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BRIDGE INSPECTION REPORT Dept. of Public Works San Joaquin County 1. STATE BR. NO.: 29C- 4. YEAR BUILT: 7. Year Rebuilt / Widened: B. DATE INSPECTED: 1 / zZ/09 2. WATERWAY:764D ❑River ❑Canal ❑Slough ❑Creek 5. POSTED LOAD: [I N/A ❑Type 3_Ton / 3-S2 _Ton / 3-3 _ Ton 3. ROAD NAME: Gt4v= tZy 1771 n EiKd ❑Blvd ❑Way 6. DESIGN LOAD: ❑H15 ❑HS20 9. INSP. BY: Wayne Chan ❑Nat Nelson 10. STRUCUTURE DESCRIPTION I ❑ ❑ 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: ❑ A C ❑ A B ❑ Chip Seal ❑ Slurry Seal 11b. No. of Lane(s): El 2-1 ❑ 3 ❑ 4 ❑ 5 ❑ 11c. Pavement Width Between Fog Lines: El Approach ft ❑ S Approach ft ❑ E Approach ft ❑ W Approach ft 11d. Alignment: ❑ Tangent ❑N ❑S ❑E ❑W Approach, ❑ Curved ❑N ❑S ❑E ❑W Approach, ❑ Intersection 11e. Levee Access/Driveway: ❑ NE ❑ NW ❑ SE ❑ SW ❑ All Corner of Bridge ❑ N/A ❑ Other 11f. Condition: ❑ No significant defects noted ❑ Pavement Rutting @ ❑N ❑S ❑E ❑W Approach, Location /Area ❑ Transverse cracks @ ❑N ❑S ❑E ❑W Approach, Location /Area ❑ 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 ❑ Grade Differential ❑N -ft ❑S _ ft ❑E _ ft ❑W _ ft Approach ❑ Other 12. BRIDGE APPROACH GUARD RAILING 12a. Location: ❑ NAN Corner ❑ N/E Corner ❑ S/W Corner ❑ S/E Corner ❑ All Corner ❑ None 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: ❑ Std (25'-0") ❑N/W Cor ❑ N/E Cor ❑ S/W 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 (T) ❑ Should Width - E/P to Hinge ft ❑ Shimmy railing due to deteriorating rail posts ❑ Graffiti ❑ Damage @ ❑N/W Cor ❑N/E Cor ❑S/W Cor ❑S/E Cor ❑ Other 13 BRIDGE RAILING 13a. Guard Railing: ❑ 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 ❑ Thrie Beam on Timber post ❑ Thrie Beam on Steel Post ❑ Timber Planks on Timber Post ❑ Other 13b. Height: ❑ 32" Std (Thee Beam & Type 25) ❑ Other 13c. Condition(s): ❑ No significant defects noted ❑ Shimmy railing due to deteriorating ❑outside stringers ❑ Railpost ❑ Mold ❑ Fungus groth ❑ 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 14. BRIDGE SUPERSTRUCTURE 14a. Structure Type: ❑ RC Flat Slab ❑ Conic Box Culvert ❑ Conc T-Beam ❑ Conic "I" Girder ❑ Conic Box Girder ❑ Steel Plate Girder ❑ Timber Stringers ❑ Steel Trestle ❑ Other 14b. No. of Span: ❑ 1 ❑ 2 ❑ 3 ❑ 4 ❑ 5 ❑ 6 ❑7 ❑ 8 ❑ 9 ❑ 10 ❑ _ 14c. No. of Stringer or Girder/Span: 14d. Stringer/Gir. Dim.: Timber Stringers ❑ 4xl4 ❑ 4xl6 ❑ 6xl4 ❑ 6xl6 ❑ @ ❑ 14" ❑ 16" ❑ on Center Concrete / Steel Girders @ on Center 14e. Utility Conduit/Type: ❑ N/A ❑ Yes ❑ RT ❑ LT Conduit Dia ❑ RT _ ❑ LT _ Quantity ❑ RT_ ❑ LT ❑ Gas ❑ Electrical ❑ Telephone ❑ Water ❑ Sanitary ❑ Unknown ❑ Other 14f. Deck: ❑Timber Planks w/AC overlay ❑Corrugated Metal Decking w/AC overlay ❑Concrete ❑Other 14g. Hinges/Expansion Joint: ❑ No ❑ Yes @ Span Condition ❑No significant defects noted, o �eRIDGE INSPECT1oNSV-p form 9-08 doe Page 1 of 3