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TRUSS, TYPE E

INSTALLATION INSPECTION REPORT To be completed in conjunction with Truss, Type E Installation Inspection

Procedure and submitted to the Structural Fabrication Unit. File Naming Convention: 1453 SN-CS-JN Date.pdf

GENERAL INFORMATION

CONTROL SECTION JOB NUMBER DATE

COUNTY ROUTE

Michigan Department of Transportation

1453 (11/19)

STRUCTURE#

REGION

LOCATION DESCRIPTION

GPS LAT

TRUSS STANDARD PLAN#

LH ANCHOR BOLT ID# RH

GPS LONG

I STRUCTURE INFORMATION

FOUNDATION SIGN CONNECTION STANDARDSTANDARD PLAN# PLAN#

SIGN LEGEND

CHORD TO UPRIGHT CONNECTION

VISUAL INSPECTION

WELDS STRUCTURE BASE & FOUNDATION

BOLTS

ANCHOR BOLT INSPECTION (LH/RH)

WELDS

FOUNDATION

SOUNDING ANCHOR NUTS

ANCHOR BOLT PROJECTION (P) 9

STAND-OFF DISTANCE (S)

ULTRASONIC TESTING

REMARKS

INSPECTOR COMPANY

I

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