HomeMy WebLinkAbout028-230-018.........
STORM DAMAGE REPORT
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DATE _/ --
TIME F-=
ESTIMATED DAMAGE $1000-0
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BY xlUab,-- ►
DAMAGE REPORT
FOR INITIAL ASSESSMENT
FLOOD JANUARY 1995
PUBLIC INFORMATION OFFICER
538-6953
Name Reporting Party ���'� t -o Z
Address/Location, 8 II C& n F_XT-E_&� �A�JGa
Telephone Number 1j _ a3 !y City County
Type of Damage fL � �--
(Note: Emergencies Refer to 911) CA41dD-F GET- OLt - 6r Rl %/F-WAy
Building Descri2tion
[ ] Commercial/Usage
Residential Type and # Units
[ Currently Occupied/Use
[ ] AbandonedNacant
Electric
Any electrical submerged Yes[ ] No [ ] oN( oFF )
Obvious damage (failure, downed wires, arcing)
Gas
Natural/Propane
Obvious problems (odor, leaks, leaks, propane tank floating/submerged)
On[ ] Off[
Structure
On/Off Foundation
Flooding above/below floor
Obvious leaning, tilting
Severe Damage/Collapse
Debris Hazard
Sanitation
Plumbing working
Running water
Well Flooded
Obvious Sewage Problems
Chemical/Fuel
Wet, flooded, lost chemicals
Type pesticide, fertilizer, other chemicals
Amount
Fuel tanks (above or below ground)
Obvious hazards
Agriculture Loss
Crop Damage
Livestock Lost
Building Damage
Roads (Public)
Road Name
Obvious Damage/Hazards
Location/Landmarks
Traversable (Sedan, 4 wheel)
Involved Utilities (downed wires)
Levees Public [ ] Private [ 1
Waterway Name
Location of damage/problem
Obvious hazards
Nearest Landmarks
Overflow/freeboard
Covies:
( J OES ( 1 Agriculture
( J Health ( J Fire
( J Building ( 1 Sheriff