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Dwg#_______________________

Job#________________
Sheet
/Grid
Ref
1/B4

Drawing
Spec

Upper
Size

Lower
Size

Actual
Measurement

Instrument
Used

1.5

1.510

1.490

1.499

#101

1/B5

3.5 +.01-0

3.510

3.500

3.501

#200

Iss#_________
Item#_____ of______

Stamp
If OK
123
123

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