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PointV.3Appendix 2 - p.2(July 77)LocationRecord of LevelsI^vel (+ P.D.)T|his report Last reportRecommendat ionsList all necessary repair work of whatever natiireItemTotal Estimated Cost :(For detailed estimate, see ( ) in Pile No* ...«,)Reported "by :Works Order No* *».****«»»* issued onI.O.W./A.I*O.W./Foreman/Dfcte jftorks completed onTotal cost $DateDate :1 certify that to the "best of my knowledge this structtireis in a safe and satisfactory condition.Date :Senior Engineer/

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