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Report Number <br /> EAdministration <br /> DETAILED DAMAGE INSPECTION REPORT ,T B 8 - 03 I <br /> Sheet <br /> (Title 23 , Federal -aid Highways) <br /> of � <br /> Location (Name of Road and Milepost) FHWA Disaster Number <br /> 12 h Av e nvc oL+ ?62' �CuC,nL) 2 r �te - `� <br /> Inspection Date <br /> ip - Z - o <br /> Description of Damage Federal-aid Route Number <br /> waslAov + ii^, �4� u r') &t rro i vv- d ¢- U0rtj rCL; 1 . <br /> State County <br /> r t, T Y TrrIb= ri <br /> Cost Estimate <br /> Description of Work to Date Unit Unit Price Quantity Cost <br /> (Equipment, Labor, and Materials) Completed Remaining <br /> •5 <br /> a <br /> m <br /> tY <br /> U <br /> c <br /> 4) <br /> ED <br /> d <br /> E <br /> uj <br /> Method Subtotal p O v` <br /> Local Forces State Forces ]Contract PENCE <br /> Emergency Repair Total 0 -00 " V-0 <br /> c <br /> 0 <br /> r <br /> m <br /> 0 <br /> d <br /> c . <br /> d <br /> c <br /> m <br /> ar <br /> a <br /> Method Subtotal <br /> Local Forces State Forces Contract FENCE <br /> Right-of--Way <br /> Perm. Repair Totals <br /> Environmen ssessment Recommendation <br /> ategorical Exclusion Q EA/EIS Estimated Total Sp on <br /> Recommendation FHWA En ' e Date <br /> ligible ineligible <br /> Concurrence State Engineer Date <br /> ( 0�s No <br /> Concurrence cal Agency RApresentatv Date <br /> eyes No Jo <br /> Form FHWA-1547 (Rev. 4.98) <br />