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Road Condition Survey
Type of Surface Material:
--Please choose an option--
Asphalt/Tar
Concrete
Paver Block
Gravel
Dirt
Other
Please specify material:
Surface Condition:
--Please choose an option--
Pothole found
Surface cracked
Stones/Bounders
Manhole Cover missing
Manhole Cover broken
Passage is blocked
Oil spill
Other
Please specify condition:
Name of the surveyor:
Upload a Photo (Optional):
Submit to Google Sheet
