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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: (=„' /,t ief %, F ', , .•„/ BRIDGE #: <br />INSPECTION DATE: / rY, / . BRIDGE TYPE: <br />INSPECTOR 1: (7 In i �', w r a INSPECTOR 2: „ , r, t-' z/r-'r,tr',O(Y I-z <br />❑ POA Bridge <br />I. APPROACH ROADWAY ❑ N/A Type: ; ,F`_ <br />o Significant Defects ❑ Pavement Rutting @ <br />Cracks @ Type: <br />Pavement Subsidence @ <br />Remarks: <br />12. rAIPPROACH GUARD RAILING ❑ N/A Type: Yr1F3G--� n N Woa'� 1�5"� <br />L__l No Significant Defects ❑ Missing "P" Markers @ <br />Damage @ Type: <br />Remarks: •M ssi�V pnC%e "ti oc_. F.i c <br />13, BRIDGE RAILING U N/A Type: <br />o Significant Defects ❑ Dry Rot @ <br />rDebris@ <br />amage @ Type: <br />❑ Graffiti@ <br />Remarks: <br />14. SUPERSTRUCTURE ❑ N/A Type: <br />U No Significant Defects ❑ Drain Clogged: ❑ Debris ❑ Vegetation ❑ Other <br />Surface ❑ N/A Type: <br />No Significant Defects Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ Type: <br />Scaling @ LJ Light U Medium U Heavy <br />Spalling @ ❑ Rebar Delamination @ <br />Remarks: N<, r,,r-lir cr,.,; f i i,„ is <br />rt <br />Soffit ❑ N/A Type: C o tijINm �N <br />No Significant Defects ❑'^Spalling @ -,�,-r�a� r_�-,�,e ; roc � ,or ,.r 1 ,_, _ -_� , ,� ;,.;,,, , <br />C acks @ Type: <br />Rebar Exposure @ -= per,, - ,- ? Type: <br />Timber <br />Plank Decay <br />@ <br />❑Moisture <br />❑Mold/Fungus <br />Section <br />Loss @ <br />Depth: <br />Remarks: <br /><pF,t k �, I <br />. 9 � . , r— r, a o <br />0_r',-r A 2_ rs " i , rn . / <br />s <br />Suaerstructure Other Than Deck ✓�N/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 />Due to: ❑Moisture ❑Mold/Fungus <br />Depth: <br />❑ Damaged Strin er @ <br />Due to: Moisture ❑ Mold/Fungus <br />Depth: <br />a/is/zoi4 Page 1 <br />