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COUNTY ROAD 33 8 POWERLINE SUBSIDENCE SURVEY <br />DATE: ~~L S7 TIME: ~.'~baw NAME: //r/is~ot>~Rs <br />WEATHER CONDITIONS: ,Sv.~./y - Cil~,e PANEL: ~.t°T <br />ROAD CONDITIONS YES NO COMMENTS <br />CRACKING i/ ~lJo Cyp.JGE <br />BUCKLING v <br />VISIBLE SETTLING ~ <br />SINK HOLES v <br />OTHER v / <br />MAINTENANCE ~~"'<c. ~~?ru/ ~~ G~lD <br />SHOULDER/FILL CONDITION YES NO COMMENTS <br />CRACKING / ,u/i ~;/>,Jc~F <br />BUCKLING c/ <br />• VISIBLE SETTLING / <br />SINK HOLES v <br />OTHER <br />MAINTENANCE ~'~E <br />POWERLINE CONDITION YES NO COMMENTS <br />LINE INTACT I/ ,tfp (~%r~1L-~ <br />X-ARMS O.K. r/ <br />CHANGE IN SPAN ~_ <br />POLE TILTING / <br />OTHER ~/ <br />MAINTENANCE y~O,JE <br />6~~/y 7 <br />e:ldocument\formslsubside.frm 06107196 <br />