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| \textsc{Document:} | 80000-XXX       |
| \textsc{Revision:} | A               |
| \textsc{Program:}  | XAC MA700       |
| \textsc{Title:}    | \thetitle       |
| \textsc{System:}   | Water and Waste |
| \textsc{ATA No:}   | XXX             |
| \textsc{ECCN:}     | XXX             |

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*Original Signatures*
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| *Prepared:* | \rule{7.0cm}{1pt}                   | *Date:* | \rule{3.0cm}{1pt} |
|             | Marius Peter, Systems Test Engineer |         |                   |
|             |                                     |         |                   |
| *Checked:*  | \rule{7.0cm}{1pt}                   | *Date:* | \rule{3.0cm}{1pt} |
|             | Richard Bourne, Sr Systems Engineer |         |                   |
|             |                                     |         |                   |
| *Approved:* | \rule{7.0cm}{1pt}                   | *Date:* | \rule{3.0cm}{1pt} |
|             | Tim Morse, Chief Sr Engineer        |         |                   |
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