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Company Name Procedure Qualification Record No. Weld Procedure Used for Test Welding Process(es) (FCAW, GMAW, GTAW, SAW, SMAW) JOINTS (QW-402) Type(s) (Automatic, Machine, Manual, Or Semi-Auto.) Date
BASE METALS (QW-403) Material Spec. Type/Grade, or UNS Number P-No. Group No. to P-No. Group No.
Thickness of Test Coupon Diameter of Test Coupon Maximum Pass Thickness Other GAS (QW-408) Gas(es) FILLER METALS (QW-404) SFA Specification AWS Classification Filler Metal F-No. Weld Metal Analysis A-No. Size of Filler Metal Filler Metal Product Form Supplemental Filler Metal Electrode Flux Classification Flux Type Flux Trade Name Weld Metal Thickness Other ELECTRICAL CHARACTERISTICS (QW-409) Current Polarity Amps. Tungsten Electrode Size Other Volts 1 2 Shielding Trailing Backing Other ) Percent Composition (Mixture) Flow Rate
TECHNIQUES (QW-410) Travel Speed String or Weave Bead Oscillation Multiple or Single Pass (per side) Single or Multiple Electrodes
Other
Procedure Qualification Record (PQR) ASME Boiler and Pressure Vessel Code, Section IX
PQR No.
Tensile Test (QW-150) Specimen No. Diameter (IN.) Area 2 (IN ) Ultimate Total Load (lbs) Ultimate Tensile Strength (ksi) Type of Failure & Location
Toughness Tests (QW-170) Specimen No. Notch Location Notch Type Test Temp. Impact Values Lateral Exp. % Shear Mils Break Drop Weight No Break
Fillet-Weld Test (QW-180) Result - Satisfactory: Yes Macro Results Other Tests Type of Test Deposit Analysis Other No Penetration into Parent Metal: Yes No
Stamp No
We certify that the statements in this record are correct and that the test welds were prepared, welded, and tested in accordance with the requirements of Section IX of the ASME Code.