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<br />DALE 1f. SPEEDY <br />Prolesslonal Welding Consultant <br /> <br />WI"'" Qu4lifk.,;.", c; Cn'iJtr.,;." . M.,";," Tn/;II: <br />'nJUJlr'AJ hup<<,i." . l.NJtrU~t;w 0- NIIN-lHuruniw Tnli", <br /> <br /> <br />WELDER, WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD <br /> <br />Type of Welder S"e( -,A w 77:> <br />Name / <br />Welding Procedure Specification No. <br /> <br />Identification No. .> ~o .0 a- . / S- '3 J <br />Date ~/ <:> <br /> <br />Record Actual Values <br />Used in Qualification <br /> <br />Variables <br />Processrrype (5.16.2) <br />Electrode (single or multiple) <br />CurrenVPolarity <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 />0- S?~I/ <br />;4 <br />A <br /> <br /> <br />Qualification Range <br /> <br /> <br />F.?-.14 T <br /> <br /> <br />-=f t; >: /~ 6n'! ~~ <br />f 7Y k U:.n,,~.'J <br /> <br />Type <br /> <br />~~~ <br /> <br />VISUAL INSPECTION (5.12.6 or 5.12.7) <br />Acceptable YES or NO~ <br /> <br />Guided Bend Test Results (5.28.115.29.1) <br />Result I Type <br /> <br />~~.t;~ <br /> <br />Flllel Test ResuU. (5.28.215.28.3; 5.39.3/5.39.4) <br /> <br />Appearance ~ Fillet Size <br />Fracture Test Root Penetration,.q Macroetch <br />(Describe the location, nature, and size of any crack or tearing of the specimen.) <br /> <br />Result <br /> <br />~~g:~i~ea~i~~ 1?~/~ft~t;,::;r <br /> <br />Test Number M~ d:l J <br />Date .;< . ~ - 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....-- ...0( <br />.....-vA <br /> <br />Interpreted by AA4 Test Number <br />Organization .A/ ~ Date <br /> <br />We, the undersigned, certify that the statements in this record are correct and that the test welds wer8jlrepared, welded, <br />and t~sted in accordance with the requitwiQ~ Of&~Sj9I}.l:i,P"~~Bof ANSI/ AWS 01.1, ( 19' ~ ) Structural <br />Welding Code-Steel d 1/"\IVIt"f\ f\Mf\L.uf\Mf\11: year <br /> <br />Manufacturer or Contract STEEL CORPO~~ <br />Authorized By/ 60 -- E a.... .AaA_ALJ ___I'O<<CNf <br />Date "2. /5" / _ <br />I , <br />