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<br />DALE 11. SP~EDY <br />Professional Welding Consultant <br />Wt/J.. Q""'i/ic.,i.". ~ Cntific.,i.. . M.,..;..II "Jtin, <br />IHJ"Jlrlall"'JIK'i." . lkJtru~/;W 0- N.,,-D~jlrun;w UJ/i"l <br /> <br />WELDER, WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD <br /> <br />Type of Weld~ oS ~ -,4", 7C:> <br />Name C've . ~ Identification No. Y3 or . <t'l' <:: /9..tt: <br />Welding Procedure Specification No. ' Date G; / 90 <br /> <br />Record Actual Values <br />Used in Qualification <br /> <br />Qualification Range <br /> <br />Variables <br />Process/Type (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,?;tT <br /> <br /> <br />'I <br />0- S?s:" <br />74 <br /> <br />7';;>; It, C~n/l ~~ <br />f 7.Yk u:>n,,~.'J <br /> <br />Type <br /> <br />~~;t <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 />~~~~r <br /> <br />Result <br /> <br />Fillet Test Results (5.28.2/5.28.3; 5.39.3/5.39.4) <br /> <br />Appearance ..AI' A Fillet Size <br />Fracture Test Root Penetration /l.;' A Macroetch <br />(Describe the location, nature, and size of any crack or tearing of the specimen.) <br /> <br />Inspected by ~<<-/c.. v. ..:s~ ~ <br />Organization ~..s C"V I .:Mr: I ~ "'7 I <br /> <br />Test Number <:> ~.5.....d- I <br />Date ::2. S--oc:::. <br /> <br />Film <br />Identification <br />Number <br /> <br />Results <br /> <br />RADIOGRAPHIC TEST RESULTS (5.28.4/5.39.2) <br />Film <br />Remarks Identification Results <br />Number <br /> <br />Remarks <br /> <br />/\/p.( <br />A../A <br /> <br />Interpreted by ~ <br />Organization -;C;/-! <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 jereJJ1-pared, welded, <br />and tested in accordance with the requirements of Section 5, Part Cor D of ANSI/AWS D1.1, ( 9 r ) Structural <br />Welding Code-Steel TAMPA AMALGAMATED year <br /> <br />Manufacturer or Cont actor <br />Authorized By <br />Date <br /> <br /> <br />'2:. <br />