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COUNTY ROAD 33 8~ POWERLINE SUBSIDENCE SURVEY <br />/~ // <br />DATE: y; 1 ~ Q TIME: ,3~NAME: (7Y1.r~/ 1^ct s'e' l ~O h <br />WEATHER CONDITIONS: C-~OuAtil - %ntey~nirenFhtie PANEL: ~~r <br />ROAD CONDITIONS YES NO COMMENTS <br />CRACKING ~ !UD Glua~BP <br />BUCKLING ~~ <br />VISIBLE SETTLING _~ <br />SINK HOLES ,/ <br />OTHER /~~ <br />MAINTENANCE cJa'~c~ ~t !~-.ro~~ ~a~c~ <br />SHOULDER/FILL CONDITION <br />CRACKING <br />BUCKLING <br />• VISIBLE SETTLING <br />SINK HOLES <br />OTHER <br />YES <br />>/ <br />NO <br />COMMENTS <br />MAINTENANCE <br />POWERLINE CONDITION <br />LINE INTACT <br />X-ARMS O. K. <br />CHANGE IN SPAN <br />POLE TILTING <br />OTHER <br />MAINTENANCE <br />do <br />YES <br />NO <br />~_ <br />~~ <br />p~, X32 + 7Z <br />T-G.- uo Naf4~oti <br /> <br />e:\document\formslsubside.frm 06107196 <br />COMMENTS <br />