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COUNTY ROAD 33 & POWERLINE SUBSIDENCE SURVEY <br />.. <br />DATE: /Z-S-9~ TIME: c~:3Jq..~ NAME: G' . ~o,,,~ ~,,,q <br />--~ <br />WF~ITHER CONDITIONS: .S,tl ~.,1~ L,..2~, ~,,,r { z°, PANEL: (o jz.-r <br />ROAD CONDITIONS YE5 NO COMMENTS <br />CRACKING ~~ 1-~.,~r.~c~~ , _ ~ ~_ <br />BUCKLING c/ <br />VISIBLE SETTLING ,S,Jo~,, P,t,~~ <br />SINK HOLES <br />-- OTHER <br />MAINTENANCE <br />SHOULDER/FILL CONDITION YES NO COMMENTS <br />CRACKING <br />BUCKLING .i <br />VISIBLE SETTLING <br />~~ SINK HOLES / <br />OTHER .i <br />MAINTENANCE <br />POWERLINE CONDITION <br />LINE INTACT <br />X-ARMS O.K. <br />CHANGE IN SPAN <br />POLE TILTING <br />OTHER <br />YES NO <br />.i <br /> <br />COMMENTS <br />MAINTENANCE <br />