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Washington State department of Transportation Field Note Record Sketch Grid) <br /> -" Book No. Page No. <br /> Contract No. Station Line CIS <br /> Staked By Date Work Started Work Completed <br /> Calculated By Dam Checked By Date Inspector's Signature Date <br /> C t,r AN001 Lx- <br /> TOL P,9,1 6C3 <br /> COA f-r6Q, <br /> ' MAWq <br /> i <br /> TO <br /> Item No. Item Group cyte Unit Quantity RAMS No. Basis of Material CAPS Entry Initials Est.No. <br /> No. Acceptance No. Post OK <br /> DOT Form 422-63&EF <br /> Revised 956 <br />