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DETAILED DAMAGE INSPECTION REPORT Report Number <br /> U.S. Department <br /> ofTransportation (Title 23 , . Federal-aid Highways ) Sheet <br /> Federal Highway l of I <br /> Administration <br /> Location (Name of Road and Milepost) FHWA Disaster Number <br /> JI,I. r�I� Tra� � ( tC1Lr0 .I 'OJd MC [Lk� y � r Lin kilayi 2,tver 304 Inspection Date <br /> 10 - 2IV -Dy <br /> Description of Damage Federal-aid Route Number <br /> Q.oaclwa � t�GSha� f' gu 19 lei <br /> State County <br /> FL s8 :Irclian P4vcr <br /> r- <br /> Cost Estimate <br /> Description of Work to Date Unit Unit Price Quantity Cost <br /> (Equipment, Labor, and Materials) Completed Remaining <br /> a <br /> m <br /> cTi <br /> c <br /> a� <br /> ar <br /> CD <br /> E <br /> uj <br /> Method Subtotal i 1010 CIS <br /> Local ForcesState Forces Contract PEKE <br /> Emergency Repair Total <br /> c <br /> 0 <br /> 0 <br /> W <br /> d <br /> C <br /> d <br /> C <br /> ID <br /> IL <br /> Method Subtotal <br /> Local Forces State Forces Contract PE/CE <br /> Right-of--Way <br /> Perm. Repair Totals <br /> Environme I Assessment Recommendation <br /> Categorical Exclusion E] EAIEIS Estimated Total i l0 WO . <br /> Recommendation FHWA En ' Date <br /> '�ligible E] Ineligible low 2L -a.l <br /> Concurrence State En ' Date <br /> �Pes No <br /> Concurrence L"!yRepresentative Date <br /> �es No <br /> . Form FHWA-1547 (Rev. 4.98) <br />