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COUNTY ROAD 33 & POWERLINE SUBSIDENCE SURVEY <br />~J <br />DATE: $ io %7 TIME: ~' L~pn, _ NAME: ~~ ck /1~, ~~l <br />WEATHER CONDITIONS: ~lcAn-J PANEL: ~-IL,rL!~ <br />--a <br />ROAD CONDITIONS _ <br />YES NO COMMENTS <br />CRACKING ~ N~ G,r/gr.C(j <br />BUCKLING ~/ <br />VISIBLE SETTLING y <br />SINK HOLES t/ <br />OTHER <br />MAINTENANCE (,~/~L~i C,ey~l /~jr~f' <br />SHOULDER/FILL CONDITION YES NO COMMENTS <br />CRACKING ~ ~a Cl~i C~~ <br />BUCKLING <br />~ ~ <br />• <br />VISIBLE SETTLING / <br />SINK HOLES / <br />OTHER <br />MAINTENANCE /~OiuE' <br />POWERLINE CONDITION YES NO COMMENTS <br />LINE INTACT ~/ / <br />X-ARMS O.K. <br />CHANGE IN SPAN f <br />POLE TILTING ~ <br />OTHER <br />MAINTENANCE /V/ ~ ~ <br />r <br /> <br /> <br />e:ldocument\formslsubside.frm 06107/96 <br />