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{"sheet":"Applicant Summary Sheet","index":0,"n_rows":75,"n_cols":10,"rows_kept":75,"cut":false,"hidden":false,"merged":[[57,1,59,9],[50,0,50,9],[40,0,43,0],[40,1,43,1],[48,7,48,8],[46,0,46,3],[53,1,55,9],[44,1,44,3],[0,0,0,9],[28,1,31,1],[16,0,19,0],[22,0,25,0],[10,0,11,1],[1,0,1,9],[10,8,10,9],[4,0,4,9],[10,4,10,5],[16,1,19,1],[8,0,8,1],[10,2,11,3],[5,3,5,5],[30,2,30,3],[8,6,8,7],[14,1,14,3],[75,0,75,3],[75,4,75,5],[61,1,63,9],[74,4,74,5],[28,0,31,0],[34,0,37,0],[34,1,37,1],[75,8,75,9],[51,0,51,9],[66,1,68,9],[74,6,74,7],[75,6,75,7],[74,8,74,9],[71,1,73,9],[74,0,74,3],[28,2,28,3],[2,0,2,9],[5,6,5,8],[6,6,6,8],[7,0,7,1],[5,0,5,2],[6,0,6,2],[7,6,7,7],[7,4,7,5],[6,3,6,5],[7,2,7,3],[8,2,8,3],[8,4,8,5],[29,2,29,3],[52,0,52,9],[56,0,56,9],[32,1,32,3],[38,1,38,3],[9,0,9,9],[20,1,20,3],[31,2,31,3],[22,1,25,1],[10,6,10,7],[26,1,26,3],[60,0,60,9],[64,0,64,9],[70,0,70,9],[65,0,65,9],[69,0,69,9]]}
["DEPARTMENT OF HOMELAND SECURITY"]
["FEDERAL EMERGENCY MANAGEMENT"]
["PRELIMINARY DAMAGE ASSESSMENT SUMMARY"]
[]
["Part I - Applicant Information"]
["County",null,null,"Potential Applicant/Public Entity",null,null,"Name of Local Contact ",null,null,"Contact Phone #"]
[]
["Population",null,"Total Budget",null,"Maintenance Budget",null,"Insured",null,null,"Date"]
[null,null,null,null,null,null,"Needs Mitigation"]
["Part II - Site Estimate Summary"]
["Category",null,"Critical Facilities and Other Damages",null,"Inspected",null,"Projected ",null,"Total"]
[null,null,null,null,"# of Sites","Cost","# of Sites","Cost","# of Sites","Total Cost"]
["A","Debris",null,null,null,null,null,null,{"$f":"(E13+G13)","v":0},{"$f":"(F13+H13)","v":0}]
["B","Prot. Measures",null,null,null,null,null,null,0,{"$f":"(F14+H14)","v":0}]
[null,"Cat A & B Emergency work sub-total",null,null,{"$f":"SUM(E13+E14)","v":0},{"$f":"SUM(F13+F14)","v":0},{"$f":"SUM(G13+G14)","v":0},{"$f":"SUM(H13+H14)","v":0},{"$f":"(I13+I14)","v":0},{"$f":"SUM(J13:J14)","v":0}]
[]
["C","Roads and Bridges","Bridge",null,null,null,null,null,{"$f":"(E17+G17)","v":0},0]
[null,null,"Roadway",null,null,null,null,null,{"$f":"(E18+G18)","v":0},{"$f":"(F18+H18)","v":0}]
[null,null,"Aggregate surface loss only",null,null,null,null,null,0,0]
[null,null,null,null,null,null,null,null,0,0]
[null,"Cat C Sub-total",null,null,{"$f":"SUM(E17:E20)","v":0},0,0,0,0,0]
[]
["D","Water Control Facilities","Dam",null,null,null,null,null,{"$f":"(E23+G23)","v":0},0]
[null,null,"Levee",null,null,null,null,null,{"$f":"(E24+G24)","v":0},{"$f":"(F24+H24)","v":0}]
[null,null,"Drainage Channel",null,null,null,null,null,0,0]
[null,null,null,null,null,null,null,null,0,0]
[null,"Cat D Sub-total",null,null,{"$f":"SUM(E23:E26)","v":0},0,0,0,0,0]
[]
["E","Public Buildings",null,null,null,null,null,null,{"$f":"(E29+G29)","v":0},0]
[null,null,null,null,null,null,null,null,{"$f":"(E30+G30)","v":0},{"$f":"(F30+H30)","v":0}]
[null,null,null,null,null,null,null,null,0,0]
[null,null,null,null,null,null,null,null,0,0]
[null,"Cat E Sub-total",null,null,{"$f":"SUM(E29:E32)","v":0},0,0,0,0,0]
[]
["F","Public Utilities","Water Treatment",null,null,null,null,null,{"$f":"(E35+G35)","v":0},0]
[null,null,"Power Distribution",null,null,null,null,null,{"$f":"(E36+G36)","v":0},{"$f":"(F36+H36)","v":0}]
[null,null,"Wastewater Treatment",null,null,null,null,null,0,0]
[null,null,null,null,null,null,null,null,0,0]
[null,"Cat F Sub-total",null,null,{"$f":"SUM(E35:E38)","v":0},{"$f":"SUM(F35:F38)","v":0},{"$f":"SUM(G35:G38)","v":0},{"$f":"SUM(H35:H38)","v":0},{"$f":"SUM(I35:I38)","v":0},{"$f":"SUM(J37:J38)","v":0}]
[null,null,null,null,null,null,null,null,null,{"$f":"SUM(J37:J39)","v":0}]
["G","Other Recreation",null,null,null,null,null,null,{"$f":"(E41+G41)","v":0},0]
[null,null,null,null,null,null,null,null,{"$f":"(E42+G42)","v":0},{"$f":"(F42+H42)","v":0}]
[null,null,null,null,null,null,null,null,0,0]
[null,null,null,null,null,null,null,null,0,0]
[null,"Cat G Sub-total",null,null,{"$f":"SUM(E41:E44)","v":0},0,0,0,0,0]
[]
["Emergency and Permanent Work Total",null,null,null,{"$f":"SUM(E15+E21,E27,E33,E39,E45)","v":0},{"$f":"SUM(F15+F21,F27,F33,F39,F45)","v":0},{"$f":"SUM(G15+G21,G27,G33,G39,G45)","v":0},{"$f":"SUM(H15+H21,H27,H33,H39,H45)","v":0},{"$f":"SUM(I45,I39,I33,I27,I21,I15)","v":0},{"$f":"SUM(J15+J21,J27,J33,J39,J45)","v":0}]
[]
[null,null,null,null,null,null,null,"GRAND TOTAL",null,{"$f":"J47","v":0}]
[]
["Part lll - Disaster Impacts (Use separate sheets if necessary)"]
["A. General Impact"]
["1.  Briefly describe damages which constitute a health and safety hazard to the general public."]
[]
[]
[]
["2.  Population adversely effected directly or indirectly by loss of public facilities or damages."]
[]
[]
[]
["3.  What economic activities are adversely affected by the loss of public facilities or damages?"]
[]
[]
[]
["B. Response Capability (use other side of page when necessary)"]
["1. Can the Applicant respond and recover from the damages quickly and without degradation of public services? Please explain."]
[]
[]
[]
["C. Impact on Public Services if Declaration Not Made (use other side of page when necessary)"]
["1. Discuss the need, if any to defer permanent repairs and the impact on ongoing services."]
[]
[]
[]
["Signature of Inspector",null,null,null,"Name of Inspector",null,"Agency",null,"Phone Number"]

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["Federal Emergency Management Agency",null,null,null,null,null,null,null,null,null,null,"Date"]
["Preliminary Damage Assessment Site Estimate"]
["Part 1 - Applicant Information"]
["County",null,"Name Of Applicant",null,null,null,"Name Of Local Contact",null,null,null,null,"Contact Phone #"]
[]
["Part 2 - Site Information"]
["Category A - Debris Removal"]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"A"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"A"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"A"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"A"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"A"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"A"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"A"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"A"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"A"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"A"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
[null,null,null,null,null,null,"Total Category A Cost Claimed"]
[]
["Documentation",null,"Project Complexity",null,null,"Indentified Special Considerations",null,null,null,"Could A Project Be Written From Provided PDA Information?"]
[" q  All provided",null," q  100% Complete",null,null," q  EHP",null," q  406 Mit.",null," q  Yes",null," q  No"]
[" q  Some provided",null," q  Normal Project",null,null," q  Insurance",null," q  None",null,"If No, Are additional Site Visits Required?"]
[" q  None provided",null," q  Complex Project - if complex why?",null,null,null,null,null,null," q  Yes",null," q  No"]
["RFI Required",null,null,null,null,null,null,null,"Does Regional PDA Coordinator Agree?"]
[" q  Yes",null,null,null,null,null,null,null," q  Yes",null," q  Formulate w/ PDA data"]
[" q  No",null,null,null,null,null,null,null," q  No",null," q  Can Not Formulate "]

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["Federal Emergency Management Agency",null,null,null,null,null,null,null,null,null,null,"Date"]
["Preliminary Damage Assessment Site Estimate"]
["Part 1 - Applicant Information"]
["County",null,"Name Of Applicant",null,null,null,"Name Of Local Contact",null,null,null,null,"Contact Phone #"]
[]
["Part 2 - Site Information"]
["Category B - Emergency Protective Measures"]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"B"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"B"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"B"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"B"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"B"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"B"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"B"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"B"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"B"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"B"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
[null,null,null,null,null,null,"Total Category B Cost Claimed"]
[]
["Documentation",null,"Project Complexity",null,null,"Indentified Special Considerations",null,null,null,"Could A Project Be Written From Provided PDA Information?"]
[" q  All provided",null," q  100% Complete",null,null," q  EHP",null," q  406 Mit.",null," q  Yes",null," q  No"]
[" q  Some provided",null," q  Normal Project",null,null," q  Insurance",null," q  None",null,"If No, Are additional Site Visits Required?"]
[" q  None provided",null," q  Complex Project - if complex why?",null,null,null,null,null,null," q  Yes",null," q  No"]
["RFI Required",null,null,null,null,null,null,null,"Does Regional PDA Coordinator Agree?"]
[" q  Yes",null,null,null,null,null,null,null," q  Yes",null," q  Formulate w/ PDA data"]
[" q  No",null,null,null,null,null,null,null," q  No",null," q  Can Not Formulate "]

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["Federal Emergency Management Agency",null,null,null,null,null,null,null,null,null,null,"Date"]
["Preliminary Damage Assessment Site Estimate"]
["Part 1 - Applicant Information"]
["County",null,"Name Of Applicant",null,null,null,"Name Of Local Contact",null,null,null,null,"Contact Phone #"]
[]
["Part 2 - Site Information"]
["Category C - Roads, Bridges, Low Water Crossings, Culverts"]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"C"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"C"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"C"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"C"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"C"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"C"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"C"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"C"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"C"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"C"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
[null,null,null,null,null,null,"Total Category C Cost Claimed"]
[]
["Documentation",null,"Project Complexity",null,null,"Indentified Special Considerations",null,null,null,"Could A Project Be Written From Provided PDA Information?"]
[" q  All provided",null," q  100% Complete",null,null," q  EHP",null," q  406 Mit.",null," q  Yes",null," q  No"]
[" q  Some provided",null," q  Normal Project",null,null," q  Insurance",null," q  None",null,"If No, Are additional Site Visits Required?"]
[" q  None provided",null," q  Complex Project - if complex why?",null,null,null,null,null,null," q  Yes",null," q  No"]
["RFI Required",null,null,null,null,null,null,null,"Does Regional PDA Coordinator Agree?"]
[" q  Yes",null,null,null,null,null,null,null," q  Yes",null," q  Formulate w/ PDA data"]
[" q  No",null,null,null,null,null,null,null," q  No",null," q  Can Not Formulate "]

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["Federal Emergency Management Agency",null,null,null,null,null,null,null,null,null,null,"Date"]
["Preliminary Damage Assessment Site Estimate"]
["Part 1 - Applicant Information"]
["County",null,"Name Of Applicant",null,null,null,"Name Of Local Contact",null,null,null,null,"Contact Phone #"]
[]
["Part 2 - Site Information"]
["Category D - Water Control Facilities - Levees, Dams, Drainage Districts, etc."]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"D"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"D"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"D"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"D"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"D"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"D"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"D"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"D"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"D"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"D"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
[null,null,null,null,null,null,"Total Category D Cost Claimed"]
[]
["Documentation",null,"Project Complexity",null,null,"Indentified Special Considerations",null,null,null,"Could A Project Be Written From Provided PDA Information?"]
[" q  All provided",null," q  100% Complete",null,null," q  EHP",null," q  406 Mit.",null," q  Yes",null," q  No"]
[" q  Some provided",null," q  Normal Project",null,null," q  Insurance",null," q  None",null,"If No, Are additional Site Visits Required?"]
[" q  None provided",null," q  Complex Project - if complex why?",null,null,null,null,null,null," q  Yes",null," q  No"]
["RFI Required",null,null,null,null,null,null,null,"Does Regional PDA Coordinator Agree?"]
[" q  Yes",null,null,null,null,null,null,null," q  Yes",null," q  Formulate w/ PDA data"]
[" q  No",null,null,null,null,null,null,null," q  No",null," q  Can Not Formulate "]

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["Federal Emergency Management Agency",null,null,null,null,null,null,null,null,null,null,"Date"]
["Preliminary Damage Assessment Site Estimate"]
["Part 1 - Applicant Information"]
["County",null,"Name Of Applicant",null,null,null,"Name Of Local Contact",null,null,null,null,"Contact Phone #"]
[]
["Part 2 - Site Information"]
["Category E - Buildings and Equipment"]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"E"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"E"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"E"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"E"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"E"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"E"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"E"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"E"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"E"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"E"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
[null,null,null,null,null,null,"Total Category E Cost Claimed"]
[]
["Documentation",null,"Project Complexity",null,null,"Indentified Special Considerations",null,null,null,"Could A Project Be Written From Provided PDA Information?"]
[" q  All provided",null," q  100% Complete",null,null," q  EHP",null," q  406 Mit.",null," q  Yes",null," q  No"]
[" q  Some provided",null," q  Normal Project",null,null," q  Insurance",null," q  None",null,"If No, Are additional Site Visits Required?"]
[" q  None provided",null," q  Complex Project - if complex why?",null,null,null,null,null,null," q  Yes",null," q  No"]
["RFI Required",null,null,null,null,null,null,null,"Does Regional PDA Coordinator Agree?"]
[" q  Yes",null,null,null,null,null,null,null," q  Yes",null," q  Formulate w/ PDA data"]
[" q  No",null,null,null,null,null,null,null," q  No",null," q  Can Not Formulate "]

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["Federal Emergency Management Agency",null,null,null,null,null,null,null,null,null,null,"Date"]
["Preliminary Damage Assessment Site Estimate"]
["Part 1 - Applicant Information"]
["County",null,"Name Of Applicant",null,null,null,"Name Of Local Contact",null,null,null,null,"Contact Phone #"]
[]
["Part 2 - Site Information"]
["Category F - Utilities - Water & Watewater Facilities, Electrical, etc."]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"F"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"F"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"F"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"F"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"F"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"F"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"F"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"F"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"F"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"F"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
[null,null,null,null,null,null,"Total Category F Cost Claimed"]
[]
["Documentation",null,"Project Complexity",null,null,"Indentified Special Considerations",null,null,null,"Could A Project Be Written From Provided PDA Information?"]
[" q  All provided",null," q  100% Complete",null,null," q  EHP",null," q  406 Mit.",null," q  Yes",null," q  No"]
[" q  Some provided",null," q  Normal Project",null,null," q  Insurance",null," q  None",null,"If No, Are additional Site Visits Required?"]
[" q  None provided",null," q  Complex Project - if complex why?",null,null,null,null,null,null," q  Yes",null," q  No"]
["RFI Required",null,null,null,null,null,null,null,"Does Regional PDA Coordinator Agree?"]
[" q  Yes",null,null,null,null,null,null,null," q  Yes",null," q  Formulate w/ PDA data"]
[" q  No",null,null,null,null,null,null,null," q  No",null," q  Can Not Formulate "]

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["Federal Emergency Management Agency",null,null,null,null,null,null,null,null,null,null,"Date"]
["Preliminary Damage Assessment Site Estimate"]
["Part 1 - Applicant Information"]
["County",null,"Name Of Applicant",null,null,null,"Name Of Local Contact",null,null,null,null,"Contact Phone #"]
[]
["Part 2 - Site Information"]
["Category F - Utilities - Water & Watewater Facilities, Electrical, etc."]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"G"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"G"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"G"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"G"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"G"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"G"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"G"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"G"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"G"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
["Site No.","Category","Location (Use map location, address, etc.):    q  Inspected     q  Projected",null,null,null,null,null,null,null,null,"GPS"]
[null,"G"]
[]
["Description Of Damage: Provide the who, what, where, when, and how for this site location"]
[]
[]
[]
["Impact: Provide the impact the damage has on the surrounding community",null,null,null,null,null,null,null,null,"% Complete",null,"Cost Estimate"]
[]
[null,null,null,null,null,null,"Total Category G Cost Claimed"]
[]
["Documentation",null,"Project Complexity",null,null,"Indentified Special Considerations",null,null,null,"Could A Project Be Written From Provided PDA Information?"]
[" q  All provided",null," q  100% Complete",null,null," q  EHP",null," q  406 Mit.",null," q  Yes",null," q  No"]
[" q  Some provided",null," q  Normal Project",null,null," q  Insurance",null," q  None",null,"If No, Are additional Site Visits Required?"]
[" q  None provided",null," q  Complex Project - if complex why?",null,null,null,null,null,null," q  Yes",null," q  No"]
["RFI Required",null,null,null,null,null,null,null,"Does Regional PDA Coordinator Agree?"]
[" q  Yes",null,null,null,null,null,null,null," q  Yes",null," q  Formulate w/ PDA data"]
[" q  No",null,null,null,null,null,null,null," q  No",null," q  Can Not Formulate "]