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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: K StA(2 DAO BRIDGE #: a9C —10T <br />INSPECTION DATE: S/Z�� 7 BRIDGE TYPE: <br />INSPECTOR 1: GA �!� o , F p ,�,,�� INSPECTOR 2: 0:0A A w./ AJkW i U"vPw <br />POA Bridge <br />11. APPROACH ROADWAY N/A Type: A (_ <br />rpavement <br />o Significant Defects Pavement Rutting @ <br />racks @ Type: <br />Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING [J N/A Type: M�6 �-- a �✓ WOa� (rO6Q"" <br />o Significant Defects [J Missing "P" Markers @ <br />Lj Damage @ Type: <br />Remarks: G A !% "RL wG /o r` 3n rAj4 jcN0;Z 0 j= g"acT— S 10� <br />13. Bj21DGE RAILING [J N/A Type: C�Nc�-E'er <br />No Significant Defects ❑ Dry Rot @ <br />damage @,J , p � Type: <br />Debris@ [J Graffiti@ <br />Remarks: 7NCtAm i+.jArATNvl_� D ULr� <br />t2f✓ SA 2 t I N00 � -rn a a 2 �. �Ia ra � ti � �G ] Ammo Kl I ' i sv� <br />14. SUPERSTRUCTURE [J N/A Type: CotA,Ie A1?, / C.�tiC 45 wig t? ^s TreeL &j&04 AL <br />[v�- Sc. <br />o Significant Defects Drain Clogged: ❑ Debris ❑ Vegetation F Other: <br />_Surface F ] N/A Type: <br />o Significant Defects Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ 1 IjuC�aav Type: Leco�F,- h�T-rtN <br />Scaling @ U Light [J Medium U Heavy <br />Spalling @ U Rebar Delamination @ <br />Remarks: _!✓lo,.d L TO rL PM 4� W a LSkLtiN L, Co,.r O t T410** .J 'ZJE�aL1S <br />Soffit_ U N/A Type: CoAjC. Sc..voc�.�3 <br />Flo Significant Defects � Spalling @ <br />Cracks @ <br />Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />' Su erstructure Other Than Deck [J N/A <br />o Significant Defects [J Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />eSpalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />[J Moisture <br />Depth: <br />[J Mold/Fungus <br />Type: <br />Due to: [J Moisture U <br />Depth: <br />[J Damaged Strin er @ <br />Due to: �] Moisture [J <br />Depth: <br />Mold/Fungus <br />Mold/Fungus <br />8/15/2014 Page 1 <br />