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NOTES Submit completed form to usarmy. jblm.imcom.list. dpw-earthworks mail.mil or the JBLM Earthworks Building 7600. USER S PRINTED NAME 18. USER S SIGNATURE SIGNATURE DATE 19. JBLM PW / ED APPROVAL SIGNATURE office use only leave blank 20. Administrative Office check one Seattle District Army Corps of JBLM Public Works Engineer 10. Government Contract Administrative Officer 11. BORROW SOURCE AREA TO BE USED check one Lincoln Street Pit Sequalitchew Lake Pit Gray Army Airfield Pit Other...
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