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Report Number DETAILED DAMAGE INSPECTION REPORT U.S. Department of Transportation Federal Highway Administration Sheet Title 23 Federal-aid Highways Location Name of Road and Milepost of FHWA Disaster Number Inspection Date Description of Damage Federal-aid Route Number County State Cost Estimate Equipment Labor and Materials Unit Unit Price Quantity Cost Completed Remaining Emergency Repair ea Method Subtotal Local Forces State Forces PE/CE Cont.

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