Record of Continuity Brazer Qualification

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Record of Continuity Brazer Qualification

(TO BE ON CONTRACTOR LETTERHEAD)

RECORD OF CONTINUITY BRAZER QUALIFICATION

We wish to use provision QB-322(a) of the ASME Section IX Boiler and Pressure Vessel Code.

Renewal of Qualification: Renewal of qualification of the performance qualification is required: when a brazer or brazing operator has not used the specific brazing process for a period of 6 months or more; or there is a specific reason to question his ability to make brazes that meet the specification.

BRAZER NAME

BRAZER STREET ADDRESS

CITY, STATE, AND ZIP

CARD I.D.# (UA/MED GAS) Cannot process without this information RESIDENCE PHONE CELLULAR PHONE

This individual has successfully brazed using the procedure set forth by National ITC Corporation, BPS 98-101 and has not exceeded a period of six (6) months without making a braze to this procedure.

DATE OF MOST RECENT BRAZEMENT (must be on or before expiration date)

Sincerely, Print Name of Contractor or authorized representative (Individual that witnessed brazement)

Signature of Contractor or authorized representative (Individual that witnessed brazement)

Title of signer

Name of Company

Form # 720-21Rev 02-18-08 (record of continuity).doc

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