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<br />U.S. DOT CROSSING INVENTORY FORM <br /> <br />OIi:PA/l1'MlINT OF 'l"FlANllPQfHAl'lON <br />"apaR"~ RM~RIJAQ APMINI8TI1ATIIJN IFAA' <br /> <br />OMS No 2130..0017 <br /> <br />AT 101l1lltloQ AgiilOcy I e. CroealoQ N\Jmbar (max. 7 anl/r.) I C. Rll~aCm fpr Upqatlil D. 5ffClCtlVll DgtCl <br /> o RailrMd IJZ( St~tQ 3<1\ ~32.5 o CM~nQlfa In 0 NllW C/Qualog o;;(OIOSlIcI cmBllng (Mi'o~rYY) <br /> Il!xlatlng Oat~ . or AbCll1donaej 05 13 ~8 <br /> Part I: l.ocatlon and Clqslll1catlQn 'ntllnnRtlon <br />1. F\~lImlld Op~r, Ca. (mlda (max." chnr.) Qr nsrne) 2. . SI~t, (2 chsr.) 3. eQ~nlY (mex 20 ahar.) <br /> 'Sc:o MN 'LXi ~6\CI... <br />4. . Rallrood DlvlsllOn or Region (rnex. 14 chllr.) $. Rallrolld S~bdlvlslQn or Dlstrlr::t (mex. 14 ahQr,) 6. lil/aneH or Lln~ Nllme (max. 1/1 char.) 7. RR Milepost (mllx. 7 chsr.) <br /> L.o.. ~\(OS.Se.. \h'\Vd MCLln (nnnnn.nn) <br /> o O~ lt02. <br />6. RR 1.0. No. (max. 10 char.) 9. Nllarest RR Tlmeteblll Slallon (max. 15 ch~r.) 10, Parent RR (max.4 char,) 11. Crossing Ownllr IRR or Company name) <br /> (opllan.'1 ~as-nnCt 5 II/ appllc.bl.) c.. p p.. (If appllCIJbls) . <br />12. City (msfS;;;r!:ar,) ""' 13. Slreetor Road Namo (max. 17 aher,) STATE SUPPLIED INFORMATION <br /> I <br /> rcn""k n \-\a.s.--\\ \\'jS 'Tn\'fd 5T 21. HSR Corridor 10 (2 char.) <br /> on.) 0 <br /> Nllllr <br />14. HIghway Type So No, (max. 7 ahar,) is. eNS Sign InfllRlled (1-BOO) ill. QUlat Zone 22, Coumy MapRel;-No;"(mllx.10ehar.j <br /> (Y"\t...\. " \'2.. o Yal [!?'No ~o o P~Hllll <br /> o 24hr o Unknl:lwn 23, L.atltude (max. 10 ahar.. M.nnnnnnn) <br />'17, Orol.lng Type 1B, Om.slng Position 19, Typo 01 f'lIssBngor Bar,lice 20, AWrllgll I'assllngor Train <br /> ~B on. MJy) I2"'At Qradlt o AMTRAK Count Psr O~ 24. Lonllltude (mall, 11 ahar" nnn.nnnnnnn! <br /> pUblic <br /> o privatI! o AR Umlltr g.1,MTRAK S. Other 2- <br /> o RR Ol/er o Olhor Z~, L.aVl.ong $o~rclI <br /> CJ PlJdlllatrillln o NOnll o Alllual o Estimated <br />all. Is Therolln Adllil~roaaln\l With s $Opluutll Numbllr? <br /> D Vea Na If Yes, Provide N~mbflr (7 r:/lsrar:/arll) <br />27. PRIVATE CROSSING INFORMATION <br />21,A. Clltll\lOry 27.S, Public ACCSllS :i!7,C. DOS/Slgnala <br /> (ahaok one) o Rllcfllllllonfll o YflS Nons <br /> o Farm o Industrial DNa o Sign. Speclty (max, 1 a char.) <br /> o Resldanllsl o Commllrclal o Unknown o Slgnqls Speclly (m~x. 1 a cher.) <br />2S.A. Railroad Use (malt. 20 eher.) . 29,A. Slale Use (max. 20 ahllr,) <br />29,8. Railroad USIl (max. 20 chsr.) 29,S. Stata Us.fmax. 20 char.) <br />28.C. Railroad Usa (max. 20 char.) 29,C, Slata USll (max. 20 char.) <br />28.0. Railrolld Usa (max. 20 char.) 29,0. Stala Uaa (max. 20 chsr.) <br />30. Narrlltlvll (max. 100 ellar,) <br /> .'j' <br />31. Emllrgllnr::y Contact (Talephcnll No.) 132. Railroad Celnlar::l (Telaphone No.) \33, Stille Contact (Tltlllphonll No.) <br /> MUST COMPLETE REMAINOeR OF FORM FOR PUBl.IC VEHICLE CROSSINGS AT GRADE <br /> Pllrt II! Railroad I"'onn.tlon <br />1. N\Jmbllr at Dally Tmln MQYIlf11enta <br />1.A, TOlal Trlilna 1,a, Ttltill Switching Train. f 1.0. Ttltal OlJyllQht TMr\,l Trlll(1s (8 l~tll B PM) 11.0. Chllllk II hlJU ThclOOnll Moyamon! filar Oily <br /> ,2.?) Q 0 <br />2, Speed of Train at Crossing 2.-\. Ms~lmum TIme Tabl" Speed (mPM) .. 40 Irom ~__ 10 4'0 <br /> 4.6. TyplclIl SpllaQ Range Over CrQsstnq (mpn) <br />3,Type end Number 01 Tracks Main 2.. OtMr .5 II Olh.r. l3pfllllfy (me~. 1Q chlllr.) <br />4. Otlllll Anothllr RR OPIl"t. It Seperats 'Traak at Crossing? a. 00115 AnatMer RR Oparate OVllr YQ~r traCK at Croulng? <br />o YltS II y.a. Spllclly RR (mall. 16 char.) [g'Yas IIYa~por::IlY RR (max. 16 ch~r.) <br />~NO . o NQ 'r c..E. . 'n:.. . <br /> <br />FORM FRA F 6180.71 (Rev. 11J99) <br /> <br />OMS approval expires 8/31/2009 <br /> <br />PAGE 1 OF 2 <br /> <br />15 <br />