UA 149 Brazer Continuity

RECORD OF CONTINUITY BRAZER QUALIFICATION FOR MEDICAL GAS & VACUUM SYSTEMS

Joint Apprentice Committee U.A. Local #149
We wish to use provision QB-322 of the ASME Section IX Boiler and Pressure Vessel Code:

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 when there is a specific reason to question the ability to make brazes that meet the specification.

We also wish to comply with the NFPA99 Health Care Facilities Code:

Performance qualifications of brazers shall remain in effect indefinitely, unless the brazer does not braze with the qualified procedure for a period exceeding 6 months or there is a specific reason to question the ability of the braze.
BRAZER NAME*

First NameLast Name
Address*

BRAZER STREET ADDRESS

Street Address Line 2

CITYSTATE

ZIP
UA CARD #*
Email*
RESIDENCE PHONE
CELLULAR PHONE*
NITC BPS# 13-BPS148

This individual has brazed using the qualified process and specific brazing procedure listed below.
This individual has not exceeded a period of six (6) months without making a braze to this procedure and continues to demonstrate the ability to make sound brazes.
DATE OF MOST RECENT BRAZEMENT*

MonthDayYear
(Must be on or before expiration date) Note: This individual's braze qualification will be extended six (6) months from the date entered above.
Name of Contractor or Authorized Representative (Individual that witnessed brazement)*

First NameLast Name
Title of signer*
Name of Company*
Signature of Contractor or Authorized Representative (Individual that witnessed brazement)*

Clear

Continuity Renewal

$40.00

Subtotal

$0.00

Shipping

$0.00

Total

$0.00

Credit Card

Should be Empty:

RECORD OF CONTINUITY BRAZER QUALIFICATION FOR MEDICAL GAS & VACUUM SYSTEMS

NITC BPS# 13-BPS148

Credit Card