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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: MaVpkN <br />INSPECTION DATE: J t ;l <br />INSPECTOR 1: <br />❑ POA Bridge <br />BRIDG #: _T L 3D <br />BRIDGE TYPE: nC S 6 <br />INSPECTOR2: Qt/ <br />11. APPROACH ROADWAY ❑ N/A Type:A A/ fI� <br />u No Significant Defects Pavement Rutting @ 1V,rC�1'�[ DT 57'v4r� <br />u Cracks @ Type <br />u Pavement Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING N/A Type: <br />L No Significant Defects ❑ Miss ng'P" Markers @ <br />u Damage @ Type: <br />Remarks: <br />13. BRIDGE RAILING U N/A Type: CvfuV{-, <br />No Significant Defects ❑ Dry Rot @ <br />I❑�I Damage @ Type: <br />Debris@ Graffiti@ <br />Remarks: <br />14. S ERSTRUCTURE ❑ N/A Type: �r1U'C'F'G <br />[ 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 ❑ Heavy <br />Spalling @ _ U Rebar Delamination @ <br />.66 <br />Remarks: KID Si wtf��nF p,k Pin !�1/mVl>Dy <br />d -VJ J <br />Soffit ❑ N/A Type: CO (� <br />No Significant Defects � Spalling @ <br />Cracks @ <br />Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />Supperstructure Other Than Deck N/A Type: <br />No Significant Defects ❑ Cr s @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />eSpalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />❑ Moisture ❑Mold/Fungus <br />Depth: <br />TVPe: <br />Due to: ❑Moisture ❑Mold/Fungus <br />Depth: <br />❑ Damaged Strin er @ <br />Due to. Moisture U Mold/Fungus <br />Depth. <br />s/is/zoia Page 1 <br />