CP
7 Continued
SAMPLE
(Name of A/E)
(Station and Location):
(Project Number & Contract Number):
A/E File Number_________
Date_______________
For Record Only ____________
Supersedes A/E File No. __________________
Superseded By A/E File No.
_______________
Not Checked ____________________________
(See Section "S" of Specifications)
A/E Comments and/or Corrections are Circled
By ______________________
Date _________________
VA Action
Approved
Approved As Noted
Rejected Resubmit
No Action
No Deviation Noted; None Approved
By ______________________
Date __________________
Resident Engineer
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