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42 APPENDIX D King County Metro Conditional Eligibility Workbook

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Day(s) of Client ID #: 93762 Week: Weekday Date: 8/22/2006 Last Name: Public First Name: Ron MI: Origin Address: 1660 S Columbian Way, Seattle Origin Name: VA Hospital Destination Address: XXXXX Ballinger Way NE, Lake Forest Park Destination Name: Residence Pathway to Bus Stop from Origin Address: Approx. Distance (ft): 0 Exit the VA and you are at the bus stop Bus Route: Bus Bus Header Bus Stop Locations Times Number Designation Weekday Sunday Saturday 39 Downtown Depart from: VA Hospital @ VA Hospital Entrance Loop 2:11PM NA NA Seattle continues as Arrive at: Dexter Ave N @ Denny Way 2:43PM NA NA #28 Broadview

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Pathway to Transfer Bus Stop: Approx. Distance (ft): 0 Exit the bus and remain there for your next connection Bus Route: Bus Bus Header Bus Stop Locations Times Number Designation Weekday Sunday Saturday 258 Aurora Depart from: Dexter Ave N @ Denny Way 2:50PM NA NA Village Express Arrive at: Aurora Village Transit Ctr @ Bay 4 3:35PM NA NA Approx. Distance Pathway to Transfer Bus Stop: (ft): 220 Exit the bus at Bay for and turn left heading east and continue to Bay 6 Bus Route: Bus Bus Header Bus Stop Locations Times Number Designation Weekday Sunday Saturday 331 Kenmore Depart from: Aurora Village Transit Ctr @ Bay 6 3:42PM NA NA Park and Ride Arrive at: Ballinger Way NE @ 37th Ave NE 3:52PM NA NA Approx. Distance Pathway from Bus Stop to Destination Address: (ft): 236

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Exit the bus and turn right heading east, cross Ballinger Way NE at your residence Client ID #: 93762 Date: 8/22/2006 Last Name: Public First Name: Ron MI: 0 Origin Address: 1660 S Columbian Way, Seattle Origin Name: VA Hospital DATE: Client ID: Last Origin Address: Destination Address: Destination Address: 8/22/2006 93762 Ferris 1660 S Columbian Way XXXXX Ballinger Way NE TZ START ID OZ ID 30453 L1 6240 L3 TZ END ID 6240 L3 TZ START ID 16104 L5 TZ END ID 16106 L5 DZ ZONE ID 82104 L7 DEST ADDRESS Barriers N Barriers N Barriers N Barriers N Barriers N Barriers Y UN Barriers Y/N Leg Dist Leg DIST Leg Dist Leg Dist Leg DIST Leg Dist Leg Dist 0 0 0 0 0 220 Stop ID Hyperlink Stop ID Hyperlink Stop ID Hyperlink Stop ID Hyperlink Stop ID Hyperlink Stop ID Hyperlink http://servdev.metr http://servdev.metro http://servdev.metrokc. okc.gov/other/buss kc.gov/other/bussto http://servdev.metrokc.go http://servdev.metrokc http://servdev.metrokc.gov/ gov/other/busstops/Strt tops/Strt003.cfm? ps/Strt003.cfm?Z=6 v/other/busstops/Strt003. .gov/other/busstops/S other/busstops/Strt003.cfm 003.cfm?Z=30453 Z=6240 240 cfm?Z=16104 trt003.cfm?Z=16106 ?Z=82104 Zone Loc/City Zone Loc/City Zone Loc/City Zone Loc/City Zone Loc/City Zone Loc/City City VA Hospital AcRd @ Dexter Ave N @ Aurora Village TC Ac VA Hospital Ent Loop, Denny Way, Dexter Ave N @ Aurora Village TC Ac @ @ AVTC Bay 6, Ballinger Way NE @ 37th Seattle Seattle Denny Way, Seattle AVTC Bay 4, Shoreline Shoreline Ave NE, Lake Forest Park Lake Forest Park Route/Heading Route/Heading Route/Heading Route/Heading Route/Heading Route/Heading 39 Downtown Seattle-28 358 Aurora Village 331 Kenmore Park 331 Kenmore Park and 39 Downtown Seattle Broadview Express 358 Aurora Village TC and Ride Ride

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Direction/Intersection Direction/Inter- Direction/Intersec- Direction/Intersectional Direction/Intersec- Direction/Intersectional al Zone sectional Zone tional Zone Zone tional Zone Zone EB FS NB FS NB FS EB NS EB NS EB FS Routes serving Routes serving Routes serving Zone Zone Zone Routes serving Zone Routes serving Zone Routes serving Zone 36N 39 60 5 5E 26 28 358E 5 5E 26 28 358E 358E 331 342 308 331 342 Bench/Shelter/Lts/Ph/ Bench/Shelter/ Bench/Shelter/Lts/ Bench/Shelter/Lts/Ph/ Bench/Shelter/Lts/ LBZ Lts/Ph/LBZ Ph/LBZ LBZ Ph/LBZ Bench/Shelter/Lts/Ph/LBZ B, S, L, LBZ L, LBZ L, LBZ B, S, L, LBZ B, S, L, LBZ L, LBZ PIC PIC PIC PIC PIC PIC PIC CC/TR INTERSECTION BARRIER DESCRIPTION (complete all fields below) LOCATION: @ DESCRIPTION: Audible Pedestrian No. of Traffic Lanes to Cross: Signal (Y/N): NE (Y/N): Curbcuts: NW (Y/N): SW (Y/N): SE (Y/N): OTHER: Heavy Peak Traffic (Y/N): Non-Peak Traffic (Y/N): No. Of Stop Signs (0, 1, Traffic Lights (none, timed, blinking): 2,etc.): No. of Streets Intersecting (0, 1, 2, 3, etc.):