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COUNTY ROAD 33 & POWERLINE SUBSIDENCE SURVEY <br />• <br /> DATE: ~ ~ ~'~ TIME: ~' .3D~1rr NAME: ~,~ k /~, <br /> <br /> WEATHER CONDITIONS: 1~, ,.~ ,, PANEL: <br />~,~~f <br /> _ <br /> ROAD CONDITIONS YES NO COMMENTS <br /> CRACKING r~ /Iil ~ /G-3~/~~iJz-~ <br /> BUCKLING / ~'./may,,,-. ~ Er <br /> VISIBLE SETTLING ~-- <br /> SINK HOLES 1 <br /> OTHER <br /> MAINTENANCE <br /> SHOULDER/FILL CONDITION YES NO COMMENTS <br /> CRACKING / <br /> BUCKLING ~ <br />• VISIBLE SETTLING , ~ <br /> SINK HOLES / <br /> OTHER <br /> MAI NTENANC E <br />POWERLINE CONDITION YES <br />LINE INTACT / <br />X-ARMS O. K. f <br />CHANGE IN SPAN <br />POLE TILTING <br />OTHER <br />NO COMMENTS <br /> <br />MAINTENANCE <br />• <br />e:ldocu ment\forms\s ubside. frm 06107/96 <br />