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• <br />COUNTY ROAD 33 8 POWERLINE SUBSIDENCE SURVEY <br />DATE: ,S ~l /J'] TIME: /C,'/r/,-viz NAME: ~c',f ~/~ <br />WEATHER CONDITIONS: ~~~pyQ / PANEL: ,~ ~; ~~ <br />ROAD CONDITIONS YES NO COMMENTS <br />CRACKING c~ ~,(~ ~'~~,~ <br />BUCKLING <br />VISIBLE SETTLING ~ <br />SINK HOLES L~ <br />OTHER ~~ <br />MAINTENANCE uq~~ G',r~•~ j ~/,7Z'H <br />SHOULDER/FILL CONDITION YES NO COMMENTS <br />CRACKING ~ ~- /Y11.'l2GG`~ <br />BUCKLING 1~ <br />• VISIBLE SETTLING - _~~ <br />SINK HOLES ~/ <br />OTHER r/ <br />MAINTENANCE /(/uy~ <br />POWERLINE CONDITION YES NO COMMENTS <br />LINE INTACT / <br />t,/ <br />X-ARMS O. K. <br />CHANGE IN SPAN ~~ <br />POLE TILTING `~ <br />OTHER <br />MAINTENANCE <br />/37 >` ,1 <br />~ ~Ya <br />e:ldocumentlformslsubside.frm 06107796 <br />