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Location: ____________________________________________________________________________________

Date: _______________________ Time duration of Count: Nearby Topography:


____________ ______________________________
Day: _______________________
(_________to________) (am or pm) ______________________________
Method Employed:
____________________________ (Bridges, Shops, Plantations, Parks
etc)
Interval of Traffic Count:
_______________________________

Westbound Eastbound Northbound Southbound


Time
Left Thru Right Left Thru Right Left Thru Right Left Thru Right

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