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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: r2A d 1 R u/� BRIDGE M .29 C- O Z2 <br />INSPECTIONDATE: �/,a/Li BRIDGETYPE: Cowrrzj,-sue <br />INSPECTOR I: GqL cPrrta INSPECTOR2: �oM, i�L gaguyT <br />❑ POA Bridge B2 I A^_� n/Ewr3u2& <br />11. APPROACH ROADWAY ❑ N/A Type: U:3NC2wrig� 5IL4 3 <br />o Significant Defects ❑ Pavement Rutting @ <br />Cracks @ Type: <br />Pavement Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING U N/A Type: "Lou OnJ /,,loop Fo51r <br />No Significant Defects ❑ Missing "P" Markers @ <br />❑• amage @ SE r.n wr4re. Type: Inl,�-.41'V4e4.jko 7 <br />Remarks:--rr12�F r'�'x'� fJr,-nrr2 �.r�e..,oc-n: fix,.'�u - �r_i wr sr-t i r n .rr Aoraaw. <br />ALL 1410Fr` fn1e<1jj0P. 4PPArr-e- Pjtnr.ed' �1 WA AeE dor <br />- <br />13. BRIDGE RAILING U N/A Type: /Y) C6r2.. On! STC.EL - <br />r No Significant Defects ❑ Dry Rot @ <br />eDamage @ Type. <br />Debris@ ❑ Graffiti@ <br />Remarks: <br />J <br />14, ERSTRUCTURE U N/A Type \ Ai3i-C VtIeJ Ia 51L G1- De'Rmlu/ Co&"1600 7T DiR ±r <br />No Significant Defects ❑ Drain Clogged: ❑ Debris ❑ Vegetation ❑ Other. <br />Surface ❑ N/A Type: <br />N ignificant Defects ❑ Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ Type: ''Rirm /+.rJ <br />Scaling @ U Light U Medium ❑ Heavy <br />V*tpalling @ Mau^r rr= AA.ti,l -rJn ! Slr s bar Delamination @ j5vW S <br />Remarks: , G..OAli < kki NIIN J A,(wjc� Sftw^N v+/ n.iansr-u <ek%Ce SPALI InEt~i•JA` #J1 J <br />Soffit ❑ N/A Type: Covc2e-'% <br />o Significant Defects ❑Spalling @ <br />Cracks @ Type: <br />Rebar Exposure @ Type: <br />Timber Plank Decay @ U Moisture ❑ Mold/Fungus <br />Section Loss @ Depth: <br />Remarks, <br />Superstructure Other Than Deck ❑ N/A Type <br />No Significant Defects ❑Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />eSpalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: ,P^0VAiZI...E SPA✓or <br />ctl% . -cr.I.F [_nLtsinle. ?IKJ <br />Type: <br />Due to: ❑Moisture ❑Mold/Fungus <br />Depth, <br />❑ Damaged Stnn er @ <br />Due to: Moisture U Mold/Fungus <br />Depth <br />�c.�-n o. r-(d. �.c wrw.4Jn., tS l lr%L�oh G[1FC5� ARt <br /><€E -A Arts H. - - <br />s/15/2014 Page 1 <br />