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Washington state Department of Transpcwtation Field Note Record (Sketch Grid) <br /> Book No. Page No. <br /> Contract No. Station Line CIS <br /> 7 <br /> Staked By Date Work Started Work Completed <br /> Calculated By Date Checked By Date Inspector's Signature Date <br /> I. <br /> 5 <br /> Cs.>���r.4 S <br /> L _ <br /> Item No. hm Group Basis of Material CAPS Entry Irirtials <br /> No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est No. <br /> DOT Form 422-6W EF <br /> ROWxd 9196 <br />