need alignment help!

What they mean is the BOLT is pushing "out" or "in" relative. So with the bolt say, "all the way out" away from the frame, the "big" part of the cam would be on the frame side of the bolt and the thin side would be outboard

I've never effed with tube arms, are they adjustable? This should make a big difference. Otherwise, "follow instructions" of whoever made those arms.