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<br />BALE 11. SPEEDY <br />Prolesslonal Welding Consultant <br />WtlJn Q...ujk.,;.", do Cn'if<e.';.. . M.,ni41t Tnt;"l <br />'nJuJrrl.I/"'/I<<';." . lkJrrucl;w 6- N"".DIUI'..niw Ul';"1 <br /> <br />Type of Welder <br />Name <br />Welding Procedure Specification N . <br /> <br />WELDER, WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD <br />.s ~ -,4", 7?:> <br /> <br /> <br />~ <br /> <br /> <br />Identification No. :.z tC C' 77' 0 -F r 7 <br />, Date ~/9c> <br /> <br />Record Actual Values <br />Used in Qualification <br /> <br />Variables <br />ProcesslType (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 />.lG <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- '5 ?s:"I/ <br />:A <br />A <br /> <br /> <br />Qualification Range <br /> <br /> <br />F.?/4T <br /> <br /> <br />r- ~ >; 1'-7 6,,'1 ~~ <br />f 7.>" k... 6:>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 (5.28.1/5.29.1) <br />Result I Type <br /> <br />%~~>;~ . <br /> <br />Fillet Test Results (5.28.2/5.28.3; 5.39.3/5.39.4) <br /> <br />Appearance ./VA Fillet Size <br />Fracture Test Root Penetration A/A Macroetch <br />(Describe the location, nature, and size of any crack or tearing of the specimen.) <br /> <br />Result <br /> <br />Inspected by <br />Organization <br /> <br />Rw/~'{;, S'~~dOO71 <br /> <br />. <br /> <br />Test Number S' ,:e ~ / <br />Date ;:2 -.s-. .0 C> <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/~ <br />/V'ri <br /> <br />Interpreted by <br />Organization <br /> <br />~ <br />~ <br /> <br />Test Number <br />Date <br /> <br />We, the undersigned, certify that the statements in this record are correct and that the test welds were prLed, welded, <br />and tested in aCCOrd%Ce with the requirements of Secti on 5, Part C. or 0 of ANSI/ AWS 01.1, ( I s. 9 ) Structural <br />Welding Code-Stee TAMPA AMALGAMATED year <br /> <br />Manuf~cturer or Co tractor ~L~:t:..b...CORPORATION <br />Authorized By -?' l:" ow <br />Date / / <br />Z/S-/OD <br />