BONDER PERFORMANCE QUALIFICATION

BPS: SOP 5.040 (Socket Joint Solvent Cemented PVC/CPVC Pipe and Fittings)

_ _________________________________________________________________

Bonder’s Name: ________________________________________________

Bonder’s I.D.# ______________________

Coupon Size: ______________________

Primer Type: ______________________

Cement Type: ______________________

__________________________________________________________________

EXAMINATION

OD Visual: Passed ___ Failed ___

Joint Surfaces: Passed ___ Failed ___

Quality Control Manager: _____________________

Print

Signature

Date