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U.S. Department of Transportation
Federal Highway Administration
California Division
Damage Assessment Form (DAF)
Title 23, Federal-Aid Highways

 Report No. ____________________________
Sheet No._________ of __________
Applicant
____________________________________

Sketches and/or Narrative

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Miscellaneous FHWA Approvals      

Reflects available information for contracts at the time of DAF preparation. A revised DAF is not required for changes — use normal Federal-aid procedures to adjust for changes with approval (per Stewardship) based on documented justification.

Describe:

 

FHWA DA Form (CA Rev 11/21/05)

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