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� _ . <br /> .� , . <br /> WELDER,WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD <br /> Type of Welder: Arc Welder <br /> Name: LeRov Dahlsfrom Identification No: <br /> Weld'+ng Procedure Specification No: n/a Rev: n a Date: n/a <br /> Record Actuel Velues <br /> Used in Qualification Qualification Range <br /> Variables <br /> ProcesslType (5.16.2) SMAW Manual <br /> Electrode (Singie or Multiple) Sinple Sinale <br /> Current/Polarity DC Reverse <br /> Position (5.16.5) 4G (Overhead) 1 G,4G,1 F,2F,4F <br /> Weld Progression (5.16.7) n/a n/a <br /> Backing (YES or NO) (5.16.18) Yes. With backinq <br /> Material/Spec. (5.16.1) ASTM:A36 to ASTM:A36 <br /> Base Metal <br /> Thickness: (Plate) <br /> Groove 1.000" 0.125" to Unlimited <br /> Fillet n/a 0.125" to Unlimited <br /> Thickness: (Pipe/Tube) <br /> Groove n/a 0.125" to Unlimited <br /> Filiet n/a 0.125" to Unlimited <br /> Diameter: (Pipe) �.- <br /> Groove n/a-Plate Over 24" OD <br /> Fiilet n/a Unlimited <br /> filler Metal (5.16.3) <br /> Spec. No. AWS A5.1 <br /> Gass E7018 <br /> F-No. 4 1�2,3,4 <br /> GaslFlux Type (5.16.4) n!a <br /> Other n/a n/a <br /> VISUAL INSPECTION (5.12.6 or 5.12.7) <br /> Acceptabla: YES or NO Yes <br /> Guided Bend Test Resulte (5.28.2/5.29.1) <br /> Type Result � Type Resuit <br /> i <br /> 4G-1 Side Satisfactorv ; n/a n/a <br /> 4G-2 Side Setisfectory ; <br /> Fillet Test Results (5.28.2/5.28.3;5.39.3/5.39.4) <br /> Appeerence: n/a Fllet Size: n/a <br /> Fracture Test Root Penetration: n/a Macroetch: n/a <br /> (Describe the location, nature, end ze of any cr c or aring of the specimen.) <br /> Inspected By: Daniel Sn der Test Number: 3016 97-54287h <br /> Organization: Twin Cit Testin /Maxim Tec nolo es Inc Date: November 19, 1997 <br /> RADIOGRAPHIC TEST RESULTS (5.28.4/5.39.21 <br /> Film i Film • <br /> Identification ; Identification <br /> Number Results Remarks � Number Results Remarks <br /> n/a n/a ' <br /> I <br /> Reviewed By: n/a Test Number: n/a <br /> Organization: n/a Date: n/a <br /> We,the undersigned,certify that the statements in this record are correct and that the test wetds were prepared, welded, end tested in accordance <br /> with the requirements of Section 5, Part C or 0 of ANSI/AWS D1.1, (1996 1 Structural Weldine Code—Steel. <br /> Manufacturar or Contractor: WESTERN STEEL ERECTION ` <br /> Authorized By: <br /> Date: <br /> Form E-4 ` <br />