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REINFORCED PAD TEST

PROJECT NO. : QA / QC FORM DATE :

PROJECT NAME : REPORT NO. :


SITE INSPECTION & TEST RECORDS
FORM NO. :QC-10 SHEET : OF

SER. SHEET WELD WELDER PIPE WALL RESULT


LINE NO. ISO NO. SIZE REMARK
NO. NO. NO. STAMP CLASS THK. ACC. REJ.

APPROVED BY :
CONTRACTOR : TECH. INSPECTOR : CLINT / MC:

NAME : NAME : NAME :

DATE / SIGN. : DATE / SIGN. : DATE / SIGN. :

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