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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: <br />INSPECTION DATE: j <br />INSPECTOR 1: C n z •. �'., , , , ,. r <br />POA Bridge <br />BRIDGE #: <br />BRIDGE TYPE: <br />INSPECTOR 2: �2 , <br />11. APPROACH ROADWAY Lj N/A Type: r � - <br />lNo Significant Defects Pavement Rutting @ <br />Cracks @ Type: <br />Pavement Subsidence @ <br />Remarks: <br />Do Significant Defects U Missing "P" Markers @ <br />amage @ Type: <br />,+ I Remarks: -, , > <br />13. BRIDGE RAILING U N/A Type: <br />o Significant Defects DryRot @ <br />[Tr <br />amage @ <br />ebris@ <br />Remarks: <br />Type: <br />U Graffiti@ <br />14. SUPERSTRUCTURE �f N/A Type: <br />U No Significant Defects Lj Drain Clogged: Debris Lj Vegetation Lj Other: <br />_Surface N/A Type: <br />_ No Significant Defects M' beck Overlay Prevents Proper Visual Inspection <br />_ Cracks @ Type: <br />_ Scaling @ [�j Light U Medium U Heavy <br />_ Spalling @ U Rebar Delamination @ <br />Remarks: r-a. <br />Soffit U N/A-._- <br />-�'No Significant Defects � Spalling @ <br />_ Cracks @ <br />_ Rebar Exposure @ <br />_ Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />Superstructure Other Than Deck ��'NjA <br />No Significant Defects U Cracks @ <br />Timber Stringer Decay @ <br />Section Loss @ <br />8 Spalling @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />Type: <br />�f Moisture <br />Depth: <br />U Mold/Fungus <br />Type: <br />Due to: �f Moisture �) Mold/Fungus <br />Depth: <br />u Damaged Strin er @ <br />Due to: Moisture U Mold/Fungus <br />Depth: <br />s/15/zoi4 Page 1 <br />