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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME:lV�S I�d <br />INSPECTION DATE. 5`l?1i3 <br />INSPECTORI: i <br />POA Bridge <br />11. APPROACH ROADWAY N/A <br />No Significant Defects <br />Cracks @ I'l/arf4 P Sv h <br />Pavement Subsidence @ <br />Remarks: <br />BRIDGE ff. 2'i L- 4267 <br />BRIDGE TYPE: <br />INSPECTOR 2: <br />Type: LA <br />Pavement Rutting @ <br />� )1 Type: <br />12. APPROACH GUARD RAILING � N/A Type: <br />No Significant Defects U Missing "P" Markers @ <br />Damage @ <br />Remarks: <br />Type: <br />13. _BRIDGE RAILING U N/A Type: G,h (,�� <br />iNo Significant Defects Dry Rot @ <br />\tc Damage @ Type: <br />Debris@ t ;,� U Graffiti@ <br />Remarks: <br />14. S�JPERSTRUCTURE U N/A Type: LovtUe <br />I No Significant Defects Drain Clogged: Debris Vegetation <br />Soffit U N/A Type: (�r,h ,��� <br />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 />Spalling @ <br />Section Loss @ <br />eBearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />Other: <br />U Medium U Heavy <br />U Moisture <br />Depth: <br />U Mold/Fungus <br />Type: <br />Due to: U Moisture U <br />Depth: <br />U Damaged Strin er @ <br />Due to: F1 Moisture U <br />Mold/Fungus <br />Mold/Fungus <br />s/is/zoi4 Page 1 <br />