<p> STRUCTURE INVENTORY AND APPRAISAL FIELD REVIEW Wisconsin Department of Transportation DT2006 7/2003 Structure Number ______Identification State (1) Bridge Number (8) Facility Carried (7)</p><p>Location (9) Route - On/Under (5A) Route Signing Prefix (5B)</p><p>Level of Service (5C) Route Number (5D) Directional Suffix (5E)</p><p>% Responsibility SHD District (2) County Code (3)</p><p>Place Code (4) Kilometer Post (11) Feature Intersected (6)</p><p>Latitude (16) Longitude (17) Border Bridge Code (98)</p><p>Border Bridge Number (99)</p><p>Age and Service Year Built (27) Year Reconstructed (106) Type of Service On (42A)</p><p>Type of Service Under (42B) Lanes On (28A) Lanes Under (28B)</p><p>Detour Length (19) ADT (29) Truck ADT (109)</p><p>Year of ADT (30)</p><p>Geometric Data Length of Maximum Span (48) Structure Length (49) Curb/Sidewalk Width L (50A)</p><p>Curb/Sidewalk Width R (50B) Width Curb to Curb (51) Width Out to Out (52)</p><p>Approach Roadway Width (W/Shoulders) (32) Median (33) Deck Area</p><p>Skew (34) Structure Flared (35) Minimum Vertical Clearance over Bridge (53)</p><p>Minimum Vertical Underclearance Reference (54A) Minimum Vertical Underclearance (54B) Minimum Lateral Underclearance Reference (55A)</p><p>Minimum Lateral Underclearance R (55) Minimum Lateral Underclearance L (56)</p><p>Structure Type and Material Number of Approach Spans (46) Number of Spans Main Unit (45) Main Span Material & Design Type</p><p>Deck Type (107) Wearing Surface (108A) Membrane (108B)</p><p>Deck Protection (108C) Frequency (91) Inspection Date (90)</p><p>Next Inspection FC Frequency (92A) FC Frequency (93A)</p><p>Next FC Inspection UW Frequency (92B) UW Inspection (93B)</p><p>Next UW Inspection SI Frequency (92C) SI Inspection (93C)</p><p>Next SI Inspection Element Frequency Element Inspection Date Next Element Inspection</p><p>Appraisal Bridge Rail (36A) Transition (36B) Approach Rail (36C)</p><p>Underclearances, Vertical & Horizontal (69) Waterway Adequacy (71) Approach Roadway Alignment (72)</p><p>Scour Critical Bridges (113)</p><p>Navigation Data Navigation Control (38) Navigation Clearance (39) Horizontal Clearance (40)</p><p>Pier Protection (111) Lift Bridge Vertical Clearance (116)</p><p>Page 1 of 1</p>