Nace CP 1 User manual

CP 1–Cathodic
Protection Tester
Course Manual
February 2005
©NACE International, 2000

Acknowledgements
The time and expertise of a many members of NACE International have gone into the
development of this course. Their dedication and efforts are greatly appreciated by the
authors of this course and by those who have assisted in making this work possible.
The scope, desired learning outcomes and performance criteria were prepared by the
Cathodic Protection Training and Certification Program Task Group under the auspices
of the NACE Certification and Education Committees. Special thanks go to the
following:
On behalf of NACE, we would like to thank the following members who were
instrumental in the development and review of this program.
Buddy Hutson Florida Gas Transmission Company;Maitland, Florida
Steve Bean Southern California Gas Company, Los Angeles, California
Joe C. Bowles, Jr. Broussard, Louisiana
Raul Castillo Dow Chemical, Freeport, Texas
David Edwards Santa Fe Pipelines, Rocklin, California
Gerry Garleiser Exxon Co. USA, Houston, Texas
Kevin Garrity CC Technologies, Dublin, Ohio
Robert Gummow CorrEng Consulting Service Inc., Downsview, Ontario
Brad J. Lewis Kinder Morgan Energy Partners L.P., Tucson, Arizona
Thomas H. Lewis LORESCO, Inc., Hattiesburg, MS
Ed Ondak EJ Ondak Associates, Inc, Littleton, Colorado
Larry Rankin Corrpro Companies Inc., Houston, Texas
John Schmidt CC Technologies, Houston, Texas
David A. Schramm ENEngineering, Woodridge, IL
William H. Thomason Conoco, Inc. Ponca City, Oklahoma
This group of NACE members worked closely with the contracted course developers,
who were John Fitzgerald, John Wagner, and Walter Young of Corrpro Cos. Inc. Much
of the material in the courses is based on existing NACE cathodic protection training
material which was developed and refined over several years by members including
Robert A. Gummow, (CorrEng Consulting Service Inc., Downsview, Ontario), James R.
Myers (JRM Associates, Franklin, Ohio), Frank Rizzo (FERA Corporation, Houston,
Texas), Marilyn Lewis, P.E. (Lewis Engineering, Hattiesburg, Mississippi), Larry
Brandon (CorPre Tek, Inc., Carson City, Michigan) and James F. Jenkins, P.E. (Cambria,
California).

IMPORTANT NOTICE:
Neither the NACE International, its officers, directors, nor members thereof accept any
responsibility for the use of the methods and materials discussed herein. No authorization
is implied concerning the use of patented or copyrighted material. The information is
advisory only and the use of the materials and methods is solely at the risk of the user.
Printed in the United States. All rights reserved. Reproduction of contents in whole or
part or transfer into electronic or photographic storage without permission of copyright
owner is expressly forbidden.

CP 1 – Cathodic Protection Tester Course Manual
©NACE International, 2000
02/01/05
CP 1 – CATHODIC PROTECTION TESTER
TRAINING MANUAL
TABLE OF CONTENTS
General Information
Course Outline
Introduction
CP 1–Cathodic Protection Tester Certification Application
Section 1
Chapter 1 Basic Electricity
Introduction................................................................................................. 1:1
Electrical Terms.......................................................................................... 1:1
Electrons............................................................................................................................ 1:1
Voltage .............................................................................................................................. 1:1
Current............................................................................................................................... 1:2
Resistance and Resistivity ................................................................................................. 1:3
Electrical Schematic Diagram Symbols ............................................................................ 1:6
Electric Circuit............................................................................................ 1:7
Electrical Laws............................................................................................ 1:7
Ohm’s Law......................................................................................................................... 1:7
Power................................................................................................................................. 1:9
Kirchhoff’s Laws.............................................................................................................1:10
Series Circuit...................................................................................................................1:11
Parallel Circuit.................................................................................................................1:13
Series-Parallel Circuit......................................................................................................1:15
Direct Current (DC).........................................................................................................1:18
Alternating Current (AC).................................................................................................1:18
Meter Operation........................................................................................ 1:21
General ............................................................................................................................1:21
Analog Meters.................................................................................................................1:22
Digital Meters..................................................................................................................1:25
Exercise 1.1: Ohm’s Law......................................................................... 1:26

CP 1 – Cathodic Protection Tester Course Manual
©NACE International, 2000
02/01/05
Exercise 1.2: Series Circuit....................................................................... 1:27
Exercise 1.3: Parallel Circuit .................................................................... 1:28
Exercise 1.4: Resistor and Instrument Lab............................................... 1:29
Chapter 1 Appendices
Appendix 1–Meter Fuses–Instructions for Replacement
Appendix 2–Color Code for Resistors
Section 2
Chapter 2–Basic Chemistry & Basic Corrosion
Theory
Basic Chemistry.......................................................................................... 2:1
Elements............................................................................................................................ 2:1
Compounds (Molecules).................................................................................................... 2:2
Acidity and Alkalinity (pH)............................................................................................... 2:3
Basic Electrochemistry ............................................................................... 2:5
Oxidation and Reduction................................................................................................... 2:6
Electrochemical Circuits.................................................................................................... 2:8
Corrosion Cell............................................................................................. 2:9
Anode Reactions................................................................................................................ 2:9
Cathode Reactions...........................................................................................................2:10
Use of Voltmeters............................................................................................................2:12
Reference Electrodes (Half-Cells)...................................................................................2:15
Driving Force for Corrosion............................................................................................2:18
Corrosion Rate.......................................................................................... 2:19
Faraday’s Law.................................................................................................................2:19
Polarization......................................................................................................................2:20
Anode/Cathode Ratio ......................................................................................................2:21
Influence of the Environment..........................................................................................2:21
Causes of Corrosion.................................................................................. 2:23
General ............................................................................................................................2:23
Naturally Occurring Corrosion........................................................................................2:23
Experiment 2.1–Metal Electrode Potentials in Tap Water ..............................................2:27
Experiment 2.2–Corrosion-Cell.......................................................................................2:29
Experiment 2.3 Current Direction in the Electrolyte in Corrosion Cells.........................2:35
Chapter 2 Appendices
Appendix 1–Reference Cell Maintenance
Appendix 2–Conversions and Definitions
Appendix 3–Customary Metric Conversions for Units Commonly Used in Corrosion-related
Literature

CP 1 – Cathodic Protection Tester Course Manual
©NACE International, 2000
02/01/05
Section 3
Chapter 3–Underground Corrosion Control
Materials Selection...................................................................................... 3:1
Protective Coatings..................................................................................... 3:1
Underground or Submerged Structures............................................................................. 3:1
Types of Mill Applied Underground Coatings.................................................................. 3:2
Girth Weld and Other Field Coatings................................................................................ 3:3
Electrical Isolation...................................................................................... 3:4
Environmental Control................................................................................ 3:4
Inhibitors............................................................................................................................ 3:5
Adjustment of pH .............................................................................................................. 3:5
Maintenance of Environmental Control ............................................................................ 3:5
Cathodic Protection..................................................................................... 3:6
Theory ............................................................................................................................... 3:6
Definition........................................................................................................................... 3:7
Structures That Can be Cathodically Protected.......................................... 3:8
Galvanic Anode Systems................................................................................................... 3:9
Anodes............................................................................................................................... 3:9
Component Parts of Galvanic Systems............................................................................3:11
Anodes.............................................................................................................................3:11
Specifications of Galvanic Anode Systems.....................................................................3:13
Impressed Current Systems....................................................................... 3:14
Power Sources.................................................................................................................3:15
Limitations of Impressed Current Systems......................................................................3:16
Component Parts of Impressed Current Systems.............................................................3:16
Backfill............................................................................................................................3:18
Power Supply...................................................................................................................3:18
Factors Influencing Operation of Cathodic Protection............................. 3:22
Moisture Content of Soil .................................................................................................3:22
Coating ............................................................................................................................3:22
Soil Texture.....................................................................................................................3:22
Temperature.....................................................................................................................3:23
Oxygen Content...............................................................................................................3:23
Movement of Structure and Electrolyte...........................................................................3:23
Make up of the Electrolyte ..............................................................................................3:24
Electrical Shielding..........................................................................................................3:24
Criteria for Cathodic Protection................................................................ 3:25
NACE International Recommended Criteria...................................................................3:25
Other International Standards..........................................................................................3:32
Experiment 3-1–Demonstrate the Use of Cathodic Protection to Mitigate Local Action
Cell Corrosion .................................................................................................................3:11
Experiment 3-2–Demonstrate Change in Polarized Potential with Time........................3:25

CP 1 – Cathodic Protection Tester Course Manual
©NACE International, 2000
02/01/05
Section 4
Chapter 4–Safety
Introduction............................................................................................... 4:1
Electrical.................................................................................................... 4:2
Electrical Equipment (Rectifiers) ...................................................................................... 4:2
Cathodic Protection Surveyss............................................................................................ 4:6
HVAC Interference............................................................................................................ 4:7
Hazardous Material.................................................................................. 4:8
Material Safety Data Sheets (MSDS)................................................................................ 4:8
Explosions or Ignitions...................................................................................................... 4:5
Reaction Products.............................................................................................................. 4:9
General Precautions.................................................................................. 4:9
Section 5
Chapter 5–Field Measurements
Other Portable Reference Electrodes................................................................................. 5:1
Typical Applications.......................................................................................................... 5:3
Measuring Current...................................................................................... 5:8
Use of an Ammeter............................................................................................................ 5:8
Shunts..............................................................................................................................5:10
Typical Applications........................................................................................................5:15
Measuring Resistance ............................................................................... 5:22
Typical Measurements.....................................................................................................5:22
Using Ohm’s Law............................................................................................................5:22
Using an Ohmmeter.........................................................................................................5:23
Electrical Continuity................................................................................. 5:24
Electrical Isolation.................................................................................... 5:24
Purpose and Usage...........................................................................................................5:24
Isolation (Insulating) Joints .............................................................................................5:25
Accidental Contacts.........................................................................................................5:25
Testing Resistance Between a Pipe and Casing...............................................................5:26
Measuring Structure Continuity ......................................................................................5:26
Diode Bias................................................................................................. 5:27
Measuring Electrolyte Resistivity............................................................. 5:28
Wenner Four-Pin Method................................................................................................5:28
Soil Box...........................................................................................................................5:30

CP 1 – Cathodic Protection Tester Course Manual
©NACE International, 2000
02/01/05
Resistivity Probe..............................................................................................................5:31
Measuring pH............................................................................................ 5:31
Use of Pipe Locating Devices................................................................... 5:32
Conductive.......................................................................................................................5:33
Inductive..........................................................................................................................5:34
Use of Current Interrupters....................................................................... 5:35
Coupon Measurements.............................................................................. 5:35
Section 6
Chapter 6–Stray Current Interference
Definitions................................................................................................... 6:1
Effects......................................................................................................... 6:1
Sources........................................................................................................ 6:1
Types of Stray Current................................................................................ 6:2
Dynamic Stray Current...................................................................................................... 6:2
Steady State Stray Current................................................................................................. 6:2
Identification of Stray Current.................................................................... 6:3
Dynamic Stray Current...................................................................................................... 6:3
Steady State Stray Current................................................................................................. 6:4
Stray Current Corrosion Control................................................................. 6:6
Mitigation Bonds............................................................................................................... 6:6
Mitigation with Cathodic Protection.................................................................................. 6:8
Experiment 6.1 — Demonstration of Cathodic Interference............................................. 6:9
Section 7
Chapter 7–Monitoring Cathodic Protection Effectiveness
and Recordkeeping
Introduction................................................................................................. 7:1
Reasons for Monitoring .............................................................................. 7:1
Monitoring Requirements........................................................................... 7:2
Monitoring Cathodic Protection ................................................................. 7:2
Recordkeeping ............................................................................................ 7:4
Importance of Good Record Keeping......................................................... 7:4
Technical ........................................................................................................................... 7:4
Legal.................................................................................................................................. 7:4
Data Sheets.................................................................................................. 7:4
Date, Time, and Weather................................................................................................... 7:4
Sketches............................................................................................................................. 7:5

CP 1 – Cathodic Protection Tester Course Manual
©NACE International, 2000
02/01/05
Site Conditions .................................................................................................................. 7:5
Legibility ........................................................................................................................... 7:5
Computer Records and Spreadsheets.......................................................... 7:5
Facility Maps and Work Documentation.................................................... 7:5
Section 8
Chapter 8–Installing CP Components
Test Stations................................................................................................ 8:1
General........................................................................................................ 8:1
Location ...................................................................................................... 8:1
Environmental Factors................................................................................ 8:2
Construction Notes...................................................................................... 8:2
Types of Test Stations................................................................................. 8:3
Coupons .................................................................................................... 8:10
Wire Attachment....................................................................................... 8:12
Galvanic (Sacrificial) Anodes................................................................... 8:14
General...................................................................................................... 8:14
Prepackaged Anodes................................................................................. 8:15
Non Packaged Anodes.............................................................................8:17
Ribbon or Strip Anodes ............................................................................ 8:17
Bracelet Anodes........................................................................................ 8:17
Offshore Anodes....................................................................................... 8:18
Impressed Current Groundbeds ................................................................ 8:19
General...................................................................................................... 8:19
Handling and Inspection of Anodes and Cable........................................8:20
Surface Groundbed Configurations .......................................................... 8:22
Deep Anode Groundbed Configuration.................................................... 8:26
Negative Circuit........................................................................................ 8:28
Installation of Rectifiers or Other Power Sources .................................... 8:29
General...................................................................................................... 8:29
Rectifiers................................................................................................... 8:29
DC Output................................................................................................. 8:30
Section 9
Chapter 9–Troubleshooting
Introduction................................................................................................. 9:1
Electrical Isolation...................................................................................... 9:1
General .............................................................................................................................. 9:1
Testing a Pipeline ..............................................................................................................9:2
Casing Shorts..................................................................................................................... 9:4

CP 1 – Cathodic Protection Tester Course Manual
©NACE International, 2000
02/01/05
Isolating Joint Shorts......................................................................................................... 9:6
Cathodic Protection Levels......................................................................... 9:7
Groundbed Malfunctions............................................................................ 9:8
Galvanic and Impressed Current Groundbeds................................................................... 9:8
Rectifiers..................................................................................................... 9:9
Routine Maintenance......................................................................................................... 9:9
Output Problems..............................................................................................................9:10
Section 10
Appendices
Glossary of Terms
Ansuini, Frank J., James R. Dimond, “Factors Affecting the Accuracy of Reference
Electrodes”, MP, 33, 11 (1994): pp. 14-17.
RP0169 “Control of External Corrosion on Underground or Submerged
Metallic Piping Systems”
RP0285 “Corrosion Control of Underground Storage Tank Systems by
Cathodic Protection”
RP0176 “Corrosion Control of Steel Fixed Offshore Platforms Associated
with Petroleum Production”
RP0388 “Impressed Current Cathodic Protection of Internal Submerged
Surfaces of Steel Water Storage Tanks”
RP0177 “Mitigation of Alternating Current and Lightning Effects on Metallic Structures
and Corrosion Control Systems”
RP0575 “Internal Cathodic Protection Systems in Oil Treating Vessels”
RP0193 “External Cathodic Protection of On-Grade Metallic Storage Tank Bottoms”
RP0196 “Galvanic Anode Cathodic Protection of Internal Submerged Surfaces of Steel
Water Storage Tanks”
RP0290 “Cathodic Protection of Reinforcing Steel in Atmospherically Exposed
Structures”

CP 1 – Cathodic Protection Tester Course Manual
©NACE International, 2000
02/01/05
RP0200 “Steel Cased Pipeline Practices”
TM0497 “Measurement Techniques Related to Criteria for Cathodic Protection on
Underground or Submerged Metallic Piping Systems”
TM0101 “Measurement Techniques Related to Criteria for Cathodic Protection on
Underground or Submerged Metallic Storage Tanks”
Section 11
Worksheets
CP Tester Practical Exam Reference Sheet

EXAMINATION RESULTS
NACE strives to mail out student grade letters within 4 to 6 weeks after the conclusion of
each course. Examination results are not available via telephone.
Information regarding the current status of grade letters for your course will be available
on the web within 2 to 4 weeks after the course ends. When the letters for your course
are mailed, the report will show a mail date in the status column.
Just go to http://nace.org/NACE/Content/Education/Courses/GradeStatus.asp or visit the
NACE Website at www.nace.org and click on Education/Certification then click on Grade
Status.
All you need to find your course information is the following:
Course Name
Course Location
Course Date
If you have not received your grade letter within two weeks after the “mail out” date
shown on the website, please contact NACE Headquarters:
Carmen Wisdom
E-Mail: [email protected]
Phone: [phone]
Fax: [phone]

To access your grades on the NACE Website go to:
www.nace.org
then click on Education/Certification
then click on Student Grades
STUDENT ID
NUMBER______________________
PASSWORD _____________
(Only Four Digits)
You can detach the information below to keep for your record.
HOW TO GET YOUR
GRADES FASTER
NACE is now making grades
available on the Internet. If you
want to participate, please insert
your student ID# AND a 4-digit
password on your examination
ParScore sheet (see example).
♦Your student ID is listed on
your registration confirmation
notice.
♦Create your own 4-digit
password (the password you
choose should be written in
the phone number box).
If you do not provide both your
student ID # (and your
Password), then you will not be
able to access your grades on
the Internet. Also, to maintain
privacy, students cannot create
or revise passwords after exams
are finished.
Keep this in
a safe place
COURSE
NUMBER______________________

NACE CORROSION NETWORK
(NCN)
NACE has established the NACE Corrosion Network, an electronic list serve that
is free to the public. It facilitates communications among professionals who work
in all facets of corrosion prevention and control.
If you subscribe to the NACE Corrosion Network, you will be part of an E-mail-
driven open discussion forum on topics A-Z in the corrosion industry. Got a
question? Just ask. Got the answer? Share it! The discussions sometimes will
be one-time questions, and sometimes there will be debates.
The topics will range from questions and answers about cathodic protection to
materials and chemical inhibitors and tons more!
What do you need to join? An E-mail address. That’s all! Then:
1. Send a blank email message to:
[email protected]
2. To Unsubscribe, send a blank e-mail to:
[email protected]
3. You’re done! You’ll get an e-mail back telling you how to participate,
but it’s so easy that you’ll figure it out without any help.

CP 1 – Cathodic Protection Tester Course Manual
©NACE International, 2000
07/01/04
CP 1 – Cathodic Protection Tester
Course Outline
DAY ONE
Introduction, Welcome, Overview
Chapter 1 Basic ElectricityDAY TWO
Chapter 2 Basic Chemistry & Basic Corrosion Theory
Chapter 3 Underground Corrosion Control
Chapter 4 Safety
Chapter 5 Field Measurements
DAY THREE
Chapter 5 Field Measurements (continued)
Chapter 6 Stray Current Interference
Chapter 7 Monitoring Cathodic Protection Effectiveness and
Recordkeeping
Introduction to Indoor Field Measurement Test Stations
Indoor Field Measurement Test Station Practice
DAY FOUR
Outdoor Field Program (weather permitting)
DAY FIVE
Chapter 8 Installing CP Components
Chapter 9 Troubleshooting
Indoor Field Measurement Test Station Practice
Course Review
DAY SIX
Written and Practical Examinations

Introduction 1
CP 1 – Cathodic Protection Tester Course Manual
©NACE International, 2000
07/01/04
Introduction
The Course
Corrosion is one of the most important problems
encountered by the owners and operators of underground,
offshore, submerged and other metallic structures exposed
to an electrolyte. If corrosion is not controlled, it can lead
to large costs in repairs or facility replacement. Even
greater costs can be incurred from environmental damage,
injuries and fatalities.
Corrosion control personnel must have a good basic
understanding of corrosion mechanisms. They also need to
know the various conditions under which corrosion can
occur on underground facilities.
In this course, we will focus on the control of metallic
corrosion by applying cathodic protection. This course was
developed for cathodic protection field technicians,
although this knowledge is also needed by corrosion
engineering personnel.
Corrosion prevention can be better understood after
acquiring a good understanding of corrosion itself.
Corrosion is defined as the deterioration of a substance or
its properties as a result of an undesirable reaction with the
environment. This includes metals, plastics, wood,
concrete, and virtually all other materials. Current
estimates show that the cost of corrosion in the U.S.
exceeds $500 billion per year amounting to more than
$2,000 per person.
There are several forms of corrosion, such as erosion,
fretting, nuclear, high temperature, and electrochemical. In
this course we will study electrochemical corrosion
because it is the most common form of corrosion that you
will encounter.

Introduction 2
CP 1 – Cathodic Protection Tester Course Manual
©NACE International, 2000
07/01/04
Audience (Who Should Attend)
This course is directed toward those who are responsible
for observing, recording or measuring the effectiveness of
CP Systems including cathodic protection field personnel,
technicians and those desiring certification as a NACE
Cathodic Protection Tester.
Prerequisites
It is recommended that attendees have had at least six
months of cathodic protection work experience and a High
School diploma or GED.
Length
The course will begin on Sunday at 1:00 pm and concludes
on Friday afternoon.
Reference Books
The primary reference for this course is Peabody’s Control
of Pipeline Corrosion by A. W. Peabody and will be
furnished to each student.
EXPERIMENTS
Throughout the week, there will be experiments to help
illustrate and reinforce principles discussed in the lecture
sections.
CAUTION: Students should realize that these
experiments are conducted under controlled conditions,
field conditions will vary.
Field Training
On Wednesday, students will participate in a field training
activity at a training site, weather permitting. The field
training activity is designed to simulate actual field
conditions that students may encounter on-the-job.
Students will perform tests and collect data.

Introduction 3
CP 1 – Cathodic Protection Tester Course Manual
©NACE International, 2000
07/01/04
Quizzes and Examinations
There will be quizzes distributed during the week and
reviewed in class by the instructors.
This course has both written and practical (hands-on) final
examinations and the final examinations will be given on
Friday.
The written final examination consists of 100 multiple-
choice questions. The final written examination is open
book and students may bring reference materials and notes
into the examination room.
The practical examination is closed book.
A score of 70% or greater on both the written and practical
examination(s) is required for successful completion of the
course and to obtain certification. All questions are from the
concepts discussed in this training manual.
Non-communicating, battery-operated, silent, non-printing
calculators, including calculators with alphanumeric
keypads, are permitted for use during the examination.
Calculating and computing devices having a QWERTY
keypad arrangement similar to a typewriter or keyboard are
not permitted. Such devices include but are not limited to
palmtop, laptop, handheld, and desktop computers,
calculators, databanks, data collectors, and organizers. Also
excluded for use during the examination are communication
devices such as pagers and cell phones along with cameras
and recorders.
Certification Application
A certification application must be completed and returned
to NACE at the time of the written final examination.
Successful completion of both the written and practical
examination and submission of the CP 1–Cathodic
Protection Tester certification application is required
before certification will be issued.

Cathodic Protection Certification Application
CP 1 - Cathodic Protection Tester
(Must be submitted to NACE Headquarters for certification to be complete)
NACE Member: Yes No Member#
Applicant'sName:
HomeAddress:
Company Name:
Company Address:
Country: Zip/Postal Code:
Phone: Home Business Fax
E-mail: _____________________________
PRINTEDNAME:
I affirm that:
1. I understand that I am solely responsible for making sure that all necessary work experience documentation
is complete and submitted in good order to NACE Headquarters.
2. I understand that if I knowingly provide, or cause to be provided, any false information in connection with my
recognition under the NACE International Training and Certification Program, that it will be grounds for
action against my understanding in the program.
3. I understand that the names of the categories within the NACE International Cathodic Protection Training
and Certification Program are as follows:
Highest Program Step Successfully Completed Category Name
CP 1 Cathodic Protection Tester
CP 2 Cathodic Protection Technician
CP 3 Cathodic Protection Technologist
CP 4 Cathodic Protection Specialist
4. I understand that the registration number and/or category title may be used only by Certified Cathodic
Protection persons (persons who have successfully completed CP 1, CP 2, CP 3 or CP 4). I understand
that this applies to business cards, stationery, advertisements, etc. I understand that in no case may the
NACE International logo, NACE International Cathodic Protection logo, or other NACE insignia be used. I
understand that violation of these rules will result in action against my standing in the program on the basis
of violation of the NACE International Cathodic Protection Program Attestation.
5. I (re)affirm the NACE International Cathodic Protection Certification Program attestation, reproduced on the
back side of this sheet, and agree to abide by its provisions as long as I hold any level of recognition under
the program.
Signed: Date:
THIS DOCUMENT MUST BE SIGNED AND RETURNED WITH APPLICATION
RETAIN A COPY OF THIS DOCUMENT FOR YOUR RECORDS

S
S A A M M P P L L E E
Form 1: Summary of Cathodic Protection Related Work Experience
Instructions: Make and use as many copies of this form as needed. Please provide all information requested.
Forms must be printed legibly in black ink or typed. Illegible information can delay the application process. For
assistance with this form, contact the Education Division at NACE International Headquarters.
Applicant Information:
Name: A. Sample Phone: [phone]
Company: ZZZ Coating Inspection Inc. Fax: [phone]
Address: 987 Gage Avenue
City: Millspec State/Province: TX
Zip/Postal Code: 77987 Country: USA
Please summarize below the information on each copy of Form 2, Individual Job Documentation. List your
experience beginning with the most recent, followed by less recent experience.
From
Month/Year To Month/Year Number of Months in this
job
Job Title Company Name
1/92 1/95 36 CP pipeline
readings ZZZ Gas Co.
12/89 12/91 24 Installer AAA Tank Installers
12/87 12/89 24 Design Manager ABC CP Design
/ /
/ /
/ /
/ /
/ /
/ /
/ /
Applicant Affidavit: I understand that if I knowingly provide false information in connection with my recognition
under this program, it will be grounds for disciplinary procedures.
Signed: Date: