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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME. <br />INSPECTION DATE: <br />INSPECTOR 1: RN <br />POA Bridge <br />INSPECTORBRIDGE #0 <br />IDGE TYPE. <br />2. <br />11. APPROACH ROADWAY Lj N/A Type: tlLo <br />No Significant Defects F Pavement Rutting @ <br />Cracks @ WLS pp Type: Latj^Grwl <br />Pavement Subsidence p� <br />Remarks: <br />12. APPROACH GUARD RAILING U N/A Type: AB& OM fl*w G/ <br />No Significant Defects U Missing "P" Markers @ <br />Damage @ P m"k v4, Type: <br />Remarks: L40X.A.Ak <br />13. BRIDGE RAILING U N/A Type: MS& ®h 54ct( f 8al <br />No Significant Defects Dry Rot @ <br />Damage @ Type: <br />Debris@ (_f Graffiti@ <br />Remarks: <br />14. SUPERSTRUCTURE U N/A Type: toAr1,t <br />[I No Significant Defects 0 Draiq Clogged: Debris Vegetation <br />_Surface ❑ N/A Type: <br />No Significant Defects Deck Overlay Prevents Proper Visual Inspectior <br />_ Cracks @ Type: <br />_ Scaling @ U Light <br />_ Spalling @ U Rebar Delamination @ <br />Remarks: <br />Soffit (� N/A Type: (�0�/1Gptt'' <br />_ No Significant Defects ❑ Spalling @ <br />_ Cracks @ <br />_ Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: l/luwbks, <br />Superstructure Other Than Deck � N/A Type: <br />No Significant Defects u Cracks @ <br />❑ Timber Stringer Decay @ <br />Section Loss @ <br />8 Spalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />Other: <br />U <br />Mediurn U Heavy <br />U Moisture <br />Depth: <br />U Mold/Fungus <br />Type: <br />Due to: U Moisture U <br />Depth: <br />U Damaged Strin er @ <br />Due to: Moisture U <br />Depth: <br />Mold/Fungus <br />Mold/Fungus <br />S/15/2014 Page 1 <br />