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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: IIackV!Ile IQ <br />INSPECTION DATE: <br />INSPECTORle [;�/ <br />POA Bridge <br />BRIDGE #: > 1�► 06 <br />BRIDGE TYPE: [~4 �-G <br />INSPECTOR 2: IV 114 b <br />11. APPROACH ROADWAY N/A Type: A� <br />No Significant Defects Pavement Rutting @ <br />Cracks @ Ab 4 H <br />Pavement Subsidenci " @ <br />Remarks: <br />12. APPROACH GUARD RAILING L N/A Type: <br />No Significant Defects U Missing "P" Markers @ <br />Damage @ <br />Remarks: <br />13. _B MIDGE RAILING U N/A <br />' No Significant Defects <br />Damage @ <br />_ Debris@ <br />Remarks: <br />Type: (�(�ral <br />Type: <br />Type: (,o�cnk w / sl'�I �oba — Co+Jcre{t — Si�e�l <br />Dry Rot @ <br />Type: <br />U Graffiti@ <br />14. S�IPERSTRUCTURE U N/A Type: (,o�,/c� <br />No Significant Defects ❑ Drain Clogged: Debris Vegetation Xj Other: <br />_Surface N/A Type: (omerts <br />No Significant Defects Deck Overlay Prevents Proper Visual 4nspection r <br />Cracks @ x,cro$S Type: �T l v1 y0f�&V a[�,lgafw <br />Scaling @ U Light U Medium Heavy <br />Spalling @ U Rebar Delamination @ <br />Remarks: Mid �u'„� , t6flwa( Ata q11a&6r auass JA <br />Soffit U N/A Type: i[,ov►cre4,g <br />No Significant Defects � Spalling @ <br />Cracks @ <br />Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />S perstructure Other Than Deck � N/A Type: <br />No Significant Defects U Crac s @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />BSpalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />U Moisture <br />Depth: <br />U Mold/Fungus <br />Type: <br />Due to: U Moisture U Mold/Fungus <br />Depth: <br />U Damaged Strin er @ <br />Due to: P7 Moisture U Mold/Fungus <br />Depth: <br />8/15/2014 Page 1 <br />