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Report Number <br /> DETAILEDDAMAGE INSPECTION REPORT ��� - 23rr <br /> epartrnentofnsportatlon Title 23 , Federal -aid Highways ) Sheet <br /> Federal Hlghway <br /> Administration Of <br /> Location (Name of Road and Milepost) FHWA Disaster Number <br /> I 1= L — Oil �O L4 <br /> aY)rjl 0L n Lt e r Co L.l. ►t- -1�1 Inspection Date <br /> . 10 2to -- oy <br /> Description of Damage Federal-aid Route Number <br /> i:) dorL@ 5 rpatrnoucJ d-uc 4o Hl wve . cause JI ecln " Ua r► cxUS <br /> State County <br /> �D2P a o aou.ruVoy Ft. sts -7.� ton <br /> Cost Estimate <br /> Description of Work to Date Unit Unit Price Quantity Cost <br /> (Equipment, Labor, and Materials) Completed Remaining <br /> o. ( �— (a 53 • ta5 <br /> >r <br /> -I— 8Q2 .9h <br /> E <br /> Lu <br /> Method Subtotal3 3 <br /> Local Forces State Forces Contract PE/CE <br /> Emergency Repair Total ' (o eta 3 <br /> c <br /> 0 <br /> 0 <br /> N <br /> d <br /> tY <br /> w <br /> C <br /> d <br /> C <br /> W Egg <br /> E <br /> d <br /> CL <br /> Method Subtotal <br /> Local Forces State Forces Contract PE/CE <br /> Right-of-Way <br /> Perm. Repair Totals <br /> FEnlronm:":�Assessment Recommendation <br /> orical Exclusion Q EA/EIS Estimated Total ommendation FHWA En ' Date <br /> Ev Eligible Ineligible <br /> Concurrence Stite Enrileer Date <br /> es No <br /> ConcurrenceLocal Agan Repre nttat Date <br /> es No Lit/ jCj Z� 6 <br /> Form FHWA-1547 (Rev. 4-98) <br />