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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: 5NO [�l BRIDGE #: qL — 039 <br />INSPECTION DATE: S ( BRIDGE TYPE: S��„(_�A��� Cosfosr'iQ <br />INSPECTOR 1: ({n( INSPECTOR 2: j1//H& <br />POA Bridge <br />11. APPROACH ROADWAY N/A <br />No Significant Defects [ <br />Cracks @ Aforfh,4w Sow{ ► <br />Pavement Subsidence @: Voe <br />Remarks�a L I <br />ll� <br />12. APPROACH GUARD RAILING <br />No Significant Defects U <br />Damage @ 5.0tA easF <br />Remarks: k dot <br />13. _BRIDGE RAILING U N/A <br />No Significant Defects <br />Damage @ JswK <br />Debris@ <br />Remarks: S t is�i {t• <br />JOAA *, WA S gaol MAP <br />Type: tt <br />Pavement Rutting @ <br />TYpe: L.14 YraI <br />�75 (thrice a A A 0►�} olbd <br />U N/A Type: iM� <br />Missing "P" Markers @ <br />e z <br />a c� I9o5h <br />oK wobd �H Savtl��MeF� or S�',cel Narl'h <br />Type: Q� �q!-41 <br />TYpe: Sloge <br />Dry Rot @ <br />-wt Type: T <br />Lf Graffit% wrap ej <br />b ^4t AA eftf I k. <br />14. SUPERSTRUCTURE U N/A Type: (,o�cr,�1'� �3�a�1 [�w►�ob'�� <br />[� No Significant Defects ❑ Drain Clogged: Debris D Vegetation Other: <br />Surface ❑ N/A Type: Co toe <br />No Significant DefectsDeck Overlay Prevents Proper Visual Inspection <br />J <br />Cracks @ eLWs &L Type: s U 6firal <br />Scaling @ Light U <br />Spalling @ H Rebar Delamination @ <br />Remarks: j � (nrrll,&e decl� Ls %[isi td44dAir nkt"Lu, Av5p U <br />Soffit U N/A Type: (pH.(,�r.}d <br />No Significant Defects Spalling @ <br />Cracks @ oL ik 4,0g <br />Rebar Exposur@ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />S perstructure Other Than Deck U N/A <br />No Significant Defects U Cracks @ <br />Timber Stringer Decay @ <br />Spalling @ <br />Section Loss @ <br />BBearing Damage @ <br />Section Loss <br />Remarks: <br />11 <br />Wa <br />MediLA U Heavy <br />�u�'tral fiY�AaS <br />Type: MiNiwtal.ye�v a,ri-iV4Fli>r. <br />Type: � <br />[J Moisture U Mold/Fungus <br />Depth: <br />Type: 51 Myl- o►t 3OV401% Sao <br />Type: <br />Due to: U Moisture U Mold/Fungus <br />Depth: <br />[J Damaged Strin er @ <br />Due to: Moisture U Mold/Fungus <br />Depth: <br />8/15/2014 Page 1 <br />