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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: i/,q A U,F, o (Zv A h BRIDGE M <br />INSPECTION DATE: } / R J7 _ BRIDGE TYPE: <br />INSPECTOR 1: ' t ; }! r -1 n 1 ,f r r: rd. INSPECTOR 2: <br />❑ POA Bridge <br />11. APPROACH ROADWAY ❑ N/A Type: /1 (__ <br />to Significant Defects ❑ Pavement Rutting @ <br />Cracks @ Type: <br />Pavement Subsidence @ <br />Remarks: <br />12. rAPIPROACH GUARD RAILING �-N/A Type: <br />u No Significant Defects ❑ Missing "P" Markers @ <br />u Damage @ Type: <br />Remarks: <br />13, BRIDGE RAILING U N/A Type: <br />No Significant Defects ❑ Dry Rot @ <br />Damage @ Type: <br />Debris@ U Graffiti@ <br />Remarks: <br />14. SUPERSTRUCTURE ❑ N/A Type: <br />[_j No Significant Defects ❑ Drain Clogged: ❑ Debris Ltsj Vegetation ❑ Other' <br />Surface ❑ N/A Type: <br />No Significant Defects ❑Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ Type: <br />Scaling @ ❑ Light U Medium LJ Heavy <br />Spalling @ U Reber Delamination @ <br />Remarks: ( �. �s (n n ,, _ , r n H » v a , ,r_ <br />Soffit �J N/A Type: G.�^�c,p� r <br />No Significant Defects ❑Spalling @ <br />Cracks @ <br />'Rebar Exposure @ ';Pt) t j <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: , -: 1 i. , i. <br />Superstructure Other Than Deck ❑ N/A <br />No Significant Defects ❑Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />Spalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />❑ Moisture U Mold/Fungus <br />Depth: <br />Type: <br />Due to: ❑Moisture ❑Mold/Fungus <br />Depth: <br />LJ Damaged Stringer @ <br />Due to: Moisture ❑ Mold/Fungus <br />Depth: <br />s/is/zoia Page 1 <br />