ULTRASONIC TESTING OF WELDS REPORT

Wisconsin Department of Transportation

2004 (Replaces EM771)

Length

Item

-Y

Distance
From Fro
X
m
Y

Discontinuity Evaluation

A SurfaceDepth from

Material Thickness:
Couplant:

FactorAttenuation

LevelReference

LevelIndication

Leg *

Report No.:

(Sound Path)Angular Distance

Location

From Face

Indication No.

Transducer Angle

Project:
Project No.:
Manufacturer or Contractor:
Weld Joint AWS:
Weld Process:
Ultrasonic Unit & Serial No.:
Quality Requirements (AWS Code & Section No.):
Comments:

RatingIndication

DT2104

Date

Remarks

I certify that the statements in this record are correct and that the welds were prepared and tested in accordance with the requirements of Section 6, Part F of AWS
D1.1, Yr. 2002, Structural Welding Code Steel.
Use Leg I, II, or III

Inspected By

Date

Certification Level