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ATTACHMENT #1 <br />INDIAN RIVER COUNTY <br />FIELD TEAM <br />PRELIMINARY OBSERVATION OF DAMAGE <br />DATE/TIME <br />GENERAL LOCATION <br />(MAY LIST INTERSECTION) <br />DAMAGE CATEGORY* BRIEF DESCRIPTION OF DAMAGE <br />A B C D E F G <br />* DAMAGE CATEGORIES: (Check off as many boxes that may apply) <br />A. DEBRIS <br />For debris located on public roads, including the right-of-way; other public property. <br />B. EMERGENCY PROTECTIVE MEASURES <br />Measures taken to protect life, safety, property and health. <br />C. ROAD SYSTEM <br />Damage to roads, bridges, streets, culverts and traffic control devices. <br />D. WATER CONTROL FACILITIES <br />Flooding and/or drainage problems. <br />E. BUILDING AND EQUIPMENT <br />Damage to public buildings and equipment, supplies/inventories that were damaged and transportation systems such as public transit systems. <br />F. PUBLIC UTILITY SYSTEM <br />Damage to water, sanitary sewerage systems, storm drainage systems, and/or light/power facilities. <br />G. OTHER <br />Damage to park and recreational facilities or other public facility damages that do not fit in one of the other categories. <br />Signature: <br />Print Name: <br />Department/Title: Date: <br />A-1 <br />