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COUNTY ROAD 33 & POWERLINE SUBSIDENCE SURVEY <br />• <br /> DATE: ~~ ~ /~ TIME: ,~ ~~t NAME: <br />`-T ~~4R ,~ (/(,~"~~' <br /> WEATHER CONDITIONS: PANEL: <br /> ROAD CONDITIONS YES NO COMMENTS <br /> CRACKING I/ <br />- ~iC (~WN4~ <br /> BUCKLING ~ ~ <br /> VISIBLE SETTLING <br /> SINK HOLES ,/ <br /> OTHER <br /> MAINT <br />ANCE % <br />L <br />~U <br />~ !/t <br />!~ ( <br />ts <br /> EN y~, <br />, <br />, r <br />, i <br /> SHOULDER/FILL CONDITION YES NO COMMEN <br />T <br />$ <br /> <br />CRACKING <br />,/ / <br />/ <br />' <br />/U~ (~rvyC_ <br /> BUCKLING y <br />• VISIBLE SETTLING ~~ <br /> SINK HOLES ! ~ <br /> OTHER <br /> MAINTENANCE <br /> POWERLINE CONDITION YES NO ENTS <br />COM <br />M <br /> LINE INTACT ~ ~~ <br />~~// <br />/U ~ ~fj~ryl~ _ <br /> X-ARMS O.K. ~ ~ <br /> CHANGE IN SPAN ~ <br /> POLE TILTING ~ <br /> OTHER <br />MAINTENANCE <br /> <br /> <br />e:ldocumentlformslsubside. frm 06107/96 <br />