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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: ht <br />INSPECTION DATE. <br />INSPECTOR 1: <br />❑ POA Bridge <br />11. APPROACH ROADWAY <br />No Significant Defects <br />Cracks @ <br />Pavement Subsidence @ <br />Remarks: Mill Sub s,dcn/e <br />IKA BRIDGE #: Z C —V 9 wen BRIDGE TYPE: t, mkcb , Swf✓l4 <br />INSPECTOR 2: G <br />IN Type: Rt*� <br />Pavement Rutting @ <br />Type: <br />Sw 4 ch V � <br />sew OK 5� <br />12. APPROACH GUARD RAILING � N/A Type: <br />No Significant Defects U Missing "P" Markers @ <br />Damage @ <br />Remarks: <br />13. BRIDGE RAILING U N/A Type: '� S hal <br />No Significant Defects Dry Rot @ <br />Damage @ <br />Debris@ <br />Remarks: <br />Type: <br />Type: <br />U Graffiti@ <br />14. SUPERSTRUCTURE U N/A Type: ${dal +yr�yy w/ (,e,�a�'ett <br />[J No Significant Defects Drain Clogged: Debris Vegetation Other: zwr L yww5ojoe <br />Surface ❑ N/A Type: Coh <br />No Significant Defects Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ Type: <br />Scaling @ U Light U Medium U Heavy <br />Spalling a U Rebar Delamination @ <br />Remarks: 4ra1450,, ew% JVJL S"d duv Gr**1 <br />Soffit U N/A Type: S{cc( <br />]� No Significant Defects � Spalling @ <br />Cracks @ <br />Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />Superstructure Other Than Deck U N/A <br />No Significant Defects U Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />8 Spalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />U Moisture U Mold/Fungus <br />Depth: <br />TYpe� � Sfcsl 'j"yuu <br />Type: <br />Due to: �f Moisture U <br />Depth: <br />Damaged Strin er @ <br />Due to: Moisture U <br />Depth: <br />u <br />Mold/Fungus <br />Mold/Fungus <br />8/15/2014 Page 1 <br />