City of Merced RQ#: 21-033
Citizen Action Request Form: Traffic Committee
Contact Person: Michael Beltran _ Day Phone:
Email Address:
Address: V St. - 16th St. to 18th St. Today's Date: 10/19/21 Location of Concern (map attachments and photographs are encouraged):
Ust Main Streef to Alley N. Of Man struef
Describe Concerns At This Location:
reguest reguest Red Carb due to additan of
lone from NWC of Main -V
alley
For Official Use Only:
Project #:. Date Received: _ Date Field Inspected: _
Field Inspection Results:
Date Response To Contact Person:
Resolution of Concern:
Date Completed:
Traffic Engineer's Signature or Designee Date