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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: i t ;/ ( , , , BRIDGE #: (/ <br />INSPECTION DATE: f 7 r t! BRIDGE TYPE: (,,; ),, , r ', ,_ , - <br />INSPECTOR 1: INSPECTOR 2: <br />11. A_ PPROACH ROADWAY T pe: r\ f' <br />No Significant Defects Pavement Rutting @ <br />Cracks @ F.` l i J_l I Type: <br />Pavement Subsidence @ <br />Grade Differential @ <br />Remarks: <br />12, APPROACH GUARD RAILING_ Type: I/ /i <br />HNo Significant Defects a Missing "P" Markers @ <br />Damage @ Type: <br />Remarks: <br />13. BRIDGE RAILING Type: rv, „ r <br />No Significant Defects ❑ Dry Rot @ <br />Damage @ Type: <br />Debris@ Graffiti@ <br />Remarks: , 1 1 1 ' <br />14. SUPERSTRUCTURE Ty e: <br />LJ No Significant Defects L_j Clogged From: Debris Vegetation Other: <br />Surface <br />No Significant Defects Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ Type: <br />Scaling @ L_J Light U Medium U Heavy <br />Spall @ U Reber Delamination @ <br />Remarks: <br />Soffit <br />No Significant Defects � Corrosion @ <br />Cracks @ <br />Reber Exposure @ <br />Corrosion @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />Superstructure Other Than Deck <br />N/A U No Significant Defects � Spell @ <br />Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />8 Spell @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />LJ Moisture L� Mold/Fungus <br />Depth: <br />Type: <br />Due to: Lf Moisture U Mold/Fungus <br />Depth: <br />U Damaged Strincler @ <br />Due to: Moisture .0 Mold/Fungus <br />Depth: <br />f tt <br />8/15/2014 <br />Page 1 <br />