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<br />a. Croelll'lg Numb~r(max, 7 ~hUf,) O. ellllctl\lll Qalll <br />'3'l1ci1.;32. S PAGE :2 (M7Oo/VCY) <br /> 05 I '3 .PICoS <br /> , Part IIIl Traffte Control 08vloa Infarm"lIon <br />1. No alQM Qr Slgnala 2 TVDIl of WlIrnlno Ollvicll al CfIllslno - 'Iani sD@clfv number of lIachl <br /> :l.A. Crosobueke 2;1il. Hll1hw~1Y Slop SIgna (RM) 2,C. FIR Aclvanco Warning 2.0. Hump Crossing Sign \W10.e) <br />o Chooki' Correcl 3 2- Signa (W10.1) ,0 Yell ~o o Unknown <br /> 19"Ye. , D'NCl <br />2.e. Pavement Markings &:( Nonll 2.F, Other SI92!spaci/Y Ml/TCO Iyptl) FZ.. \ 0 - 2.. <br />o Stoplln.s o RR Xing Symbols Number Specify Type (max. 10 char.) <br /> , '0' Numbllr Sp~oify Type (max. 10 char.) <br />3. Typ~ of Warning O~vioe at Crossing - Train Actlvatlld Ollvlces (Spllclfy number of aech) <br />3.A. Gatlls 3,e. Four-quadranl ('lr 3.e. Canti\~vered (or Bridged) Flllshlng Lights 3.0. Masl Mount~d 3.e. Number of Flashing <br />0 full barn"r) Gales Ovor Traffic Lana (numb or} 0 Flashing Lights (number) Light Pairs <br />~as 0 Na Not OVllr Traffic Lana (number) 0 0 0 <br />3.F. Oth~r Plalhlng Lights 3.G. Highway Traffic.Slgnals " .a.H. Wigwags (numbtlr) la.J. BIlII. (number) <br />Number 0 SpClclfy Typo (ml/x. 9 chl/r.) InumOQr) 0 . 0 0 <br />3,K. Olher Trill" Activated WQrnlng Oeylca.: (speclly) <br />(mllx. 9 ahar.) <br />4, ~IlClfy Spl~I;l1 WllrnlnQ C~vlclI NOT Tr~ln I\Qtlvllllld (mOlf, 20 chlr.) a. CMsnneil;s.tlan OlfylCIlS V'l\th OslslI <br />. e,(Ma~ \..Jjc..~O Glo-..Ire~ o All AprQIlChllS o Om~ Approach ~on" <br />e, Trill" 0\\1\881101\ 7. Slgnslllnll far Trllln Opllral"~": a. Traffic Llghllnl!lrcannallllanlPrsempllcll'l <br />a Constsnl Wllrnlng Tim. a QCIAFO Is hick Equipped Wllh Trllln SI9Mla? o NQllnlllrconnllllled0' NIA <br />o Mellen Oflt!ll;;lllr. CJ Other CJ Yel o Slmull!ill1sou' Pr~empilon <br /> iSd"Nono lil" Na o Al!vsnoll !>tllsmpllon <br />9. RllSIlf\/lld For puMa \.1111 \10. RallNed rer Futur~ \.Ila 111. Ralorvlld For FuMe Uss [12. Roserved For FuMs \.ISll <br /> Part IV: Physical ChoraclsrlstlCll <br />1, Typo of Oevelopm~nt n Commercial ~ndUSlriei o 'nslllullonlll 2. 8mallalt Crolsln9 Anole lVreo' . 90' <br />n Opsn Sp~c. n Rllsldenllal n 0'-29' 'n 30'.59' <br />3. Numbar ofTrafllc Lanes !4.Ars Trul::k pUlloiS?res Pra8~nt? e. II Highway Paved? <br />Croaslng' Rallro~d 0 o Yes No IS?" Y liS o No <br />a. Craasing Surface (on main IIn~) ~. Asphllll and Flange <br />o 1. Tlmb~r o 2. Asphalt o 4. Concreto o 5. Canerstll and Rubber <br />o a. RUbbar o 7. Matal o a. Unconsolidated o 9. Other (Specify) <br />7. Ollll. Track Run~~ . Slre~l? ' I a. NII':(IY Intsf8l1cUng Highway? n 200 ta 500 fllat o NIA I. 1\ Slgnlill~.d? ~e. <br />n Yes No I IQ an than 75 fllllt 0 75 to 200 t~et No <br />9. ,. Croulng IlIumlnGled? (strll,llIahlS 1Q, 11 Commllrc:llIl F'OWllf AVIlllllbl1l1 11, SplloCll Re.eNed For Future Us~ <br />~IlPprox. 50 (oat rrOmnllli!rll.flilll) ~I ONo <br />Yo. 0 No <br /> Pitt VI HIghway Informadon ", <br />i, Highway Sy.Illm 2. Is ero"log on Slale Highway SYltam? 3. FunClloMI Clalll~C:lIUon 4, po.ted Hlghw~y Spliled <br />o Intaratal... o Federel Aid, Nil! NHS o Yo. ~a of Flclld al CfQU~ 30 <br />o Nllt. Hwy 8YIlom (NH!I) trNcm Fedlflll Aid Uf Icof."\ l..tD <br />5. Annulll .'IVllrIl91 Dally 1'rlltflll (M01! 7. AVlfllall Nl;mtllll 01 SehaQI 9"1" ~. ' <br /> e. e.\lmlltll Pllro."t TNCiks <br />YeRr @6 MOT . 0 ~ Ovor fOiling ptr School OilY 0 <br /> . <br />Public r'llorl1nll bllrOln for tllll Info million llo\l..tlon I. ~lItlm'\1I11 tll .v~rall' 14 mlnul~1 pit r~IPQnlll, Inclulllnll lII. Uln far rllvl~wlngln.tl\lctlon., 1O'l'1Ihlno ,xl.lIngll.1lI <br />~Ollre", o.ehotlng.nll mlllnhlnlTlllllllI d.1I nood'd, and complllUl1lllndrevlowlnlllht coll,illllln Qf Inform.tlQn. AGaordlnQla th, f1'llllWorll R,dulllon Aat at 1Daa, A fAdAral <br />IQ.nay mAY not condUator 'Plm.or; Ind. para on .1' not requjrld to ra.pond to, nor .hlll I p.rlon bo .ubJlat to . ponllly for tlIlIlll'lllo comply willi, A aollllotlon of <br />Informltltm unlol. It IIllpllYl' aurrlntly y,lId OMS control numbar. TIt. vllld OMS "ontrol number tor W. Inform.llon colloollon I. 2130.0017. .AII ralpan... 10 thl. <br />colllctlon at 'nflmnltlcn I,. voluntlry. SInd commontll NQ.rdlng tJ111 burd.n ..tlm,l, or ~ny alllar lIap'''' of thl. colhlctlon, Inllludlng 'U1l0.,tlon. lor rlldulllnll thlll DUrOln <br />tal Infllnnlllon ColI.cllon Omcsr., Ped,rll RAilroad Admlnl.lt.llon, 1120 Vermont Ave., N.W.. W..hlnglon, O.C. 20890. <br /> <br />U.S. DOT CROSSING INVeNTORY FORM <br /> <br />16 <br />