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OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT <br />_4VV,nN\iw FACILITIES DEVELOPMENT DIVISION <br />ACCREDITATION AND QUALIFICATIONS <br />Agency currently holds accreditation by: (Attach a copy of current accreditation details.) <br />N AASHTO Accreditation Program (AAP) ❑ National Voluntary Laboratory Accreditation Program (NVLAP) <br />❑ International Accreditation Service (IAS) ❑ American Association of Laboratories Program (A2LA) <br />❑ Laboratory Accreditation Program (LAB) ❑ Construction Materials Engineering Council (CMEC) <br />❑ ANSI-ASQ National Accreditation Board ❑ Other <br />Latest Expiration Date (if any) <br />Is this Agency accepted in the Division of the State Architect Laboratory Evaluation and Acceptance Program, <br />DSA-LEA? <br />❑ No M Yes Expiration Date: July 1, 2020 <br />Basis for accreditation (Check all that apply): <br />❑ ISO/IEC 17025: General requirements for competence of testing and calibration laboratories <br />❑ ISO/IEC 17020: General requirements for the operation of various types of bodies performing inspection <br />❑ NISTIR 7012: Technical requirements for construction materials testing <br />N AASHTO R18: Standard Recommended Practice for Establishing and Implementing a Quality System for <br />Construction Materials Testing Laboratories <br />N ASTM E 329: Specification for Agencies Engaged in the Testing and/or Inspection of Materials Used in <br />Construction <br />N ASTM C 1077: Practice for Laboratories Testing Concrete and Concrete Aggregates for Use in Construction <br />and Criteria for Laboratory Evaluation <br />N ASTM D 3666: Specification for Minimum Requirements for Agencies Testing and Inspecting Bituminous <br />Paving Materials <br />N ASTM D 3740: Practice for Evaluation of Agencies Engaged in Testing and/or Inspections of Soils and Rock <br />as Used Engineering Design and Construction <br />N ASTM C 1093: Practice for Accreditation of Testing Agencies for Unit Masonry <br />❑ ASTM E 1212: Practice for Quality Management Systems for Nondestructive Testing (NDT) Agencies <br />❑ ASTM E 543: Specification for Agencies Performing Nondestructive Testing (NDT) <br />❑ ]AS AC 291: Accreditation Criteria for Special Inspection Agency <br />Basis for Test Technician/Special Inspector Qualification (Check all that apply): <br />❑ Hospital inspector class "An, "B", or "C" certification <br />N DSA-LEA approval as test Technician/special inspector <br />❑ Certification listed in [AS AC 291 Table 1: Minimum Qualifications for Special Inspectors <br />N Welding inspectors satisfying the requirements of the CBC 2016 Section 1705A.2.5 <br />N California licensed engineer qualified to be test technician/special inspector <br />Access to Safe, Duality Healthcare Environments that Meet Callfomia's Diverse and Dynamic Needs <br />OSHPD <br />STATE OF CALIFORNIA— HEALTH AND HUMAN SERVICES AGENCY <br />OSH-FD-OPAA-100 (6/24/2016) <br />3/28/2017 OPAA-0010-16 <br />Page 3 of 19 <br />