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QUALITY ASSURANCE&RESEARCH A-4

Name of Work :

DIMENSION CHART Date :


Item of Work : Location:
Details of : Widening / strengthening :Width - on L /S, R/S /Centre portion/Formation

Depth in mm Width in mm
Location in
As Per As Per Remarks
Km At site At site
Estimate Estimate

Observations Action taken

Tested and calculated by Checked by

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