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This form must be completed by the Engineering Manager of the Laboratory of Record (LOR) approved by the DSA Laboratory Evaluation and Acceptance (LEA) program, and submitted to the DSA Regional Office.

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How to fill out the Dsa 291 online

The Dsa 291 form is a crucial document that must be completed by the Engineering Manager of the Laboratory of Record for projects under the DSA Laboratory Evaluation and Acceptance program. This guide provides step-by-step instructions on how to accurately fill out the form online, ensuring compliance with California regulations.

Follow the steps to successfully complete the Dsa 291 form online.

  1. Click the ‘Get Form’ button to access the Dsa 291 form. This will open the document in your preferred online editor where you can fill out the necessary fields.
  2. Enter the school district or owner’s name in the designated field. This identifies the project overseer.
  3. Complete the DSA file number to associate your report with the appropriate project.
  4. Fill in the project name and school where the lab services were performed.
  5. Note your DSA application number in the specified area to ensure your submission is properly tracked.
  6. Provide the name of the laboratory responsible for the testing and inspections.
  7. Input the LEA number related to the laboratory to confirm its credentials.
  8. Enter the date of the report to reflect when the verification was completed.
  9. State the number of attached pages. If there are no attachments, input zero.
  10. Check the applicable box under section 1 to indicate the reason for filing this verified report, and attach the necessary detailed list of inspections.
  11. In section 2, check the appropriate scope of laboratory reporting for the project.
  12. Proceed to fill out section 3, wherein you will confirm the declarations under penalty of perjury. Ensure all required boxes are checked.
  13. Complete any additional certifications as necessary for the combined verified report if applicable.
  14. Sign and date the form, ensuring that all information is accurate.
  15. Finally, submit the completed Dsa 291 form to the designated DSA regional office corresponding to your project's oversight.

Complete your Dsa 291 form online today to ensure your project's compliance and timely processing.

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