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AWS O1.20D1.1M2010 ANNEX H WELDER, WELDING OPERATOR, OF TACK WELDER QUALIFICATION TEST RECORD Types of Welder Nama - Identification No - Veeking Procedure Specification Noy Rew — Date ~Hisoard Actual Valu aed in Quathication ‘Quatteson Range ‘Variables roca Type [Tate 4.12, Nem 1 Elacirade (sta oF maint} [able 4.12, then (73) Sunes Polity asition [Tatte 4.12, tom (4) ‘Weld Progression [Tale 4.12, tem Bacaing (YES or WO) [Table 4.12, lem assert spec 6 ae Metal “Thicknass: (Plata) Gouowe - | Pict Thickness: (Pine ude) ‘cenove Fiat ‘Osamator (Finn) Coons Fst ee Resa [a8¥0 412) ‘Spon. No. Seas (F-bbo. [Table 4.12, teen (2}) ‘GasFlux Type (Tatda 4 12) ther - WISUAL BISPECTION (491) Accepinile YES aN ‘Gusiowe Gene Tat Reauis (6.35 5) Tee Resul Te — Fillet Tesi Results (4.31.23 and 4.31. Fitot Siz __ Mwcroaiee ‘Bt any crack or tearing of me spain.) “Tea! Num ome - RADIOGRAPHIC TEST RESULTS 14.31.42) | Fem idoritication any Bemoks || humoer Fisauts amare _— “Test Numbor _ — Orgevzalon a ‘Phe, te undorsigred, cers hat the satersants in fis raccrd are correct and fet the let wekle ware prepared. welded, and testo carforanon me fe roguaremeris uf Cause & ef AS ODT... "| Stucnsa! Wsking Cee— Sian! ee Marwfacturer or Cortrctor tien y Form nt oats

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