WA8801-CS 890511LOCAT'ON COP.¢~C% T)LP.O.,ECT NO.
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REPORT OF FIELD CHANGE
SPECIAL REPORT NO. ~'
PAGE _LOF_L_,'AGEs
DATE E',---IJ_O~'
CROSS REFERENCE TO
DAILY REPORT NO.
INSTRUCTIONS
Whenever any corrective change is made in field construction which ;s at variance with me specifications and drawings as originally issued,
a complete detailed report shall be filed, listing the following items. so that IOecifications or drawings storage data can be corrKted. 1. Identify the problem: Indicate why originally specified construction vv~s not used.
2. The Solution: Describe, in detail, the recommended change or change" that were made. as applicable.
3. Indicate whether this is e, isolated case or a general condition which could be improved by changing future specifications or drawings.
4. Submit Iketche. as nece"xar¥.
REFERENCE DATA
SPECIFICATION S CTION No. ff//~ PAGE N . i PARAGRAPH No.
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DESCRIPTION
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IS THE PROBLEM AN ISOLATED CASE OR GENERAL./
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