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Professional Service Industries, Inc. <br />Pittsburgh Testing Laboratory Division <br /> <br />REPORT OF WELDER AND WELDING OPERATOR QUALIFICATION TEST REPORT <br /> <br />TESTEDFOR! S&M Metal Fab~ Inc PROJECT; 8923 <br /> 13000 S.W. Clay St. <br /> Sherwood, OregOn 97140 <br /> Attn. Mr. Dave Sermuks <br /> <br />DATE: OUR REPORT NO,; 703-98179-002 <br /> Seot. 19 )89 <br /> <br /> Welder/INsider Operstor's Name Welding Code (ID & year) Client Order No. Specimen PSi Lab, No- <br />John Rosen AWS D1.1- 86 P.O. 2923 F,~]Plate ~lPipe <br />Welder Identification No. Base Material Speeific~tlon Diameter & Wall Thickness Joint PIate Thickness <br /> 518-68-7557 A 36 n/a rm Groove [] Fillet , 5/8 <br />Process Position Specimen Furnished By Specimen Machined By Thickness Range Ouslified <br />GNAW ~or±zontal 2G E3PSl []omers r-Ip$~ J~Lomers <br /> <br />Weld Pro§res$1on Wetding Procedure No. Rev. No. Current i--~ AC [] DC Polarity <br />[]Up [~CW []LtoR ~ l~..r-OV:iC].ed pM_1 AMPS: 2~5 Oeirect [~Raverse <br />[] Down [] CCW [] R to L Welding Pr.:.~dure Data by: ~ PSi W~tnessed (Tach): ~,~/~,~,..~ ~] Others: <br /> <br /> FILLER METAL VISUAL INSPECTION (AWS ONLY) <br /> Specification No. A¥'~',~ A_~Lo,I'~ Classification ~ ~.~_.-,~_.~ Appearance Acceptable ,, <br /> ~acklng A~i6 Diame!~r/F No. · 0/4 ~ Undercut None <br /> Shieidin§ I'~lGas;~O~/~ Ar~o~Fiu× Trade Name Li, c.oln L-.~) Piping Petoo~ty No,0~ <br /> 10% Oxygen GUIDED BEND TEST RESULTS <br /> <br /> TYPE RESULTS TYPE RESULTS <br /> <br /> FILLET TEST RESULTS <br />Weld Appearance Fillet Size <br /> [] Pass [] Fall Leg_' in. x in. [] Concavity: in. [] C~. nvexity: in, <br /> [] Pass [] Fail <br /> <br />,..' .,' '.-,. RADIOGRAPHIC TEST RESULTS . .., ..... ~, ..... <br />;,~fr~'!. ,- , . ~ ..'' ,-1'"' ;. '".' ' ~ "'" " "~"'"' "' >' ~ '~ '' ~'' ':~':" ": '}~'~":'~' '''~; ~' <br />~b"Welder/O~rator Menflfl~ a~ ' ~ DO~ · ~'~ES NOT meet ~e ~do~an~.~ualtfi~oos <br /> <br />REMARKS: <br /> <br />Welding Witnessed by Kent Erickson, C~ty Card .569, PSI~,~sbur§h <br /> ~:f/"'.-,?~. -. . . <br /> <br /> .... / / .... ;' ~/r . <br /> 12512N.E.M~t · ' Poland OR 97~0 . · ' --Pho~:~/~l~'~..~.' <br /> <br /> <br />