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<br />DALE If. SPEEDY <br />Professional Welding Consultant <br /> <br />W,IJ". Qu.Jific.,i... ". c".'ijit.,i.. . M..".;.u ulIin: <br />"",ul",,,'IHlJ1<<IIt1H . lkJtrUl';W 6 N.,,-Deurun;w uS';"1 <br /> <br /> <br />WELDER, WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD <br /> <br />Type of Welder .s ~ - '" u 7?:> <br />Name C. L. i <br />Welding Procedure Specification No. <br /> <br />Record Actual Values <br />Used in Qualification <br /> <br />Variables <br />Processffype (5.16.2) <br />Electrode (single or multiple) <br />CurrenVPolarily <br /> <br /> <br />Position (5.16.5) <br />Weld Progression (5.16.7) <br /> <br />.1& <br /> <br />V'- <br /> <br /> <br />Backing (YES or NO) (5.16.18) <br />Material/Spec. (5.16.1) <br />Base Metal <br />Thickness: (Plate) <br />Groove <br />Fillet <br />Thickness: (Pipe/tube) <br />Groove <br />Fillet <br />Diameter: (Pipe) <br />Groove <br />Fillet <br />Filler Metal (5.16.3) <br />Spec. No. <br />Class <br />F-No. <br />Gas/Flux Type (5.16,4) <br />Other <br /> <br />'I <br />0- S?s:-' <br />:A <br /> <br /> <br />Identification No. ~S" oS . '; ') . ~ 3:::L. <br />Date (f; / 90 <br /> <br />Qualification Range <br /> <br /> <br />,F.?,J1T <br /> <br /> <br />l/ <br />(;1 <br /> <br />o. s-o I~.L lot <br />I r- ~ >; I'-J C::.n/2 ~ <br /> <br />f 7.Y k 6:>n/1~:J <br /> <br /> <br />VISUAL INSPECTION (5.12.6 or 5.12.7) <br />Acceptable YES or NO.tte.S <br /> <br />GuIded Bend Test Results (5.28.1/5.29.1) <br />Result I Type <br /> <br />~~~ . <br /> <br />Flllel Test Results (5.28.215.28.3; 5.39.3/5.39.4) <br /> <br />Appearance ~ Fillet Size <br />Fracture Test Root Penetration Macroetch <br />(Describe the location, nature, and size of any crack or tearing of the specimen.) <br /> <br />Type <br />'2c>~ <br />~ ~ <br /> <br />Result <br /> <br />Inspected by L"?~/. ~eA <br />Organization A-z.:;s <::-~': "?vYf~~r;r'7 J <br /> <br />Test Number 0.L.. #-1 <br />Date ::<. -.s-. 0 0 <br /> <br />Film <br />Identification <br />Number <br /> <br />RADIOGRAPHIC TEST RESULTS (5.28.4/5.39.2) <br />Film <br />Remarks Identification Results <br />Number <br /> <br />Results <br /> <br />Remarks <br /> <br />A/.;oi <br />/1.,..0- A <br /> <br />Interpreted by ~ Test Number <br />Organization ~ Date <br /> <br />We, the undersigned, certify that the statements in this record are correct and that the test welds were p-repared, welded, <br />and t~sted in accordance with the retJ}l\~t~l~A1~Pf 0 of ANSI/ AWS 01.1, ( /9<; ~ ) Structural <br />~~C~-~ T u ~ <br />Manufacturer or Con S EEL CORPORATION <br />Authorized By <br />Date <br /> <br /> <br />