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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: A1le&1 <br />INSPECTION DATE: "&(/ <br />INSPECTOR1: f d,u r�vr[ces�rt <br />❑ POA Bridge — f <br />BRIDGE #: 20((�312 <br />BRIDGE TYPE: cj F �AI <br />INSPECTOR 2: <br />11. APPROACH ROADWAY ❑ N/A Type: rL <br />No Significant Def cts, ❑ Pavement Rutting @ <br />Cracks@ TSB, siJ Type:Yc�te�.�5� <br />Pavement Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING � N/A Type: <br />❑� No Significant Defects ❑ Missing "P" Markers @ <br />❑� Damage @ Type: <br />Remarks: <br />13. BRIDGE RAILING ❑ N/A Type: (�,F9�r� <br />No Significant Defects ❑ Dry Rot @ <br />Damage @ Type: <br />Debris@ ❑ Graffiti@ <br />Remarks: <br />14. $ PERSTRUCTURE ❑ N/A Type: <br />[�No Significant Defects ❑ Drain Clogged: ❑ Debris ❑ Vegetation ❑ Other: <br />Surface ❑ N/A Type: <br />FN gnificant Defects 19 Deck Overlay Prevents Proper Visual Inspection <br />ks @Type: <br />ng@❑ Light ❑ Medium ❑ Heavy <br />ng @ Lj Rebar Delamination @ <br />Remarks: Ar, n\a&4o4 !iiiia5 frV1fTCj I`,r�Rb.E�iFW4` rL*� 4 <br />Soffit s: N/A Type:Cy4cv�a- <br />No Significant Defects ❑Spalling @ <br />Cracks @ <br />Rebar Exposure@ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />S perstructure Other Than Deck ❑ N/A Type <br />D o Significant Defects ❑Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />eSpalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />8/15/2014 <br />Type: <br />Type: <br />❑ Moisture ❑Mold/Fungus <br />Depth. <br />Type: <br />Due to: ❑Moisture ❑Mold/Fungus <br />Depth: <br />❑ Damaged Stringer @ <br />Due to* F] Moisture ❑ Mold/Fungus <br />Depth: <br />Page 1 <br />