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Procedure Qualification Record (PQR) ASME Boiler and Pressure Vessel Code, Section IX

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.

POSTWELD HEAT TREATMENT (QW-407) Temperature Time Other

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

POSITION (QW-405) Position of Groove Weld Progression (Uphill, Downhill) Other

TECHNIQUES (QW-410) Travel Speed String or Weave Bead Oscillation Multiple or Single Pass (per side) Single or Multiple Electrodes

PREHEAT (QW-406) Preheat Temp. Interpass Temp. Other

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

Guided-Bend Tests (QW-160) Type and Figure No.

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

Welder's Name: Tests conducted by:

Clock No Laboratory Test 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.

Manufacturer Date: By QA Manager

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