# 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: ______________________

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<u>EXAMINATION</u>

OD Visual: Passed ___ Failed ___

Joint Surfaces: Passed ___ Failed ___

Quality Control Manager: _____________________

Print

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Signature

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Date
