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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: �� rtl ( �t BRIDGE #: � qc- 3� <br />INSPECTION DATE: 214 ( 82y BRIDGE TYPE: <br />INSPECTORI: , ;f3. _ INSPECTOR 2: A!, <br />❑ POA Bridge <br />11. APPROACH ROADWAY ❑ NIA Type: FfU <br />I No Significant Defects ❑ Pavement Rutting @ <br />Cracks @ Type: <br />Pavement Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING �N/A Type: <br />r I No Significant Defects ❑ Missing 'P" Markers @ <br />❑ Damage @ Type: <br />Remarks: <br />13. BRIDGE RAILING U N/A Type (�,y,^,GrQ�,q <br />> No Significant Defects ❑ Dry Rot @ <br />Damage @ Type: <br />Debris@ U Graffiti@ <br />Remarks: <br />14, SUPERSTRUCTURE U N/A Type: �,Arllvd'@' <br />[J 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 Delamination @ <br />Remarks: <br />Soffit U N/A Type: <br />No Significant Defects ®Spalling @ <br />Cracks @ <br />Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />Supperstructure Other Than Deck U N!A <br />No Significant Defects U Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />eSpelling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />Type: <br />U Moisture U Mold/Fungus <br />Depth: <br />Type: <br />Due to: U Moisture U Mold/Fungus <br />Depth: <br />U Damaged Strin er @ <br />Due to: Moisture Mold/Fungus <br />Depth <br />e/is/zoi4 Page 1 <br />