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011::I•nCll.Qkll• SIfAlfll VWllllrll.II1II.AILlfllll II..»II,,,,Ab1141I'4IIINGAP+II II,AII VII.II ..all"I�II,:INtt <br />P/ttd� 11'ACIIII 11Flll:S 11k1�:�6l�.Il..� 11:'11 g11'1Nlf �D��V��"'b1101N <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 <br />and proof of renewal <br />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 <br />ICC <br />8124546 <br />1-24-2018 <br />Zach Roush <br />Sieel and Rolling <br />I C <br />R324 r,46 <br />12-R-201R <br />Reintorced Concrete <br />ICC <br />81,24516 <br />-26-2019 <br />Michael Curmun <br />Welding y Rulting <br />fCC <br />5032377 <br />-25-2016 <br />$ leGfil Ins iBCtorS With expired <br />iiCerlSe Shell not he 7efrratted to ptrform $ )ecial ills uctiOns. <br />I <br />STATE OF CALIFt M9--YiVN1 <br />OSP7-FO-rWNN...IOp (fif2-t{"'pi eS) <br />AND HUMAN SERVICES AGENCY <br />OPAA-001 )-li' <br />