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SAN JOIIAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: L.aryo I Ct�q BRIDGE #: SQL 35 V <br />INSPECTION DATE: 3/N_1L BRIDGE TYPE: tonfre 4 <br />INSPECTORI: G INSPECTOR 2: 6 fV <br />❑ PDA Bridge <br />11. APPROACH ROADWAY ❑ N/A Type: JkG <br />No Significant Defects ❑ Pavement Rutting @ <br />Cracks @ Type: <br />Pavement Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING LN N/A Type: <br />r I No Significant Defects ❑ Missing "P" Markers @ <br />❑ Damage @ Type: <br />Remarks: <br />13. B 40GE RAILING U N/A Type: �+� <br />No Significant Defects ❑ Dry Rot @ <br />Damage @ _ Type: <br />Debris@ U Graffiti@ <br />Remarks: po.'Aa fi ��11'pNli(4 �u 4�I' <br />14. S�`1�PERSTRUCTURE U N/A Type: E'pr�re}Z <br />U No Significant Defects LiN Drain Clogged. [Debris I v I Vegetation ❑ Other: <br />Surface ❑ N/A Type: LN <br />RNo Significant Defects Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ Type <br />Scaling @ U Light U Medium U Heavy <br />Spalling @ , U Reber Delamination @ <br />Remarks: ".o g��w.IFicwhf d�iyr�t /h u/IPs�viillt tuv�a.Q_ <br />S ffit U N/A Type (y"44A, <br />No Significant Defects ❑Spalling @ <br />Cracks @ <br />Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />Superstructure Other Than Deck � N/A Type: <br />No Significant Defects U Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />eSpalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />U Moisture U Mold/Fungus <br />Depth <br />Type: <br />Due to: U Moisture U Mold/Fungus <br />Depth: <br />U Damaged Strin er @ <br />Due to: Moisture LJ Mold/Fungus <br />Depth: <br />a/is/zoia Page 1 <br />