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III IIIIIIIIIIIIIIII <br />• COUNTY ROAD 33 & POWERLINE SUBSIDENCE SURVEY ___- _- <br />Doc Date:1 211 112 0 0 1 <br />DATE: S (,l f ~ TIME: 'J: MAM NAME: R~ ~ ~C m~~~,1 <br />WEATHER CONDITIONS: fM ~ ~p PANEL: 9 ~i~~ <br />ROAD CONDITIONS <br />CRACKING <br />BUCKLING <br />VISIBLE SETTLING <br />SINK HOLES <br />OTHER <br />MAINTENANCE <br />SHOULDER/FILL CONDITION <br />CRACKING <br />• BUCKLING <br />VISIBLE SETTLING <br />SINK HOLES <br />OTHER <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 />• <br />YES NO <br />v <br />v <br />eWt <br />YES NO COMMENTS <br />-~ SAin~ Ar i06bv.6 <br />r <br />v <br />~,;~5a,, <br />YES _NO ~~~ COMMENTS <br />tA»E .4r iRBav4" <br />e: \docu ment\forms\su bside. frm 05/03/96 <br />COMMENTS <br />