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<br />DALE \I. SPEEDY <br />Prolesslonal Welding Consultant <br /> <br />WtIJ" Q,udijit",i"", 6- CtT,i[lt",i"" . M",,,;,,,, r",i"l <br />hu/UJ"",IIHljI<<ll.H . LN.lrU(I;", 0- NflH.DeJ""niw UII;1I1 <br /> <br />Type of Welder <br />Name <br />Welding Procedure Specification No. <br /> <br />WELDER. WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD <br />.s. ~ -~urz:> <br /> <br /> <br />Identification No. S Je:> - ''7..3 y ~ 'I <br />Date (f; / 90 <br /> <br />Record Actual Values <br />Used in Qualification <br /> <br />Qualification Range <br /> <br />Variables <br />ProcessfType (5.16.2) <br />Electrode (single or multiple) <br />CurrenVPolarity <br /> <br /> <br /> <br />Position (5.16.5) <br />Weld Progression (5.16.7) <br /> <br />Backing (YES or NO) (5.16.18) <br />MateriaVSpec. (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 />F.?~T <br /> <br /> <br />II <br />0- 57$:'" <br />~ <br /> <br />r-t;>; /~ 6n~~~ <br />f 7.Y k... t:.=.n~<<....'J <br /> <br />Type <br />~C>O+ <br />..c...<::.- <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 />Result I Type <br /> <br />~~:~ <br /> <br />Result <br /> <br />Fillet Test Results (5.28.2/5.28.3; 5.39.3/5.39.4) <br /> <br />Appearance .IV A Fillet Size <br />Fracture Test Root Penetration ,A./ -IJ Macroetch <br />(Describe the location. nature, and size of any crack or tearing of the specimen.) <br /> <br />Inspected by <br />Organization <br /> <br />L:)A 1<- v: S~~ <br />AAJ.< GLtA ~ 100 07 / <br /> <br />Test Number ,c> S ~ I <br />Date ~-~-c:::.C:l <br /> <br />Film <br />Identification Results <br />Number <br />A/A <br />.A ,A <br /> <br />Interpreted by .A/A Test Number <br />Organization A/.A Date <br /> <br />We, the undersigned. certify that the statements in this record are correct and that the test welds were pre~ared, welded, <br />and t~sted in accordaJwith the requireI!tJlllt."'hS~li~IA~, .J'!flIt..cqc,Q.QlANSI/ AWS 01.1, ( J 1 '9 ~ ) Structural <br />Welding Code-Steel 11'\1V1r"1'\ I'\M1'\L\.:.1f\Mf\1 t.U year <br /> <br />Manuf~cturer or Contr tor ~:i.OR~I~~ <br />Authorized By __ ~ C__ ____ <br />D~e , I . <br />Z/~/cso <br /> <br />RADIOGRAPHIC TEST RESULTS (5.28.4/5.39.2) <br />Film <br />Remarks Identification Results <br />Number <br /> <br />Remarks <br />