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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: Cbr4 BRI GE #: ZqL" ZCg <br />INSPECTION DATE: (WA113 BRIDGE TYPE: r�V4 V <br />INSPECTOR 1: INSPECTOR 2: (S 1H(, <br />❑ POA Bridge <br />11. _APPROACH ROADWAY <br />No Significa t D fec� <br />Cracks @ <br />Pavement Subsidence <br />Remarks: 4L <br />Air "rdce <br />❑ N/A Type: A� <br />n Pavement Rutting @ <br />Type: Iairl�� <br />IB/ ° �♦ / i' <br />12. APPROACH GUARD RAILING U N/A Type: Merl o^ I VVI <br />No Significant Defects Missing "P" Markers @ <br />n Damage @ Type: <br />Remarks: <br />13, _BRIDGE RAILING ❑ N/A Type: MC I am Hir%b✓ <br />No Significant Defects ❑ Dry Rot @ <br />Damage @ Type: <br />Debris@ ❑ Graffiti@ <br />Remarks: <br />14. SUPERSTRUCTURE U N/A Type: TtII <br />b No Significant Defects ❑ Drain Clogged: Debris ❑ Vegetation ❑ <br />_Surface ❑ N/A Type: k o%Ox" +f;, "ki <br />No Significant Defects ❑ Deck Overlay Prevents Proper Visual I spection <br />Cracks @ .�*foM3 6fa►lliw% Type: <br />Scaling @ Light <br />Spalling '@ `` ❑ Rebar Delamination @ <br />Remarks: t. 01 4rorA boow 3 &)f a6 YL <br />Soffit ❑ N/A Type: To'W�bl�/ <br />No Significant Defects ❑Spalling @ <br />Cracks @ <br />Rebar Exposure @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />Superstructure 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 `fi'w��+ STYihO <br />Other: <br />❑ Medium ❑Heavy <br />❑ Moisture <br />Depth: <br />❑ Mold/Fungus <br />Type: <br />Due to: ❑Moisture ❑ <br />Depth: <br />❑ Damaged Strin er @ <br />Due to: Moisture <br />Depth: <br />Mold/Fungus <br />Mold/Fungus <br />8/15/2014 Page 1 <br />