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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Report No.",null,null,null,null,null,null,null,"Form HS-29"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Page",null,null,null,"of"]
[]
["WEST VIRGINIA DEPARTMENT OF TRANSPORTATION"]
[]
["Division of Highways"]
[]
["WEEKLY STATUS OF FABRICATION REPORT"]
[]
["Fabricator",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Project Number"]
[]
["Shop Location",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Authorization Number"]
[]
["Reporting Period",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Lab Number"]
[]
["Bridge Number",null,null,null,null,"Shop Order Number",null,null,null,null,"Shop Drawing Date",null,null,null,null,"Percent Material  Received",null,null,null,null,"Percent Material Fabricated",null,null,null,null,"Percent Material Shipped"]
[]
[]
["REMARKS:"]
[]
[]
["Record of Hours Worked"]
[]
["Date"]
["Hours"]
[]
["Date:"]
[]
["Inspector Signature:"]
[]
["Printed Signature:"]
[]
[]
["Arrive:"]
[]
["Depart:"]
[]
["Distribution:"]

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