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BRIDGE INSPECTION REPORT Dept. of Public Works "- San Joaquin County 1. STATE BR. NO.: 29C- 64- 38C- 4. DATE BUILT: 7. Date Rebuilt / Widened: 8. DATE INSPECTED: / /09 2. WATERWAY: ❑River ❑Canal []Slough ❑Creek 5. POSTED LOAD: ❑N/A ❑Type 3_Ton / 3-S2 _Ton / 3-3 Ton ROAD NAME: _ flLn ❑Rd ❑Blvd ❑Way 6. DESIGN LOAD: ❑H15 ❑HS20 9. INSP. BY: �ayne Chan at Nelson u. STRUCUTURE DESCRIPTI0 ❑ ❑ 10a. Type: Concrete Box Culvert []Timber ❑Steel Trestle ❑Concrete Flat Slab & Pile Bents []Composite (Concrete Deck & Steel Plate Girder) ❑ Concrete T-Beam ❑Concrete Flat Slab & Pier Bent ❑ Other 10b. Overall Span : 10c. Clear Width: 10d. DESCRIPTION: 11. BRIDGE APPROACH ROADWAY 11a. Pavement Type: E A.0 El A B. hip Seal Seal 11b. No. of Lane(s): Ell LI2 ❑ 3 ❑ 4 ❑ 5 El11c. ,❑`Slurry Pavement Width Between Fog Lines: t N Approach t tyi. Approach �"�t ❑ E Approach ft ❑ W Approach ft 11d. Alignment: O'Tanaent &K flge❑E ❑W Approach; ❑ Curved ❑N ❑S ❑E ❑W Approach, ❑ Intersection lle. ).�t /Driveway: ❑ NE ❑ NW ❑ SE G�-�W ❑ All Corner of Bridge ❑ N/A ❑ Other llf. Condition: ❑ No significant defects noted ❑ Pavement Rutting @ ❑N ❑S ❑E ❑W Approach, Location/Area cracks @ ❑N EIS❑E ❑W Approach, Location /Area 9�ransverse LG Longitudinal cracks @ ❑N ❑S ❑E ❑W Approach, Location /Area ❑ Stress cracks @ ❑N ❑S ❑E ❑W Approach, Location /Area ❑ Alligator Cracks @ ❑N ❑S ❑E ❑W Approach, Location/Area ❑ Pavement subsidence Adjacent to Abutment @ ❑N ❑S ❑E ❑W Approach 0' Grade Differential U N 4,4( ft ❑S _ ft. ❑ E _ ft ❑ W ft Approach ❑ Other �� l'O- �N✓/��y✓� ./✓%fix . 12. BRIDGE APPROACH GUARD RAILING 12a. Location: ❑ N/1/1 Corner ❑ N/E Corner ❑ S/W Corner ❑ S/E Corner ❑ All Corner N.ne 12b. Type: ❑ MBGR on Timber Post []Std ❑Non-Std, ❑ Timber Planks on Timber Post, ❑ MBGR on Steel Post ❑Std ❑Non-Std, ❑ Timber Planks on Steel Post ❑ Other 12c. Height: Top of railing to exist ground line ❑ Std. (2'-2") ❑N/W Cor ❑ N/E Cor ❑ S/W Cor ❑ S/E Cor 12d. Length: ❑ Sid (25'-0") ❑N/W Cor ❑ N/E Cor ❑ SAN Cor ❑ S/E Cor 12e. Terminal System: ❑ ET ❑ SRT ❑ Impact Attenuator ❑QuardGuard ❑Trace ❑ Cable Anchor (Breakaway) ❑ Terminal Section (Type ❑A, ❑B, ❑C, ❑ Return Section) ❑ Other ❑ N/A 12f. "P" Markers: ❑ NE ❑ NW ❑ SE ❑ SW All Missing "P" Markers: ❑ NE ❑ NW ❑ SE ❑ SW ❑ All Corner 12g. Conditions: ❑ No significant defects noted Shoulder Condition. ❑ Std IT) ❑ Should Width - E/P to Hinge ft ❑ Shimmy railing due to deteriorating rail posts ❑ Graffiti ❑ Damage @ ❑N/W Cor OWE Cor El S/W Cor ❑S/E Cor ❑ Other 13. BRIDGE RAILING 13a. Guard Railing: 13b. Height: 13c. Condition(s): 14. BRIDGE SUPERSTRUCTURE 14a. Structure Type: 14b. No. of Span: 14d. Stringer/Gir. Dim. 14e. Utility Conduit/Type 14f. Deck: 14g. Hinges/Expansion Joint: n concrete Bridge Railing (Type ❑l, ❑2, ❑3, ❑4, ❑5, ❑25, ❑26, ❑ 736) MBGR on Timber Post ❑ MBGR on Steel Post ❑ Metal Tube Railing on Steel Post ❑ Three Beam on Timber post ❑ Three Beam on Steel Post ❑ Timber Planks on Timber Post ❑ Other, c, ❑ 32" Sid (Three Beam & Type 25) E� Other / [INo significant defects noted ElI Shimmy railing due o deteriorating []outside stringers ❑ Railpost ❑ Mold ❑ Fungus growth ❑ Dry rots between Railpost & Stringer @ Span ❑ Lt ❑ Rt ❑ Debris built up @ the base of concrete railing / preventing proper deck drainage ❑ Graffiti @ ❑ Lt ❑ Rt ❑ Damage(s) / Location ❑ RC Flat Slab el Conc Box Culvert ❑ Conc T-Beam ❑ Conc "I" Girder ❑ Conc Box Girder ❑ Steel Plate Girder ❑ Timber Stringers ❑ Steel Trestle ❑ Other ❑ 1 © 2 ❑ 3 ❑ 4 ❑ 5 ❑ 6 ❑7 ❑ 8 ❑ 9 ❑ 10 ❑ _ 14c. No. of Stringer or Girder/Span: Timber Stringers ❑ 4x14 ❑ 4x16 ❑ 6x14 ❑ 6x16 ❑ _ @ ❑ 14" ❑ 16" ❑ on Center Concrete / Steel Girders @ on Center E N/A ❑ Yes ❑ RT ❑ LT Conduit Dia ❑ RT _ ❑ LT_ Quantity ❑ RT_ ❑ LT ❑ Gas ❑ Electrical ❑ Telephone ❑ Water ❑ Sanitary ❑ Unknown ❑ Other ❑,Timber Planks w/AC overlay ❑Corrugated Metal Decking w/AC overlay ❑Concrete ❑Other L�vo ❑ Yes @ Span Condition ❑No significant defects noted, o\eaiocewsPecnoNsuo:aform e-oaaoc Page 1 of 5 � fl-I