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STR 5099 (City of Grandville)
Wilson Ave over Buck Creek
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* Indicates required question
Email
*
Your email
Inspector Name
*
Your answer
Agency / Company Name
*
Your answer
Date field inspection was performed:
*
MM
/
DD
/
YYYY
What condition rating best describes the Surface (SIA-58A)?
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0
1
2
3
4
5
6
7
8
9
N
What is the TOTAL quantity of Reinforced Concrete Deck (800)?
*
Your answer
What condition rating best describes the Expansion Joint(s)?
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0
1
2
3
4
5
6
7
8
9
N
What condition rating best describes the Other Joint(s)?
*
0
1
2
3
4
5
6
7
8
9
N
What condition rating best describes the Railings?
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0
1
2
3
4
5
6
7
8
9
N
What condition rating best describes the Deck Bottom Surface (SIA-58B)?
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0
1
2
3
4
5
6
7
8
9
N
What condition rating best describes the Deck (SIA-58)?
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0
1
2
3
4
5
6
7
8
9
N
Deck Rating Comments:
*
Your answer
Which Condition State Tables should be used for the Superstructure Elements included in the AASHTO Element Report? (select all that apply):
*
CS Table 1 - Reinforced Concrete
CS Table 2 - Prestressed Concrete
CS Table 3 - Steel
CS Table 4 - Timber
CS Table 5 - Masonry
CS Table 6 - Other Materials
CS Table 7 - Wearing Surfaces
CS Table 8 - Joints
CS Table 9 - Beam End
CS Table 10 - Scour Protection
CS Table 11 - Bearings
CS Table 12 - Protective Systems
CS Table 13 - MSE Abutments
CS Table 14 - Appurtenances
Required
Select ALL defects present on the superstructure:
*
Corrosion
Cracking
Connections
Distortion
Damage
All of the above
Other:
Required
For the widened portion of the bridge, the superstructure is comprised of:
*
W16x45
W14x48
W12x58
W10x45
None of the above.
What condition rating best describes the Superstructure (SIA-59)?
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0
1
2
3
4
5
6
7
8
9
N
Superstructure Rating Comments:
*
Your answer
What condition rating best describes the Paint (SIA-59A)?
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0
1
2
3
4
5
6
7
8
9
N
What condition rating best describes the Section Loss?
*
0
1
2
3
4
5
6
7
8
9
N
What condition rating best describes the Bearings?
*
0
1
2
3
4
5
6
7
8
9
N
Select ALL Substructure elements that should be included in the AASHTO Element Report:
*
215 Reinforced Concrete Abutment
218 Other Abutment
219 Steel Abutment
202 Steel Column
231 Steel Pier Cap
234 Reinforced Concrete Pier Cap
228 Timber Pile
225 Steel Pile
521 Concrete Protective Coating
Required
What condition rating best describes the Abutments (SIA-60)?
*
0
1
2
3
4
5
6
7
8
9
N
Abutment Rating Comments:
*
Your answer
What condition rating best describes the Piers (SIA-60)?
*
0
1
2
3
4
5
6
7
8
9
N
Pier Rating Comments:
*
Your answer
The most accurate condition state for North Abutment Pile 5W is:
*
Condition State 1
Condition State 2
Condition State 3
Condition State 4
Condition State 5
The most accurate condition state for South Abutment Pile 5W is:
*
Condition State 1
Condition State 2
Condition State 3
Condition State 4
Condition State 5
Other:
What condition rating best describes the Channel (SIA-61)?
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0
1
2
3
4
5
6
7
8
9
N
What condition rating best describes the Scour Inspection?
*
0
1
2
3
4
5
6
7
8
9
N
Scour Inspection Comments:
*
Your answer
List THREE Work Recommendations with Priority:
*
Your answer
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