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PRESSURE EQUIPMENT INTEGRITY MANAGEMENT PROGRAM
Ultrasonic Inspection Report Exhibit #9200
Revision 0 April 23, 2015 Page 1 of 3
ULTRASONIC INSPECTION REPORT Report #:
Client: Invoice Address: Work Location: Procedure: Accept. Standard: EXAMINATION OF:
Job #: Date: P.O. #: W.O. #: Page of
ULTRASONIC EQUIPMENT
Flaw Detector:
Make: Model: Serial Number: Cal. Date:
Cal Block(s):
1: SN:
2: 3: SN: SN:
Transducers:
Transducer Angle
Frequency MHz
Crystal Size Crystal Type Single/Dual
Serial No. Primary Reference Gain dB
Scanning Gain dB
Time Base Range (mm)
Scanning Limitations:
Transfer Value:
TECHNICIAN(S) Interpretation is in accordance with the above mentioned standards, to the best of my professional ability. Tech-1: __________________ CGSB Level: _______ Reg. No: ____________ Sign: ____________________ Tech-2: __________________ CGSB Level: ________ Reg. No:_____________ Sign: ____________________ Clients Representative(Print)___________________________ Sign: _______________________ Date: _______
PRESSURE EQUIPMENT INTEGRITY MANAGEMENT PROGRAM
Ultrasonic Inspection Report Exhibit #9200
Revision 0 April 23, 2015 Page 2 of 3
Scope:
Results: