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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: / 1 e_r nTi ' r-�O BRIDGE M <br />INSPECTION DATE: /� /S//-7 BRIDGE TYPE: AP, <br />INSPECTOR 1: ? ody (�2iC�i�Vk INSPECTOR: lye ARRoT13 <br />11, APPROACH ROADWAY Type eft No Significant Defects Pavement Rutting @ <br />racks @ A" IUI 1' <br />Pavement Subsidence @ <br />Grade Differential @ <br />Remarks: <br />12. APPROACH GUARD RAILING Type: � [3(a l2 anJ <br />BNo Significant Defects Missing "P" Markers @ <br />Damage @ :•i i i W el� JJ <br />Remarks: <br />TYpe I"vA ASV <br />Af i''(1I)v 1 11- 2=01 <br />��nr, fj No,ST <br />No Significant Defects Dry Rot @ <br />Damage@ Type: trrc(-toe grivvq) <br />Debris@ U Graffiti@ <br />Remarks: <br />14. $ PERSTRUCTURE Type: I>,r' ;CPS <br />U?No Significant Defects ❑ Clogged From: Debris Vegetation Other: <br />Surface <br />No Significant Defects [q'6ck Overlay Prevents Proper Visual Inspection <br />Cracks @ Type: <br />Scaling @ U Light U Medium U Heavy <br />Spall @ L_J Rebar Delamination @ <br />Remarks: prC'(F `'�-AL tAj4PV Q2vOv a Of-JFF- '-/<),X <br />Soffit <br />1- o Significant Defects � Corrosion @ <br />Cracks @ <br />Reber Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />S erst uc ure Other Than Deck <br />N/A No Significant Defects <br />Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />eSpall @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type. <br />U Moisture U Mold/Fungus <br />Depth: <br />Type <br />Due to: U Moisture <br />Depth: <br />U Damaged Strin er @ <br />Due to: Moisture <br />Depth: <br />U Mald/Fungus <br />U <br />Mold/Fungus <br />a/ss/zoi4 Page 1 <br />