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n <br />U <br />COUNTY ROAD 33 & POWERLINE SUBSIDENCE SURVEY <br />DATE: 7~~~)~ TIME: <br />WEATHER CONDITIONS: <br />ROAD CONDITIONS <br />CRACKING <br />BUCKLING <br />VISIBLE SETTLING <br />SINK HOLES <br />OTHER <br />~'ac~ NAME: ~(~c /c ~i~//' <br />.~i:,~.~-, PANEL: ~ .~,r/,~~ <br />~ -a <br />YES NO COM-(M//DENTS /L <br />Cam"- e ~ 3f'/'-ice: ~.,~ ~ <br />v° <br />MAINTENANCE <br />r1 <br />U <br />SHOULDER/FILL CONDITION YES <br />CRACKING :i <br />BUCKLING <br />VISIBLE SETTLING / <br />SINK HOLES <br />OTHER <br />MAINTENANCE <br />POWERLINE CONDITION YES <br />LINE INTACT ~ <br />X-ARMS O.K. / <br />CHANGE IN SPAN <br />POLE TILTING <br />OTHER <br />MAINTENANCE <br />P h,,~r~ ;~ i` <br />;, ~ dsi <br />,,., «.. <br />/ ~~~ <br />S /rC Pa~.y, /1!/. <br />• C ~ 3r> ELM` <br />NO <br />r <br />v <br />NO <br />COMMENTS <br />COMMENTS <br />e:ldocument\formslsubside. frm 06113196 <br />