1.4 <br />Rebar Welding <br />❑ <br />h <br />CBC 1911A & ICC- <br />Fiber Reinforced Polymer (FRP) <br />ES AC 178 <br />Composites <br />❑ <br />i. <br />❑ <br />1 <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 <br />Field and Types of Inspection <br />Yes <br />Code/Standard <br />Field and Types of inspection <br />El <br />a. <br />El <br />Elb. <br />Elc' <br />El <br />Ele' <br />❑ I <br />f. ji <br />'Access to Safe, Quality Healthcare Environments that Meat Colifomla's Diverse wd Dynamic Neetls' <br />OSHPD <br />STATE OF CALIFORNIA — HEALTH AND HUMAN SERVICES AGENCY <br />OSH-FD-OPAA-100 (03MV2018) <br />5/6/2019 OPAA-0042-16 <br />Page 12 of 19 <br />