: ____________
: ____________
: ____________
: ____________
: Plain Plain and ASTM A153 - Hot Dip Plain and ASTM F2329 - Hot Dip Plain and A153 and F2329 ASTM B695 - Mech Galv ASTM A153 - Hot Dip ASTM F2329 - Hot Dip ASTM F1136 - Dachromet or Geomet (Circle One)
: ____________
: ____________ in
: ____________ in
: Pass Fail (Go) Fail (No Go) NA (Circle One)
:
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:
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complies does not comply not applicable (Circle One)