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O_, OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT <br />FACILITIES DEVELOPMENT DIVISION <br />APPLICABLE SPECIAL INSPECTIONS FOR WHICH AGENCY IS APPROVED <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 />8 <br />SOILS AND FOUNDATIONS <br />Special Inspections <br />Yes <br />Code/Standard <br />Field and Types of Inspection <br />Yes <br />Code/Standard <br />Field and Types of Inspection <br />0 <br />a. <br />CBC 1705/1705A <br />Cast -in -place Deep Foundations <br />❑X <br />b. <br />CBC 1705/1705A <br />Driven Deep Foundations <br />0 <br />c. <br />CBC 1705/1705A <br />Soils (Excavations and Fills) <br />0 <br />d. <br />CBC 1812A <br />Shoring <br />0 <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 />Code/Standard <br />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 />Code/Standard <br />Field and Types of Inspection <br />Yes <br />Code/Standard <br />Field and Types of Inspection <br />0 <br />a. <br />CBC 1705/1705A <br />Post -Installed Anchors <br />0 <br />b. <br />CBC 1705/1705A <br />Shotcrete <br />0 <br />c <br />CBC 1705/1705A & <br />ACI 318 <br />Pre -Stressed Concrete <br />0 <br />d <br />CBC 1705/1705A & <br />ACI 318 <br />Reinforced Cast -In -Place Concrete <br />0 <br />e <br />CBC 1705/1705A & <br />ACI 318 <br />Reinforced Pre -Cast Concrete <br />0 <br />f <br />CBC 1705/1705A <br />and ASTM C94 <br />Batch Plant <br />0 <br />g <br />CBC 1705/1705A & <br />AWS D1.4 <br />Rebar Welding <br />❑ <br />h <br />CBC 1911A & ICC- <br />ES AC 178 <br />Fiber Reinforced Polymer (FRP) <br />Composites <br />❑ <br />i. <br />❑ <br />j. <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 />Code/Standard <br />Field and Types of Inspection <br />❑ <br />a. <br />❑ <br />b. <br />❑ <br />c. <br />❑ <br />d. <br />❑ <br />e. <br />❑ <br />f. <br />"Access to Safe, Qualitv Healthcare Environments that Meet California's Diverse and Dvnamic Needs" <br />STATE OF CALIFORNIA — HEALTH AND HUMAN SERVICES AGENCY <br />OSH-FD-OPAA-100 (6/24/2016) <br />3/28/2017 <br />OSHPD <br />4 <br />I <br />OPAA-0010-16 <br />Page 12 of 19 <br />