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U.S. Department <br />of Transportation <br />Federal Highway <br />Administration <br />DETAILED DAMAGE INSPECTION REPORT <br />(Title 23, Federal -aid Highways) <br />Report Number <br />`6'$ 032 <br />Sheet <br />Location (Name of Road end Milepost) <br />(¢ (rIL Av,en 0010 2.o ad <br />L of <br />FHWA Disaster Number <br />Description of Damage <br />►Q c -4fd=e washou + / u vi rvvir�d �atte rnent <br />Inspection Date <br />I t7 - 2(c -0 Li <br />Federal -aid Route Number <br />State County <br />r� gg- oI'an <br />Cost Estimate <br />Emergency Repair <br />Description of Work to Date <br />(Equipment, Labor, and Materials) <br />Unit <br />Unit Price <br />Quantity <br />Cost <br />Completed <br />Remaining <br />ao04 u.)0 -Ad rr fair <br />c� t _nn p at <br />Method <br />0 Local Forces <br />0 State Forces <br />ontract <br />Subtotal <br />PE/CE <br />Emergency Repair Total <br />S l000.''D <br />Permanent Restoration <br />S1pap. Q° <br />Method <br />Ej Local Forces <br />E] State Forces <br />0 Contract <br />Subtotal <br />PE/CE <br />Right -of -Way <br />Perm. Repair Totals <br />Environme Assessment Recommendation <br />Categorical Exclusion 0 EA/EIS <br />Recommendation <br />Iigible 0 Ineligible <br />Estimated Total <br />Concurrence <br />0 No. <br />State Engineer <br />Concurrence <br />es Q No <br />Form FHWA-1547 (Rev. 4-98) <br />I Agency Representative <br />67 5DO <br />Date <br />(o - Z (-opt <br />Date <br />Date <br />(o -Z6 -Cy <br />• <br />Y• <br />