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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: ID t\J5 2.0 �0;.0 BRIDGE M a9C <br />INSPECTION DATE: /T f 22 BRIDGE TYPE: <br />INSPECTOR 1: l�-iA 4:�1 P1 ✓1.� Ff r H INSPECTOR 2: ��a N rsW 3 v aL� <br />❑ POA Bridge <br />11. APPROACH ROADWAY ❑ N/A Type:i <br />No Significant Defects ❑Pavement Rutting @ <br />Cracks @ Type: <br />Pavement Subsidence @ <br />Remarks: <br />12. APPROACH GUARD RAILING ❑ N/A Type: 'n �6� D � <br />No Significant Defects ❑ Missing "P" Markers @ <br />Damage @ Type: <br />Remarks: <br />13. BRIDGE RAILING ❑ N/A <br />No Significant Defects ❑ <br />Damage @ <br />Debris@ <br />Remarks: <br />wc�00 YoSv-- <br />Type: m�Ge- � � ST-�EL i'asc- <br />Dry Rot @ <br />❑ Graffiti@ <br />Type: <br />14. S�IPERSTRUCTURE ❑ N/A Type: <br />❑ No Significant Defects ❑ Drain Clogged: ❑ Debris ❑ Vegetation ❑ Other: <br />_Surface ❑ N/A Type: <br />Deck Overlay Prevents Proper Visual Inspection No Significant Defects ❑ <br />Cracks @ Type. I r�w^�,sti �r <br />Scaling @ ❑ Light Medium ❑ Heavy <br />Spalling @ U Rebar Delamination @ <br />Remarks: i r26t= becK C✓ Acres mi c) c3� <br />Soffit ❑ N/A Type: C� ti C.2�`- i <br />t-No Significant Defects ❑Spalling @ <br />Cracks @ <br />Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />S perstructure Other Than Deck � N/A <br />No Significant Defects ❑Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />❑Spalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />Type: <br />❑ Moisture <br />Depth: <br />❑ Mold/Fungus <br />Type: <br />Due to: ❑Moisture ❑Mold/Fungus <br />Depth: <br />❑ Damaged Strin er @ <br />Due to: Moisture ❑ Mold/Fungus <br />Depth: <br />s/is/2oi4 Page 1 <br />