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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: MOU n,Ss31 vJ TN uGXrw dthn a BRIDGE M Z`jG - 083 R <br />INSPECTION DATE: 5// A 1 a I BRIDGE TYPE: C p i�gFr73- <br />INSPECTOR1: CiA1nsi INSPECTOR2: <br />❑ PDA Bridge <br />1 1. APPROACH ROADWAY ❑ N/A Type: tik. <br />r No Significant Defects ❑ Pavement Rutting @ <br />eCracks @ Type: <br />Pavement Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING ❑ N/A Type: <br />o Significant Defects ❑ Missing "P" Markers @ <br />Damage @ Type: <br />Remarks: 'AOsc a rLE 7)r-7co I/V A rk ^j4 Tc�L, Tf% A r ri t. JF�t ptl<i(tF <br />13. BRIDGE RAILING ❑ N/A Type: C otiee� w:ry{ sreC�L <br />�ffo Significant Defects ❑ Dry Rot @ <br />Damage @ Type: <br />Debris@ ❑ Graffiti@ <br />Remarks: L(r r �<PAL(_� <br />J <br />14, PERSTRUCTURE ❑ N/A Type: <br />[ No Significant Defects ❑ Drain Clogged: ❑ Debris ❑ Vegetation ❑ Other: <br />Surface ❑ N/A Type: <br />No Significant Defects ❑ Deck Overlay Prevents Proper Visual Inspection <br />racks@ iHrrorx„aDv Type: Tvzn,•.sv9es6= <br />Scaling @ ❑ Light ❑ Medium ❑ Heavy <br />Spalling @ ❑ Rebar Delamination @ <br />Remarks: T. �B�,� ,z uili .,a ntj �. .c,ldx_orrz4 <br />Soffit ❑ N/A Type: <br />No Significant Defects ❑Spalling @ <br />Cracks @ <br />Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: �FiSua,i 4 t.JGCCLTF-A 41gjoA <br />/10 IP--�SPEc_T' KPAAJ 02 23Ljdg! rn <br />Ara Lrr�, rnC,F of depA.j % . <br />Type: <br />Type: <br />U Moisture U Mold/Fungus <br />Depth. <br />L/"ARLf4r <br />Superstructure Other Than Deck ❑ N/A Type: <br />No Significant Defects Cracks @ A« $&p/n r7 TvPe: L 16 P7r _ <br />Timber Stringer Decay @ Due to: Moisture ❑ Mold/Fungus <br />Section Loss @ Depth: <br />Spalling @ ❑ Damaged stringer @ <br />Bearing Damage @ Due to: Moisture ❑ Mold/Fungus <br />Section Loss @ Depth: <br />Remarks: <br />a/is/zoi4 Page 1 <br />