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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: Ltlew� h%i DQz; <br />INSPECTION DATE: 'tit/x'2 <br />INSPECTOR1: <br />❑ POA Bridge <br />BRIDGE #: 216 ?A E <br />BRIDGE TYPE: C�:3 ; , - 5IrA <br />INSPECTOR 2: 91V <br />11. APPROACH ROADWAY ❑ N/A Type: <br />r No Significant Defects r ❑ Pavement Rutting @ <br />®Cracks @ -- 41 S Type: <br />Pavement Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING ❑ N/A Type g.�&�(R„ ,;;,' W� ��� <br />u, No Significant Defects ❑ Missing "P" Markers @ <br />u Damage @ Type: <br />Remarks: <br />13. BL2IDGE RAILING ❑ N/A Type: i#'.,,�-,,� '0',��j;a� <br />r'] No Significant Defects ❑ Dry Rot @ <br />eDamage @ Type: <br />Debris@ U Graffiti@ <br />Remarks. <br />14. $ PERSTRUCTURE ❑ N/A Type �"�, ati'�_ <br />�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 @ U Light U Medium U Heavy <br />Spalling @ U Rebar Delaminahlon @ <br />Remarks: A., Gilv'�1: 1�"tl��*i pAre,t. .°P ;AlefifiI44 SA qM <br />- -j / <br />Soffit ❑ N/A Type: <br />K No Significant Defects ❑Spalling @ <br />Cracks @ <br />Cracks <br />Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />Superstructure 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 />Type: <br />Lf Moisture U Mold/Fungus <br />Depth: <br />Type: <br />Due to: ❑Moisture ❑Mold/Fungus <br />Depth: <br />❑ Damaged Strin er @ <br />Due to: �] Moisture U Mold/Fungus <br />Depth: <br />a/is/zoi4 Page � <br />