8/18/2019 Form Survei Kerusakan Jalan

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ASPHALT SURFACED ROADS AND PARKING LOTS SKETCH:

CONDITION SURVEI DATA SHEET FOR SAMPLE

UNIT

Branch____ Sectin______ Sa!"#e Unit_______ 

S$r%eie& B'_______ Date_____ Sa!"#e Area___ 

 1. Alligator Cracking (sq.ft) 7. Edge cracking (ft) 13. Portholes (count)

 2. Bleeding (sq.ft) 8. t. !eflection cracking (ft) 1". !ail !oad crossing (sq.ft

 3. Block Cracking (sq.ft) #. $ane%&houlder 'ro off (ft) 1. !utting (sq.ft)

 ". Bu*s and &ags (ft) 1+. $ong , -rans Cracking (ft) 1. &ho/ing (sq.ft)

 . Corrugation (ft) 11. Patching , 0til cut Patch (ft) 17. &liage Cracking (sq.ft

 . 'eression (sq.ft) 12. Polished Aggregate (ft) 18. &ell (sq.ft)

 1#. eathering%!a/elling (s

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AIRFIELD ASPHALT PAVEMENT   SKETCH:

CONDITION SURVEI DATA SHEET FOR SAMPLE

UNITBranch____ Sectin______ Sa!"#e Unit_______ 

S$r%eie& B'_______ Date_____ Sa!"#e Area___ 

 "1. Alligator Cracking ". et Blast 1. Polished aggregate

 "2. Bleeding "7. t. !eflection cracking (PCC) 2. !a/elling%eathering

 "3. Block Cracking "8. $ong , -rans Cracking 3. !utting

 "". Corrugation "#. 5il &liage ". &ho/ing fro* PCC

 ". 'eression +. Patching . &liage Cracking

 . &ell

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'6&-!E&&&EE!6-

8/18/2019 Form Survei Kerusakan Jalan

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8/18/2019 Form Survei Kerusakan Jalan

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  )

 

.ft)

-otal 'ensit4 9 'educt alue

-otal 'ensit4 9 'educt alue

8/18/2019 Form Survei Kerusakan Jalan

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8/18/2019 Form Survei Kerusakan Jalan

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CONCRETE SURFACED ROADS AND PARKING LO

CONDITION SURVEI DATA SHEET FOR SAMPLE U

Bracnh__________ Sectin_______ Sa!"#e Unit_______ 

S$r%eie& B'_________ Date________Sa!"#e Area______ 

Di(tre(( T'"e(  

21. Blo u%Blocking 31. Polished Aggregate

 22. Corner :reak 32. Poout

 23. 'i/ided &la: 33. Pu*ing

 2". 'ura:ilit4 crack 3". Punchout

 2. ;aulting 3. !ailroad Crossing

 2. oint seal 3. &calling

 27. $ane%&houlder 37. &hrinkage

 28. $inear crack 38. &alling Corner  

 2#. Patching (large) 3#. &alling oint

 3+. Patching (s*all)

Di(tre((Se%)

Den(it' De&$ct

T'"e( * Va#$e

1 2

AIRFIELD CONCRETE PAVEMENT

CONDITION SURVEI DATA SHEET FOR SAMPLE U

Bracnh__________ Sectin_______ Sa!"#e Unit_______ 

N$!+er ,

S#a+

8/18/2019 Form Survei Kerusakan Jalan

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S$r%eie& B'_________ Date________ N$!+er , S#a+_____ 

Di(tre(( T'"e(  

1. Blo u #. Pu*ing

 2. Corner :reak 7+. &calling%

8/18/2019 Form Survei Kerusakan Jalan

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8/18/2019 Form Survei Kerusakan Jalan

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