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• COUNTY ROAD 33 & POWERLINE SUBSIDENCE SURVEY <br />DATE: TIME: `~Qr± NAME: ~~~~% /ni~~.r <br />WEATHER CONDITIONS: <br />ROAD CONDITIONS <br />CRACKING <br />BUCKLING <br />VISIBLE SETTLING <br />SINK HOLES <br />OTHER <br />MAINTENANCE <br />sknn.i PANEL: ~ IC ~l~j7C <br />YES NO <br /> <br />SHOULDER/FILL CONDITION YES NO <br />CRACKING ,~ <br />• BUCKLING _~ <br />VISIBLE SETTLING ~ <br />SINK HOLES ~ <br />OTHER <br />NO COMMENTS <br />MAINTENANCE <br />POWERLINE CONDITION YES <br />LINE INTACT +/ <br />X-ARMS O.K. L~ <br />CHANGE IN SPAN <br />POLE TILTING <br />OTHER <br />COMMpENT/S~ <br />r/1Qn2 is~rn..:, ~f 3fz <br />!aa®~`ra,. ~r~ -Sri <br />COMMENTS <br />MAINTENANCE <br />• <br />e:\document\forms\subside.frm 06/13/96 <br />