Laserfiche WebLink
<br />COUNTY ROAD 33 & POWERLINE SUBSIDENCE SURVEY <br />DATE: ~~/~LTIME: <br />WEATHER CONDITIONS: <br />//~ Oq,„NAME: Ci'dr./ ~~rQto l/-C!. <br />G~o~ Ar~~ PANEL: <br />ROAD CONDITIONS YES <br />CRACKING <br />BUCKLING <br />VISIBLE SETTLING <br />SINK HOLES <br />OTHER <br />NO COMMENTS <br />Al ~~ L1,4,,,:1 s <br />_~ <br />~/ <br />_~ <br />MAINTENANCE L,)4{~. C, 7'G,, ~T,,,,,,o (Pa f~ G <br />• <br />SHOULDER/FILL CONDITION YES NO COMMENTS <br />CRACKING / ~i1 ~^ GJ~a..~i.rS <br />BUCKLING ~~ <br />VISIBLE SETTLING _~ <br />SINK HOLES _~ <br />OTHER <br />MAINTENANCE Non 2 <br />POWERLINE CONDITION YES NO COMMENTS <br />LINE INTACT / <br />X-ARMS O. K. ~/ <br />CHANGE IN SPAN i <br />POLE TILTING <br />OTHER ~_ <br />MAINTENANCE /Jvp ~ <br />l-l•G, 131-~Z <br />T~~. NoNcF4~;u~+ <br />r~ <br />U <br />e:\document\forms\subside.frm 06107/96 <br />