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<br />DALE 11. SPEEDY <br />Professional Welding Consultant <br /> <br />lIlY"'" Q.."lific.,;.", do Cn'if'IC.';." . M.,,,u,1t Tnt;"l <br />/JuluJtr,.IJIIJjIK,i." . /.kurut',;"" 0- N.,,-rHuruniw uSlinS <br /> <br />WELDER, WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD <br /> <br />Type of Welder .s ~ -,4 w rc::> <br />Name - ...::::r-e> ;'1..$ ""~ <br />Welding Procedure Specification No. <br /> <br />~ <br /> <br /> <br />Identification No. ~ s: '3. oS oS. C.?S., <br />, Date ~/?o <br /> <br />Record Actual Values <br />Used in Qualification <br /> <br />Variables <br />ProcessfType (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 />Backing (YES or NO) (5.16.18) <br />MateriaUSpec. (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- s7~'/ <br />~ <br />A <br /> <br /> <br />Qualification Range <br /> <br /> <br />F.?~T <br /> <br /> <br />7- ~ >; /~ C:.n/l ~~ <br />f 7.Y k. 6.n"t!L: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 (5.28.1/5.29.1) <br />ResuU I Type <br /> <br />~r;:~;~ . <br /> <br />Result <br /> <br />Fillet Test Results. (5.28.2/5.28.3; 5.39.3/5.39.4) <br /> <br />Appearance .A/ A Fillet Size <br />Fracture Test Root Penetration A/J4 Macroetch <br />(Describe the location, nature, and size of any crack or tearing 01 the specimen.) <br /> <br />~~::~i~ea~i~~ ~;.~ ~f~<-~'f!.s. <br /> <br />T';;tNu;b'er Ihv.s f". LVi.# -yrr / 000 7 I <br />Date 2 - S--c:> C> <br /> <br />Film <br />Identification ResuUs <br />Number <br />A.-cl <br />A/A <br /> <br />Interpreted by XA Test Number <br />Organization _d Date <br /> <br />We, the undersigned, certify that the statements in this record are correct and that the test welds were prepared, welded, <br />and t~sted in accord ncewilh the require~liAf..seJt\iQ'l~,~!;l Cq,r..D..Pl.ANSI/AWS 01.1, ( 199 K ) Structural <br />Welding Code-Ste I If\Mt'A f\Mf\L\jAMAII:U year <br /> <br />Manufacturer or Co tractor <br />Authorized B <br />Date "Z.. <br /> <br />RADIOGRAPHIC TEST RESULTS (5.28.4/5.39.2) <br />Film <br />Remarks Identification ResuUs <br />Number <br /> <br />Remarks <br /> <br /> <br />"2./sI0r:::) <br />