<p> PROCEDURE QUALIFICATION RECORD (PQR) for Qualification, Pretest, and Verification of Results</p><p>Contractor: Test Date: Process: Filler Metal: Position: Electrode(s) Mfg. Designation: AWS Classification: Flux Mfg. Designation: AWS Classification: Electrode Extension: </p><p>Electrode Diam. Current WFS* Voltage Current & Polarity</p><p>1 2 3 </p><p>Calculated Heat Input: See AWS D1.5 Section 5.12</p><p>Shielding Gas: Flow Rate: Dew Point: Travel Speed: Base Metal Specification & Thickness: Attach Certified Copy of Mill Test Report Preheat Temperature: Interpass Temperature: Min: Max: </p><p>SPECIMEN TEST RESULTS All Weld Metal Tension (AWMT) Tensile Strength (psi) Yield Strength (psi) Elongation in 2 in. (%) Reduction in Area (%) </p><p>1 2 3 4 Side Bends</p><p>Tensile Strength Location of Break Reduced Section Tension</p><p>Charpy V-Notch Impact 1 2 3 4 Average** Temperature: Toughness of Weld Metal 1 2 3 4 Average** Temperature: SMAW, SAW, FCAW, GMAW 5 Reg. ESW & EGW – 8 Reg. **Discard the highest and lowest values and average remaining values.</p><p>Chemistry of deposited weld metal C Mn Si P S when required by Contract Documents Ni Cr Mo V Cu </p><p>REMARKS Visual: Radiographic:</p><p>* Wire feed may be used in lieu of current when a correlation curve is provided for the same electrode diameter and same extension.</p><p>Test Witness: Agency: </p><p>Results Reviewed: State Acceptance: Date: </p>