POA MONITORING LOG

KEY AREA:	STRUCTURE NO.:

DATE	TYPE OF INSPECTION	INITIALS	HAVE SCOUR CONDITIONS CHANGED? – ACTION
NOTE: THIS FORM IS INTENDED TO BE USED IN CONJUNCTION WITH DR385C, BRIDGE SCOUR PLAN OF ACTION; TO DOCUMENT THE MONITORING OF SCOUR RELATED ISSUES/MAINTENANCE AT THIS BRIDGE.

BR FORM 385E, AUGUST 2013\

POA Monitoring Log

Jared Ashton

2015-04-07

dor28029

Nebraska Dept. of Roads