NYC-WTC_000166105

NYC 9/11 Public Portal Document

FIRES' ITY DIRECTOR ON SITE EXAMINATIO OFFICE vvvarvrr v. _ - —

VII. Comment by Enmingr:! f — The Class E was n ~etative, o was advised to send in,an affid ~~~~,,~ n Yl T instruction has been provided and system Check if fa operative. If so, state why system was inoperative. ~ applicable ?_ -

VIII. Determination of Passing: 7, A. If the candidate failed to answer satisfactorily the essential questions marked (7, advise the candidate that a new appointment should be requested by contacting the High Rise Unit. The examiner should also Qlve the applicant a bill for the inspections/examination. B. If the candidate satisfactorily answered the mandatory parts, but by totalling all answers, the number of NO answers were below 80%, the candidate falls the practical test. See Chart.

IX. On Site Office Building Test—(Print ALL intonation): •

C. of F. Z 01 S No. of ojt Site Tests Candidate Name LTi. .iDi....XJAYV Premise Address 7 )tIb 1? 1I?f4d Social Security No.L. ._ . PII f71 Date of Examination Total Number of Items Answered S Number of correct answers on this test. Number of incorrect answers are _________ . Number of N/A answers are _ Summary of Results: A. PASSED or B. FAILED—(reason) (CHECK)

CANDIDINE SUILSING Those candidates failing should contact the High Rise Unit for another appointment when building correction and/or additional knowledge is obtained. C. Violation numbers issued as result of exan)ln.atlon and Inspection: D. I here certify all info ti co In this Is accurats.

r 'f6t((it INSPECTOR

Whit copy must be given to the Candidate. Canary copy must be submitted to the High Rise Unit. INSPECTORS ARE ONLY PERMI TO PROVIDE CANDIDATES WITH Pink copy must be submitted to Cashier's office. SECTION D.

.d

E

NYC-WTC 000166207