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011:: I•nCll. tkll• FAlfll. Wllllrll. II1II.AILlfll 11 II..»II,,,,Ab1141I'4IllNG ANII6 II,AII VII.II t..all"I ll,:lh�tt <br />P/ttd� FfAl4 11'AtCIIII 11Flll:S 11k11:Vll.Il..011:'11Bg11'Nlf DIVI"'b1101M <br />14 <br />SPECIAL INSPECTORS <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 <br />and proof of renewal <br />for certificationilicense shall 6e required <br />Inspector's Name <br />Certification/ <br />License Type <br />Certification/ <br />Licensing Agency <br />Certification/ <br />License Number <br />Expiration Data* <br />Comments <br />Fireproofing <br />ICC <br />5320836 <br />2-16-2U18 <br />Correct hxo Date <br />Reinforced Concrete <br />ICC <br />5320836 <br />2-1 f.- 2018 <br />Correct F'XP Date <br />Jeffrey Diaz <br />Soils <br />ICC <br />5320836 <br />2-16-2018 <br />Correct Esp Date <br />Masnury <br />ICC <br />532On36 <br />2-16-2018 <br />Coiiaci.]asp Date <br />Masonry <br />ICC <br />1106095 <br />1-18-2020 <br />Kim Byrd <br />Welding <br />ICC <br />1106095 <br />"1-18-2020 <br />Rcinlirn:cd Cnncnac <br />ICC <br />110609" <br />1-18-2020 <br />Ili esn-essed Concrete <br />ICC <br />II090g5 <br />1-I11-2020 <br />troy llegcncr <br />Mpa:onry <br />fCC. <br />5114248 <br />6-13-2017 <br />Welding <br />ICC <br />5114248 <br />6-13-2017 <br />Reinforced Concrete <br />ICC <br />511421.8 <br />6-13-2017 <br />Fireproofing <br />ICI: <br />5114218 <br />6-1'-7-2017 <br />High Stren th Rultin • <br />ICC <br />51 11.248 <br />6-13-2017 <br />Masonry <br />ICC <br />5u!!/U5 <br />/-2U-2U1'1 <br />Fric Kennedy <br />welding <br />ICC <br />SC777705 <br />7-20-201ti <br />High Strength Bolting <br />ICC <br />5077705 <br />7-20-2019 <br />Reinforced Concrete <br />ICC <br />S07770S <br />7-2U-2019 <br />Presn•essal Conerow <br />ICY: <br />50777M <br />/-2U4.0 19 <br />Masonry <br />ICC <br />5006860 <br />9-13-2017 <br />Correct ICC ID <br />Prestressed CoucreIe <br />5006860 <br />9-13-2017 <br />_acted ICC If) <br />w,hortC.n,•mnn <br />welding <br />ICC <br />5006860 <br />-13-2017 <br />Cni rectICC ID <br />Reinforced Concrete <br />ICC <br />SU06860 <br />-13 20I7 <br />Correct ICC ID <br />Fireproofing <br />ICC <br />50U6860 <br />1-13-2017 <br />correct iCC IT) <br />Masonry <br />ICC <br />106609, <br />1-2-2020 <br />Prestressed Concrete <br />ICC <br />1066U95 <br />1-2-2020 <br />❑ennis Brown <br />Vcidiug <br />ICC <br />106600_ <br />1-2-202U <br />Reinforced Concrete <br />ICC <br />1066095 <br />1-2-2020 <br />Masonry <br />ICC <br />5223743 <br />1-24-2019 <br />]cssr Maddnz <br />1Jr1ding <br />ICC <br />5223743 <br />1-24-2U19 <br />Rcinfori rd C onorno <br />ICC <br />5223743 <br />1-24-2019 <br />Masonry <br />ICC <br />1U26139 <br />5-14-2U19 <br />Varian Deircleirian <br />R, I(' c'd <br />ICC <br />1026139 <br />5-14-2019 <br />Prestressed Concrete <br />ICC <br />1026139 <br />+-14-2019 <br />Shotcrete <br />LA City <br />I1009633 <br />na <br />$ piCW In.S PChJrs with ex <br />irp(I I/CP.nsf? shall not hN <br />ppirmitted ftl Peffotm Special fins. ffctioas. <br />I <br />STATE OF CALIFt M9--YMN1 <br />OSYi-I-LD-r W AA- 1 U0 (lift-W'o I eS) <br />_HZ V >017 <br />AND HUMAN SERVICES AGENCY <br />OPAA-001 )-li' <br />