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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: Cj 12� BRIDGE #: �qC, —Z6 3 <br />INSPECTION DATE: 4IflKi BRIDGE TYPE: n,.,sLf�- <br />INSPECTOR 1: INSPECTOR 2; <br />PDA Bridge — _ - Dn zILC sn�1��ti� <br />11. APPROACH ROADWAY N/A Type: <br />L�No Significant Defects ❑ Pavement Rutting @ <br />eCracks @ Type: <br />Pavement Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING Li�N1A Type: <br />eNo Significant Defects U Missing "P" Markers @ <br />Damage @ Type: <br />Remarks, <br />13. BRIDGE RAILING U N/A Type: m3�rL. <br />No Significant Defects Dry Rot @ <br />011wa @ N, il r, D (PP <br />Debris@ <br />Remarks: <br />Type: C_ e�c � s,a ✓ <br />U Graffiti@ <br />14. pERSTRUCTURE U N/A Type: <br />No Significant Defects Lj Drain Clogged: ❑ Debris Vegetation Other. <br />Surface N/A Type: <br />No Significant Defects Deck Overlay Prevents Proper Visual Inspection <br />racks @ y ry � W, Lrr nn+= r jtQ .r _ Type: VEaTir n L S t.a m t 'AAc4cG <br />Scaling @ U Light U Medium U Heavy <br />Spalling @ U Reber Delamination @ <br />Remarks: /,,,��,t,�v t,�5 vaT �.atA�vi n 5rwc� P�Et/zou5 YZr=pocr� <br />Soffit U N/A Type: Go--'cs��i"�' <br />o Significant Defects ❑ Spalling @ <br />Cracks @ Type: <br />Rebar Exposure @ Type: <br />Timber Plank Decay @ U Moisture U Mold/Fungus <br />Section Loss @ Depth: <br />Remarks: <br />$yperstructure Other Than Deck �/ N/A Type: <br />�LHJj 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: U Moisture U MoldlFungus <br />Depth: <br />U Damaged Strin er @ <br />Due to: Moisture U Mold/Fungus <br />Depth: <br />s/is/zoi4 Page 1 <br />