2 Reviewed. Revise and resubmit incorporating comments
Rejected with Major Comments. Do Not Proceed. Correct and
3 resubmit incorporating comments
4 Not Reviewed. For Information Only
5 Certified
6 Cancelled
Submit Certified Document
YES NO
Lead Responsible Engineer Date
Equipment Tag No.
Client Document No. 5741-15-LST-8000
Jacobs Document No. and Revision CW2100300-B009-0001_R2 AUTHORIZATION TO PROCEED DOES NOT RELIEVE THE SELLER/CONTRACTOR OF ANY RESPONSIBILITY OR LIABILITY UNDER THE PURCHASE ORDER/CONTRACT.