Client Name Address/Location

Project Name / No. Tubes

Marking/Grading
Direction

Product/Part Desc. Id. No.

Test Stage Material(s)

Thickness Surface Condition

Test Standard Sizing Method

Applicable Procedure Test/Insp. Time

Area of Interest Test/Insp. Date

Equipment Model/Mfg. Serial Number

Equipment Model/Mfg. Serial Number

Calibration Block (Sr. #) Cable / Size

Couplant Used Scanning Type

Probe Serial # Size (mm) Angel (deg) Frequency (MHz)

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Name Signature Certification

NDT Inspector.

Review