<table>
<colgroup>
<col style="width: 5%" />
<col style="width: 7%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 2%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 2%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 4%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="3">Subcontractor/Supplier:</td>
<td colspan="3">     </td>
<td colspan="2">Project Title:</td>
<td colspan="5">     </td>
<td colspan="4">Subcontract/PO No.:</td>
<td colspan="2">     </td>
<td colspan="4">Drawing/Pkg. No.:</td>
<td colspan="4">     </td>
</tr>
<tr class="even">
<td colspan="4">Inspection Plan Number:</td>
<td colspan="7">     </td>
<td colspan="16"></td>
</tr>
<tr class="odd">
<td colspan="11"><h3 id="weld-record">WELD RECORD</h3></td>
<td colspan="16"><strong>INSPECTION RECORD</strong></td>
</tr>
<tr class="even">
<td rowspan="3">Weld No.</td>
<td rowspan="3">Welder ID No.</td>
<td colspan="3" rowspan="3"><p>WPS</p>
<p>No./Rev.</p></td>
<td colspan="2" rowspan="3"><p>Base Metal</p>
<p>Lot/Heat No.</p></td>
<td colspan="2" rowspan="3"><p>Root Pass</p>
<p>Electrode</p>
<p>Lot/Heat No.</p></td>
<td rowspan="3"><p>Cover Pass Electrode</p>
<p>Lot/Heat No.</p></td>
<td rowspan="3">Date Complete</td>
<td rowspan="3"><p>H</p>
<p>O</p>
<p>L</p>
<p>D</p></td>
<td colspan="2" rowspan="3">In-process Inspections Int./Date</td>
<td rowspan="3"><p>H</p>
<p>O</p>
<p>L</p>
<h2 id="d">D</h2></td>
<td rowspan="3"><p>Final Visual</p>
<p>Int./Date</p></td>
<td colspan="11">NON-DESTRUCTIVE EXAMINATIONS</td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="2"><p>H</p>
<p>O</p>
<p>L</p>
<p>D</p></td>
<td colspan="2" rowspan="2"><p>PT</p>
<p>Int./Date</p></td>
<td rowspan="2"><p>H</p>
<p>O</p>
<p>L</p>
<p>D</p></td>
<td colspan="2" rowspan="2"><p>RT</p>
<p>Int./Date</p></td>
<td rowspan="2"><p>H</p>
<p>O</p>
<p>L</p>
<p>D</p></td>
<td colspan="3" rowspan="2"><p><u>     </u></p>
<p>Int./Date</p></td>
</tr>
<tr class="even">
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
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<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
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<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
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<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td>     </td>
<td colspan="2"> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="2">     </td>
<td> </td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td colspan="27">Comments:      </td>
</tr>
<tr class="even">
<td colspan="22">Page</td>
<td colspan="3">   </td>
<td>of</td>
<td>   </td>
</tr>
</tbody>
</table>