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COUNTY ROAD 33 & POWERLINE SUBSIDENCE SURVEY <br />_~ <br />DATE: /11/~'~' TIME: 7.'~~ NAME: A~i~ ~/~~~' <br />WEATHER CONDITIONS: <br />ROAD CONDITIONS <br />CRACKING <br />BUCKUNG <br />VISIBLE SETTLING <br />SINK HOLES <br />OTHER <br />MAINTENANCE <br />~• <br />SHOULOER/FiLL CONDITION <br />CRACKING <br />BUCKLING <br />VISIBLE SETTLING <br />SINK HOLES <br />OTHER <br />MAINTENANCE <br />POWERUNE CONDITION <br />UNEINTACT <br />X-ARMS O.K. <br />CHANGE IN SPAN <br />POLE TILTING <br />OTHER <br />MA1N"fENANCE <br />~Lr~ PANEL: <br />YES <br />NO <br /> <br /> <br />6 ,P r~~ <br />COMMENTS <br />Sx,,.,~ .,, r~~r.(it d I- <br /> <br />N~ <br />YES NO COMMENTS <br /> <br /> <br /> f <br /> <br /> <br />~~~ ~ <br />YE5 NO COMMENTS <br />_~~ <br />- <br />. ~ <br />J <br /> ~/ - <br />/1~-~ <br />