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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: wT A[W TDa1E Y?oAt) R 2I r)G C BRIDGE #: <br />INSPECTION DATE: BRIDGE TYPE: <br />INSPECTORI: INSPECTOR 2: <br />❑ POA Bridge <br />11, APPROACH ROADWAY ❑ N/A Typed A C. <br />�o Significant Defects ❑ Pavement Rutting @ <br />acks @ Type <br />uu Pavement Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING ❑ N/A Type: f✓1DG� ow CutkiO r�05%-' <br />No Significant Defects U Missing "P" Markers @ <br />amage @ Air C_ a_a 14z-� Type. Lir_.Q U47-2- <br />Remarks: -rwo <br />13. BRIDGE RAILING ❑ N/A Type: TliKt� 3�pM a� SQL /-l7S� <br />No Significant Defects ❑ Dry Rot @ <br />Damage @ Type: <br />Debris@ U Graffiti@ <br />Remarks: <br />14. SUPERSTRUCTURE ❑ N/A Type (',ON '(� �,,qy� <br />[yr(Vo Significant Defects ❑ Drain Clogged: Debris ❑ Vegetation ❑ Other: <br />Surface ❑ N/A Typed <br />No Significant Defects Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ Type: <br />Scaling @ U Light U Medium U Heavy <br />Sp <br />alling @ U Rebar Delamination @ <br />Remarks: Pulm sgfac, oN bAIF I. <br />Soffit ❑ N/A Type C�ticAx�E <br />o Significant Defects ❑ Spalling @ <br />Cracks @ <br />Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />i <br />S nerstructure Other Than Deck L..�IQ/A Type: <br />No Significant Defects ❑Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />eSpalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />U Moisture ❑Mold/Fungus <br />Depth <br />TVPe: <br />Due to: ❑Moisture ❑Mold/Fungus <br />Depth: <br />❑ Damaged Stringer @ <br />Due to: �] Moisture U Mold/Fungus <br />Depth: <br />B/15/2014 Page 1 <br />