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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: F(^4A <br />INSPECTION DATEV s/ 31/ <br />INSPECTOR 1: fliv <br />❑ POA Bridge <br />11. APPROACH ROADWAY ❑ N/A <br />No Significant Defects <br />Cracks @ <br />Pavement Subsidence @ <br />Remarks: <br />BRIDGE #: <br />BRIDGE TYPE: �evtc 04010 01 <br />INSPECTOR 2: `�'�/F(L " <br />Type: �� <br />Pavement Rutting @ <br />Type: <br />12. APPROACH GUARD RAILING U N/A Type: (yt21a1 (ItAW4 <br />FV No Significant Defects U Missing "P" Markers @ <br />Damage @ Type: <br />Remarks: <br />13. BRIDGE RAILING U N/A <br />No Significant Defects <br />Damage @ <br />Debris@ <br />Remarks: <br />Dry Rot @ <br />Type: <br />U Graffiti@ <br />14. S�IPERSTRUCTURE U N/A Type: Lohcrtk ��'64d Sfttl �rnL��tivl �+�cvt} <br />L] No Significant Defects Drain Clogged: Debris F Vegetation Other: <br />_Surface N/A Type: <br />No Significant Defects Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ jgsLO 1do, Type: `CLhrftI <br />Scaling @ U Light U Medium U Heavy <br />Spalling @ U Rebar Delamination @ <br />Remarks: oral Cinc�L' �' eF east a Y .L ro enFrdl-e�l <br />Sg�16�i �^.sS lad" SitP� at�u Sk •,� ( Sow�t a.v� a' <br />Soffit U N/A Type: Corlcv+ehol 5}pej <br />No Significant Defects � Spalling @ <br />_ Cracks @ <br />Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: ���eI Orb, rah ✓' 6feJ <br />Type: <br />Type: <br />U Moisture <br />Depth: <br />r bw►1of� �Dr}fin� <br />Superstructure Other Than Deck [� N/A Type: <br />No Significant Defects U Cracks @ <br />Timber Stringer Decay @ <br />8 Spalling @ Section Loss @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />U Mold/Fungus <br />Type: <br />Due to: U Moisture U <br />Depth: <br />U Damaged Strin er @ <br />Due to: �] Moisture U <br />Depth: <br />Mold/Fungus <br />Mold/Fungus <br />s/ss/zo14 Page 1 <br />