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• <br />es)DETAILED DAMAGE INSPECTION REPORT <br />Report Number <br />Te S' : 02% <br />U.S. Department <br />of Transportation (Title. 23, Federal -aid Highways) <br />Federal Highway <br />Sheet <br />( of l <br />Administration <br />Location (Name of Road end Milepost) <br />rr ((�� � <br />FHWA Disaster Number <br />F L. — �u-oma <br />.. <br />lY tNZ►� UC �JLL - �l l7F SQ (� <br />Inspection Date <br />10'26 —09 <br />Description of Damage <br />OLLA.)CLUI Wash o (Ait.-k r) o -At -i-o rri ccurlt aro.4 . <br />Federal -aid Route Number <br />State County (� <br />FL eT "ari 14v2r <br />Cost Estimate <br />Emergency Repair 1 <br />Work to DateUnit <br />Cost <br />Description of <br />(Equipment, Labor, and Materials) <br />Unit Price <br />Quantity _ <br />Completed <br />Remaining <br />(2,vintWa-ui YL. nAY <br />S (, cob .°' <br />Method Subtotal <br />$ (p.0IDD • "~ <br />Contract PE/CE <br />Local Forces State Forces <br />Emergency Repair Total <br />4 (9 fjut), <br />r <br />Permanent Restoration <br />• <br />Subtotal <br />. <br />Method <br />PE/CE <br />Local Forces 0 State Forces 0 Contract Right -of --Way <br />Perrn. Repair Totals <br />Environmena <br />I Assessment. Recommendation <br />ategoricai Exclusion <br />' <br />EA/EIS <br />Estimated Total <br />7+ <br />(0 PDC) <br />Recommendation <br />Eligible Ineligible <br />FHWA Engin /f <br />Cv�.•�/,5 q3-7 / <br />Date <br />Z(D—ou <br />Concurrence —� <br />&YeS No <br />Stat ng neer <br />Date <br />iOZ(•O ti <br />Concurrence..___,Lo <br />'es No <br />gency R resent ti e <br />Date <br />/0 _ZeV— O51 <br />Form FHWA-1547 (Rev. 4-98) <br />