Midwest lndustria[ X-Ray
Employee Name: Roberto Carlos Meza
Testing AAethod: Radiography
Certification Level: Level ll
NoteslComments:
Employee lD #:
Location: Fargo, ND
Certified: 7lo8l14
Expires: 7/08t17
Formal Education Summary format educotion ottained ond cloimed for qualification.)
Education Locotion Date
TeChnical Training Summary (Documentation exisfs which verifies that the above individual meets or exceeds the quotification
requirements, in accordance with the written practice of this company.)
RT Levet I
RT Levet ll
Emplover
KXR lnspection
Tech Corr lnc
MIX
Examination Results
Exam Tvpe
GeneraI
Specific
PracticaI
Exam # Exam Alternotive
1706 N/A
1688 N/A
N/A
Location
Wortd Spec
Wortd Spec
Position
Assistant Radiographer
NDT Assistant
NDT Tech
Exam Date
7 /8/14
7 /8/14
7 /8/14
Expire Date Quest.
7 t8t17 40
7 /8/17 20
7 /8/17 100
Lab Hrs
0
0
4320
1 200
1 900
Totals: 7420
Correct Score
37 92.5%
20 100.0%
90 9A.O%
Date
412/14
4/29/14
From
Feb/10
May/12
Apr/13
To
May/12
Mar/13
Present
Hours
40
40
Totols: 0 80
Work Experience Summ ary (The following is a summary of the quatifying work experience claimed for this method by the above
individual, and verified by this company.)
Average: 94.2%
Certification Based on the above summary of qualifications and exominotion results, t certify that the above
Statement: named individuat meets the minimum requirements for this method, in accordonce with . . .
Midwest lndustrial X-Rav - QCP 1.0 Rev 0.0 / ANSI/ASNT CP 189 & SNT-TC-IA
Signoture - Compony Representotive
7-q-//
Date
*/2(?1-E
6ryo ^ tYl4a",.t,rt
' Print Nome Dote
Midwest lndustrial X-Rayffi..,.Y*"n/
Employee lD #:
Location: Fargo, ND
Certified: 7ll7l14
Expires: 7/07117
Formal Education Summary formal education attained and claimed for qualification.)
Education Location Date
Technical Training summary (fucumentation exists which verifies that the above individuol meets or exceeds the quotification
requirements, in accordance with the written practice ol this company.)
Employee Name:
Testing llethod:
Certificotion Level:
Notes/ Comments:
Course
MT land ll
Work Experience Summary
Emplover
Tech Corr lnc
MIX
Examination Results
Exom Tvpe
GeneraI
Specific
PracticaI
Roberto Carlos Meza
Magnetic Particle
Level ll
Totals: 0 20
(The following is a summary of the quolifying work erperience claimed for thts method by the obove
individuol, and verilied by this company.)
Locotion
Techcorr lndustries
Position
NDT Assistant
NDT Tech
Date
12/ 15/ 14
From
May/12
Apr/13
Lob Hrs Hours
020
To Hours
Mar/13 400
Present 640
Totols: 1040
Quest. Correct Score
42 38 9A.5%
30 30 100.0%
100 95 95.0%
Exam # Exam Alternative
1692 N/A
1690 N/A
N/A
Exom Date
7 /7 /14
7 /7 t14
7 /7 /14
Expire Date
7 /7 /17
7 /7 /17
7 /7 /17
Averoge: 95.2%
Certification Based on the above summary of quatifications and examination results, t certify that the above
Statement: named individual meets the minimum requirements for this method, in accordonce with . . .
Signature - Compony Representative Title
/ Signoture - Authorized NDT Levet ilt / print iome
Date
7-7- //-
D-fi--#47v
ffito**..,]*"n/
Midwest lndustrial X-Ray
Employee: Roberto Carlos Meza Expires: 71712015
Corrective Lenses
Required:
Nofes:
Exam Type Used: Jaeqer 1
No Left Eye: J1 @ 12 Right Eye: J1 @ 12
Employee must exhibit ability to read Jaeger I letters in either a
"uncorrected" or "corrected" Near Vision test.
Exam Type Used: lshahara Color Test
Notes: Employee must exhibit ability to accurately identify 9 out of 14
plates.
Exam Type Used: Test Not Administered or Not Required
Left Eye: Right Eye:
I
Corrective Lenses
Required:
Nofes:
Employee Above Has Completed Examination For:
Near Vision:
Color Vision:
Distance Vision:
Passed
Passed
N/A
l
I
I
L
-t
l
Date: 717t2O14
+&gtr
__,.,_-l
Examined By: dZ--lZfZ-
'/ fuiu(W t'*tP
*
Test passed with corrective lenses.

Carlos Meza Cert Package

  • 1.
    Midwest lndustria[ X-Ray EmployeeName: Roberto Carlos Meza Testing AAethod: Radiography Certification Level: Level ll NoteslComments: Employee lD #: Location: Fargo, ND Certified: 7lo8l14 Expires: 7/08t17 Formal Education Summary format educotion ottained ond cloimed for qualification.) Education Locotion Date TeChnical Training Summary (Documentation exisfs which verifies that the above individual meets or exceeds the quotification requirements, in accordance with the written practice of this company.) RT Levet I RT Levet ll Emplover KXR lnspection Tech Corr lnc MIX Examination Results Exam Tvpe GeneraI Specific PracticaI Exam # Exam Alternotive 1706 N/A 1688 N/A N/A Location Wortd Spec Wortd Spec Position Assistant Radiographer NDT Assistant NDT Tech Exam Date 7 /8/14 7 /8/14 7 /8/14 Expire Date Quest. 7 t8t17 40 7 /8/17 20 7 /8/17 100 Lab Hrs 0 0 4320 1 200 1 900 Totals: 7420 Correct Score 37 92.5% 20 100.0% 90 9A.O% Date 412/14 4/29/14 From Feb/10 May/12 Apr/13 To May/12 Mar/13 Present Hours 40 40 Totols: 0 80 Work Experience Summ ary (The following is a summary of the quatifying work experience claimed for this method by the above individual, and verified by this company.) Average: 94.2% Certification Based on the above summary of qualifications and exominotion results, t certify that the above Statement: named individuat meets the minimum requirements for this method, in accordonce with . . . Midwest lndustrial X-Rav - QCP 1.0 Rev 0.0 / ANSI/ASNT CP 189 & SNT-TC-IA Signoture - Compony Representotive 7-q-// Date */2(?1-E 6ryo ^ tYl4a",.t,rt ' Print Nome Dote
  • 2.
    Midwest lndustrial X-Rayffi..,.Y*"n/ EmployeelD #: Location: Fargo, ND Certified: 7ll7l14 Expires: 7/07117 Formal Education Summary formal education attained and claimed for qualification.) Education Location Date Technical Training summary (fucumentation exists which verifies that the above individuol meets or exceeds the quotification requirements, in accordance with the written practice ol this company.) Employee Name: Testing llethod: Certificotion Level: Notes/ Comments: Course MT land ll Work Experience Summary Emplover Tech Corr lnc MIX Examination Results Exom Tvpe GeneraI Specific PracticaI Roberto Carlos Meza Magnetic Particle Level ll Totals: 0 20 (The following is a summary of the quolifying work erperience claimed for thts method by the obove individuol, and verilied by this company.) Locotion Techcorr lndustries Position NDT Assistant NDT Tech Date 12/ 15/ 14 From May/12 Apr/13 Lob Hrs Hours 020 To Hours Mar/13 400 Present 640 Totols: 1040 Quest. Correct Score 42 38 9A.5% 30 30 100.0% 100 95 95.0% Exam # Exam Alternative 1692 N/A 1690 N/A N/A Exom Date 7 /7 /14 7 /7 t14 7 /7 /14 Expire Date 7 /7 /17 7 /7 /17 7 /7 /17 Averoge: 95.2% Certification Based on the above summary of quatifications and examination results, t certify that the above Statement: named individual meets the minimum requirements for this method, in accordonce with . . . Signature - Compony Representative Title / Signoture - Authorized NDT Levet ilt / print iome Date 7-7- //- D-fi--#47v
  • 3.
    ffito**..,]*"n/ Midwest lndustrial X-Ray Employee:Roberto Carlos Meza Expires: 71712015 Corrective Lenses Required: Nofes: Exam Type Used: Jaeqer 1 No Left Eye: J1 @ 12 Right Eye: J1 @ 12 Employee must exhibit ability to read Jaeger I letters in either a "uncorrected" or "corrected" Near Vision test. Exam Type Used: lshahara Color Test Notes: Employee must exhibit ability to accurately identify 9 out of 14 plates. Exam Type Used: Test Not Administered or Not Required Left Eye: Right Eye: I Corrective Lenses Required: Nofes: Employee Above Has Completed Examination For: Near Vision: Color Vision: Distance Vision: Passed Passed N/A l I I L -t l Date: 717t2O14 +&gtr __,.,_-l Examined By: dZ--lZfZ- '/ fuiu(W t'*tP * Test passed with corrective lenses.