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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: 1'Sird <br />INSPECTION DATE: <br />INSPECTOR I <br />❑ POA Bridge <br />BRIDGE #: 3qL -3a0 <br />BRIDGE TYPE:bUh <br />INSPECTOR 2: nV /14L/LT <br />11. APPROACH ROADWAY ❑ N/A Type: <br />No Significant Defects ❑ Pavement Rutting @ <br />Cracks @ <br />Pavement Subsidence aRemar <br />12. APPROACH GUARD RAILING ❑ N/A Type: M13(, <br />No Significant Defects ❑ Missing "P" Markers @ <br />Damage @ <br />Remarks: <br />13. _BRIDGE RAILING ❑ N/A <br />No Significant Defects ❑ <br />Damage @ <br />Debris@ <br />Remarks: Sfirl <br />Type: l�db o+� Sfz�� <br />Dry Rot @ <br />Type: <br />Type: <br />Type <br />Graffiti@ <br />r.f C�►tidr�fbr P. 1� <br />lie. wHfS acv+xs <br />14. S�IPERSTRUCTURE ❑ N/A Type: %ee. <br />L] 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 @rtposs Type: AI.9 <br />Scaling @ U Light ❑ <br />Spalling @ ❑ Rebar Delamination @ <br />Medium ❑Heavy <br />D � arks s:� g&ehsiW A.I �: ate► Gv�c 6 a4vass S 0 evi�6w 6 � <br />Soffit ❑ N/A Type:Ca^04C <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 <br />No Significant Defects ❑Cracks @ <br />Timber Stringer Decay @ <br />❑ <br />Section Loss @ Spalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />a%rU3 <br />Ivon <br />❑ Moisture ❑Mold/Fungus <br />Depth: <br />Type: <br />Due to: ❑ Moisture ❑ <br />Depth: <br />❑ Damaged Strin er @ <br />Due to: <br />❑ Moisture ❑ <br />Depth: <br />Mold/Fungus <br />Mold/Fungus <br />8/15/2014 Page 1 <br />