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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: ftli tya 2nF-� BRIDGE #: al G - % <br />INSPECTION DATE: :� / i e� �_ _ BRIDGE TYPE: (-„ , n on r , <br />INSPECTOR 1: [ r n (, z F z INSPECTOR 2: nni FJ _: ,v2C� <br />❑ POA Bridge <br />11. APPROACH ROADWAY ❑ N/A Type: q C� <br />LjJ,No Significant Defects ❑ Pavement Rutting @ <br />Cracks @ Type: <br />Pavement Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING ❑�-t7/A Type: <br />f I No Significant Defects ❑ Missing 'P" Markers @ <br />�❑ Damage @ Type: <br />Remarks: <br />13. BRIDGE RAILING ❑ N/A Type: CoNGn_E � t- <br />[fo Significant Defects ❑ Dry Rot @ <br />Damage @ Type: <br />ebris@ ❑ Graffiti@ <br />Remarks: <br />14. SUPERSTRUCTURE ❑ N/A Type: <br />❑ No Significant Defects ❑ Drain Clogged: ❑ Debris ❑ Vegetation ❑ Other' <br />Surface ❑ N/A Type: <br />No Significant Defects ❑v° Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ Type: <br />Scaling @ ❑ Light ❑ Medium U Heavy <br />Spalling @ ❑ Rebar Delamination @ <br />Remarks: nrn u_�nr-= r.n., :- , it T ( oil:r- <br />;r <br />Soffit ❑ N/A Type: <br />No Significant Defects Spalling@ C�,irrt,,+. 4 <br />Cracks @ Type: <br />RebarExposure @�mr- �rr_cP or- Au. SPA.�S Type: <br />Timber Plank Decay @ L] Moisture ❑ Mold/Fungus <br />Section Loss @ Depth: <br />Remarks: <br />Superstructure Other Than Deck �f N/A Type: <br />No Significant Defects ❑Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />8 Spalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Due to: ❑Moisture U Mold/Fungus <br />Depth: <br />U Damaged Strin er @ <br />Due to: �] Moisture ❑ Mold/Fungus <br />Depth: <br />e/is/2oi4 Page 1 <br />