## PVDF COUPON LOG

Fusion Method: ____

Machine Serial #: ____

All entries are to be in black ink.

Project & Building: ____

Operator's Name: ____

Date: ____

| Bond # | Print ISO | Rev # | Bond Description | Pipe Size | Inspection Technique | Accept/ Reject | Inspector's initials | Note |
| --- | --- | --- | --- | --- | --- | --- | --- | --- |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |

| Bond Description |  |  |  |  |  |  |  | Inspection Technique |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| T=Tube | TEE=Tee | 45=45 Ell | 90=90 Ell |  |  |  |  | VT=Visual |  |
| R=Reducer | A=Adapter | F=Ferrule | FL=Flange | V=Valve |  |  |  | RT=Radiograph |  |