ULTRASONIC TESTING OF WELDS REPORT Wisconsin Department of Transportation

DT2104 2004 (Replaces EM771)

Project:       Report No.:      

Project No.:       Manufacturer or Contractor:      
Weld Joint AWS:       Weld Process:       Material Thickness:       X
Ultrasonic Unit & Serial No.:       Couplant:      

-Y
Quality Requirements (AWS Code & Section No.):      
Comments:      

FactorAttenuation

(Sound Path)Angular Distance

RatingIndication
LevelReference
LevelIndication

Discontinuity Evaluation
“A” SurfaceDepth from
Transducer Angle
Indication No.

From Face

Length
Leg *
Distance

From Fro
X m
a b c d Y

Location Item Date Remarks

                                         
                               
                      
                                         
                               
                      
                                         
                               
                      
                                         
                               
                      
                                         
                               
                      
                                         
                               
                      
                                         
                               
                      
                                         
                               
                      
                                         
                               
                      
                                         
                               
                      
                                         
                               
                      
                                         
                               
                      
                                          
                               
                      
                                         
                               
                      
                                         
                               
                      
                                         
                               
                      
I certify that the statements in this record are correct and that the welds were prepared and tested in accordance with the requirements of Section 6, Part F of AWS
D1.1, Yr. 2002, Structural Welding Code – Steel.
 Use Leg I, II, or III

Inspected By Date Certification Level