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SAN JOAQUIN COUNTY BRIDGE INSPECTION FORM <br />ROAD NAME: Lr Owrwe SACrawlmb <br />INSPECTION DATE: <br />INSPECTOR 1: <br />❑ POA Bridge <br />11. APPROACH ROADWAY ❑ N/A <br />No Significant Defects ❑ <br />Cracks @ (t1wth go 5" <br />Pavement Subsidence @ <br />Remarks: r <br />BRIDGEM )A&-54t3 <br />BRIDGE TYPE: (004"Fit <br />INSPECTOR 2: 0 1H61 H A <br />Type: tG <br />Pavement Rutting @ <br />r 6"k Type <br />ci L c IrL <br />12. APPROACH GUARD RAILING ❑ N/A Type: �{� <br />No Significant Defects ❑ Missing "P" Markers @ <br />Damage @ E4* 12�- <br />Remarks: It Iir ma,tud Coa."I RrAL.R <br />13. _B�IDGE RAILING ❑ N/A <br />No Significant Defects ❑ <br />Damage @ <br />Debris@ <br />Remarks: <br />o� <br />(� (`Wd( <br />�I <br />Type: keh a�¢✓S <br />---- -- . <br />Type: �j�ehl 7 �Ire- R,w'( or. bletl <br />Dry Rot @ <br />Type: <br />❑ Graffiti@ <br />14. SUPERSTRUCTURE ❑ N/A Type: CavurN-� <br />[� No Significant Defects ❑ Drain Clogged: ❑ Debris ❑ Vegetation ❑ Other: <br />_Surface ❑ N/A Type: 6~41tw <br />No Significant Defects ❑ Deck Overlay Prevents Proper Visual Inspection <br />Cracks @ Type: <br />Scaling @ U Light ❑ Medium ❑ Heavy <br />Spalling @.f M ❑ Rebar Delamination @ <br />Re arks: pull 4%A Svc LvVU <br />Soffit ❑ N/A Type: <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: <br />❑ Moisture <br />Depth: <br />❑ Mold/Fungus <br />Type: <br />Due to: ❑Moisture ❑ <br />Depth: <br />❑ Damaged Stringer @ <br />Due to: [� Moisture U <br />Mold/Fungus <br />Mold/Fungus <br />8/15/2014 Page 1 <br />