TANK No.

WELD SEAM TESTING EVALUATION FORM

AREA No.

PROJECT NAME: PSPC, North Mindanao Import Facility Project, Cagayan de Oro TESTING AGENCY: APEX PLASTIC PIPING SUPPLY & SERVICES, INC.
GEOMEMBRANE TYPE:
HDPE LINER 2.0MM
INSPECTOR(S):
GEOMEMBRANE SHEET DIMENSION:

DATE TESTED:

SEAM TYPE: 1. EXTRUSION

2. HOT GAS
3. ADHESIVE

AREA NO. ______

PANEL
(WALL/FLOOR)

INSPECTION METHOD: SPARK TESTING

TESTER MACHINE/EQUIPMENT: WEGENER WEG 100
PARAMETER USED: _______ Kilo Voltz

TOTAL WELD
JOINTS

SEAM TYPE

NUMBER OF
DEFECTS
REPAIRED

NUMBER OF
DEFECTS FOUND

ACCEPTED
REMARKS

JOINT WELDINGS

PATCHES

OTHERS (SPECIFY)

SEAM TESTED BY

SEAM ACCEPTED BY

(Name & Signature): __________________________________

(Name & Signature): __________________________________

DATE: ____________________

DATE: ____________________

YES

NO