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ITP No.: _______________________
Inspection GR.: _______________________
FILED INSPECTION REPORT Report No.: _______________________
Quality Control Form Date: _______________________
Inspection Type : WORK No.:
ITEM No.:
ALIGNMENT(LEVELING) LOCATION:
SIGNATURE
COMPANY CONTRACTOR SUBCONTRACTOR
INSPECTION NOTICE No.:
COMPANY’S INSPECTOR:
CONTRACTOR INSPECTOR:
SUBCONTRACTOR INSPECTOR:

LOCATION & CENTERING


NORTH EAST
SIDE REMARK
DESIGN ACTUAL DIFF. DESIGN ACTUAL DIFF.

FIXED SIDE

SLIDING SIDE

LEVELING
DISTANCE BETWEEN SADDEL
DESIGN SLOP PERCENT
SLOP

NO. READING ACTUAL SLOP REMARK


A
B

FLANGES LEVELING
NO. DIRECTION REMARK
0
180
1
90
270
0
180
2
90
270

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