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Report Number <br /> DETAILED DAMAGE INSPECTION REPORT sneer <br /> U.S, DepartmentItof f <br /> orTranspurtsl (Title 23 , Federal-aid Highways) <br /> Federal HighwayFHWA Disaster Number <br /> Administration <br /> Location (Name of Road and Mliepost) (, � p — Oy <br /> 5k Inspection Date <br /> l C-+ . <br /> Federal-aid Route Number <br /> Description of Damage <br /> Clr � wu5hoU +l �' b tJ ' l State County <br /> F i_ >rg .dean QoUl <br /> Cost Estimate <br /> Cost <br /> Description of Work to Date Unit Unit Price Quantity Completed Remaining <br /> (Equipment, Labor, and Materials) <br /> W <br /> CL <br /> ar <br /> D: <br /> U <br /> C <br /> N <br /> 21 <br /> CU <br /> E <br /> LU <br /> Subtotal <br /> Method PE/CE <br /> Local Forces Q State Forces Contract Emergency Repair Total SSbc) <br /> ------------ <br /> C . <br /> 0 <br /> cc <br /> m <br /> 0 <br /> N ' <br /> Cu <br /> C <br /> rEnvironn)ental <br /> Subtotal <br /> PE/CE <br /> Local ForcesState Forces Contract Right-of-WayPerm. Repair Totalsment RecommendationEstimated Total �-o <br /> Exclusion 0 EA/EIS Date <br /> FHWA Engl / lo- z& .-ply <br /> Recommendation <br /> Eligible DIneligible Date <br /> State Engineer <br /> Concurrence No <br /> �es Date <br /> L gency prese tative r ry <br /> Concurrence Nc 1A d r <br /> Yes <br /> Form FHWA-1547 (Rev. 4-98) <br />