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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: 1{0 <br />S /t ICt1An BRIDGE #: of 9 C <br />INSPECTION DATE: / BRIDGE TYPE: C� <br />INSPECTORI: C�rq ¢7 n GY—i kf INSPECTOR 2: DA vio 13Cj95Lvy_ <br />Aridge <br />11. APPROACH ROADWAY ❑ N/A Type A C <br />No Significant Defects ❑ Pavement Rutting @ <br />Cracks @ RaTH AR02aq e NFG Type, pq mom„ , <br />Pavement Subsidence @ <br />Remarks: '�4jjj_F< 4�. j.vi_ /a trni ` n F AAA <br />72. APPROACH GUARD RAILING ❑ N/A Type: rJ ��/ o� r✓oo0 r'o s : / S�(� <br />v�+To2S <br />o Significant Defects ❑ "PP" Markers @ ,j f j p ,tee crp <br />Damage @ Type: <br />Remarks: p 1npq2k&72 3EA� nL/t L 40` <br />13. BRIDGE RAILING ❑ N/A Type: CoN�2ET� <br />o Significant Defects ❑ Dry Rot @ <br />rDebris@ <br />amage @ Type: <br />❑ Graffiti@ <br />Remarks: 4 rm.,tL gPALLS 4n�� -1000 nF it.,JE 5 7 C.o 1 L- <br />i'OL( It)A✓ — Al.l eGYPdSG1'] Q��A2 <br />14. ERSTRUCTURE ❑ N/A Type: <br />LPNo Significant Defects ❑ Drain Clogged: ❑ Debris ❑ Vegetation ❑ Other: <br />Surface ❑ N/A Type: <br />TStZ <br />gnificant Defects eck Overlay Prevents Proper Visual Inspection <br />s @ Type <br />g @ <br />png @ <br />Remarks, <br />Soffit ❑ N/A Type: CoN C 21�i"E' <br />o Significant Defects ❑Spalling @ <br />Cracks @ <br />Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />S eLstructure Other Than Deck ❑ N/A <br />o Significant Defects ❑Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />eSpalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />❑ Light ❑Medium ❑Heavy <br />❑ Rebar Delamination @ <br />Type: <br />Type: <br />❑ Moisture ❑Mold/Fungus <br />Depth: <br />Type: Co�+C.2CTF B�Y+M w% C'oNC r��gP�4M$ <br />TVPe: <br />Due to: U Moisture U Mold/Fungus <br />Depth: <br />U Damaged Strin er @ <br />Due to: Moisture ❑ Mold/Fungus <br />Depth: <br />s/is/zoi4 Page 1 <br />