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Page 2 of 4 ❑ No Significant Defects ff-- [ Spalling @ /rA 'v Cracks @ T-e Awjf uJ CAGY\ 5AA Type: E�RebarExposure @ Type: []Timber Plank Decay @ Depth: (Remarks:-YPODCO e&OV 60 /evl[W CVCJC r'A S�GIa/I iA J ( / SUPERSTRUCTURE OTHER THAN DECK ❑ No Significant Defects ❑ Cracks @ ❑Timber Stringer Decay @ ❑ Bearing Damage @ []Concrete Girder @ ❑ Steel Girder @ Remarks: SUBSTRUCTURE Condition: No Significant Defects ❑ Cracks @ ❑ Spalling ❑Timber Pile Decay @ ❑Timber Plank Decay @ ❑Timber Silt Decay @ ❑Timber Pile Cap Decay @ Remarks: Ev IrA,te eJ QN/A TYPE: ❑ Ruttlng @ Type: Depth: Section Loss @ Due to Due to Section Loss @ joa,�wzti �cw, 2n d ❑ Cracking ❑Spalling ❑Delamination ❑ Paint ❑ Rust ❑ N/A TYPE: I y�l r� i�1dW r� ❑Abrasion @Vertical Surfaces ❑Undermining @Diaphragm Type: ❑ Delamination Mold 4..stcv �ett'n� r Due to: Depth: Section Loss@ Due to: Depth: Section Loss@ Depth: Section Loss @ Depth: Section Loss @ o�t ULVERT SECTION Condition: C11/{% TYPE: ❑ Spalling []Abrasion []Debris❑ Rust/Deter. []Scour Type: []Slope Protection Type: []Timber Element Decay Type: Location: Remarks: WINGWALL b�N/A Type: ❑ No Significant Defects ❑Abrasion @Vertical Surfaces ❑ Undermining @ ❑Moisture ❑ /Fungus C ❑Moisture ❑Mold/Fungus o�t ULVERT SECTION Condition: C11/{% TYPE: ❑ Spalling []Abrasion []Debris❑ Rust/Deter. []Scour Type: []Slope Protection Type: []Timber Element Decay Type: Location: Remarks: WINGWALL b�N/A Type: ❑ No Significant Defects ❑Abrasion @Vertical Surfaces ❑ Undermining @ ❑Moisture ❑ /Fungus C ❑Moisture ❑Mold/Fungus