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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: td✓� <br />INSPECTION DATE, �Si�Zy L2_3 <br />INSPECTOR 1: �ilY <br />POA Bridge <br />BRIDGE #: 1g6%L71 <br />BRIDGE TYPE: <br />INSPECTOR 2. <br />11. APPROACH ROADWAY [ N/A Type: f L, <br />No Significant Defects El Pavement Rutting @ <br />Cracks @ <br />Pavement Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING U N/A Type: Meja%l <br />rJ No Significant Defects U Missing "P" Markers @ <br />u Damage @ <br />Remarks: i�oDS� yw 0" DUN <br />13. BRIDGE RAILING U N/A Type: l�ei'a� 'j2awl <br />No Significant Defects Dry Rot @ <br />Damage @ <br />Debris@ <br />Remarks: <br />Type: <br />Type: <br />rw)�1�Jb�.t <br />oh �,icel'• <br />Type: <br />U Graffiti@ <br />14. $ PERSTRUCTURE U N/A Type: (�,�, <br />NO Significant Defects ❑ Drain Clogged:] Debris � Vegetation Other: <br />_Surface ❑ N/A Type: CoKcr4t <br />No Significant Defects Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ Type: <br />Scaling @ <br />Spalling @ <br />Remarks: <br />Soffit U N/A Type: (,p Y�u1ChC <br />No Significant Defects II Spalling @ <br />Cracks @ tV IlOE;44Z <br />Rebar Exposure @ 1 6 ply <br />Timber Plank Decay @ 7 <br />Section Loss @ <br />Remarks: So^ (Neck �./f &WAw 3aue <br />lreklow Oh S G 0df <br />5� <br />U Light U Medium U Heavy <br />U Rebar Delamination @ <br />Tfpe: <br />Type: <br />U Moisture U Mold/Fungus <br />Depth: <br />�h j\[w ed� � ¢d <br />Superstructure Other Than Deck � N/A Type: <br />No Significant Defects � Crac s @ <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 <br />Depth: <br />U Damaged Strin er @ <br />Due to, Moisture U <br />Depth: <br />Mold/Fungus <br />Mold/Fungus <br />8/15/2014 Page 1 <br />