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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: �ac_ ,2 �-t BRIDGE #: C ? (_q <br />INSPECTION DATE: r, > BRIDGE TYPE: � � �r ,a .J Tq. !77( ,t4�c-' <br />INSPECTOI, 1: << , INSPECTOR 2: <br />11. APPROACH ROADWAY Type: a C <br />}C No Significant Defects [ Pavement Rutting @ <br />Cracks @ Type: <br />Pav-ement Subsidence @ <br />Grade Differential @ <br />Remarks: <br />12. APPROACH GUARD RAILING Type: ti✓)10.� <br />HNo Significant Defects [:] -Missing "P" Markers @ <br />Damage @ Type: <br />Remarks: <br />13. BRIDGE RAILING Type: �' 5G5 2_ d ^s SAC L <br />_ No Significant Defects Dry Rot @ <br />_ _Damage @ Type: <br />_ Debris@ [ Graffiti@ <br />.IC <br />14. S PERSTRUCTURE Type: <br />No Significant Defects 0 Clogged From: Debris Vegetation Other: <br />Surface <br />No Significant Defects F_.] Deck Overlay Prevents Proper Usual Inspeclion� <br />Cracks@ --pA-v t, 2 Type:©�_ ro �' /��'I��' <br />Scaling @ U Light U Medium U Heavy <br />Spall @ [ Rebar Delamination @ <br />Remarks: <br />Soffit <br />)( No Significant Defects Corrosion @ <br />Cracks-@ <br />Rebar Exposure @ <br />Corrosion @ <br />Timber Plank Decay @ <br />Section Loss @ <br />Remarks: <br />S oerstructure Other Than Deck <br />N/A No Significant Defects Spall @ <br />Cracks @ <br />Timber Stringer Decay @ <br />Section Loss-@, <br />HSpall @ <br />Bearing Damage @ <br />Section Loss @ <br />Remarks: <br />Type: <br />Type: <br />-jam Moisture [ Mold/Fungus <br />Depth: <br />Type: <br />Due to: [ Moisture <br />Depth:. <br />[ Damaged Stringer @ <br />Due to: Moisture <br />Depth: <br />[ Mold/Fungus <br />[ Mold/Fungus <br />8/15/2014 Page 1 <br />