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0ll•II1C11 OII• SFAFII::Wllllrll. 11lll:AILlf1111111II....a<AIM114IIING ANII.II..)II'Vll.11 )II"IMII IMII <br />'7r/rd�hi�p��y�rs •.RAG;:, __11 if _'.!,,:a11)11::::Vll::::Il <br />S„B aW_1.h.N"T .k Vn'�a IIOIM <br />APPLICABLE SPECIAL INSPECTIONS FOR WHICH AGENCY IS APPROVED <br />Sy checking "yes" in Tables 8 through 93 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 (Qualified Representative of Responsible Geotechnical Engineer) <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 />CBC 1705/1705A <br />Cast -in -place Deep Foundations <br />® <br />b. <br />CBC 170511705A <br />Driven Deep Foundations <br />I,�q <br />c. <br />CBC 1705/1705A <br />Soils Excavations and Fills <br />7 <br />d. <br />CBC 1812A <br />Shoring <br />e. <br />CBC 1813A <br />Ground Improvement <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 />n <br />e. <br />n <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 />5� <br />a. <br />CBC 170511705A <br />Post -Installed Anchors <br />IRI <br />b. <br />CBC 1705/1705A <br />Shotcrete <br />c <br />CBC 170511705A 8 <br />ACI 318 <br />pre -Stressed Concrete <br />0 <br />d. <br />CBC 170511705A & <br />ACI 318 <br />Reinforced Cast -In -Place Concrete <br />e <br />CBC 1705/1705A 8 <br />ACI 31 B <br />Reinforced Pre -Cast Concrete <br />❑ <br />f. <br />CBC 1705/1705A <br />and ASTM C94 <br />Batch Plant <br />g <br />CBC 1705/1705A 8 <br />AWS D1.4 <br />Reber Welding <br />❑ <br />h. <br />CBC 1911A 8 ICC- <br />ES AC 178 <br />Fibor Roinforccd 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 />J <br />a. <br />Li <br />b. <br />J <br />C. <br />Li <br />d. <br />n <br />e. <br />STArE OF CALIFt MAN --XtCAl <br />OSH-Ft]-OF'PJ';190 (q3/Ol!?nl �) <br />d!3C?OI4 <br />AND HUMAN SERVICES AGENCY <br />OPAA-+004 '1 (� <br />irl( I: I-GfI'J- <br />