NYC-WTC_000166105

NYC 9/11 Public Portal Document

FIRE S' ?TY DIRECTOR ON SITE EXAMINATIO OFFICE Section D: VII. Comments by Examiner. The Class E system was Inoperative, candidate was advised to send In an affidavit Indicating proper instruction has been provided and system Check If is operative. If so, state why system was inoperative. applicable -. --

Vill. Determination of Passing: A. If the candidate failed to answer satisfactorily the essential questions marked ('), advise the candidate that a new appointment should be requested by contacting the High Rise Unit. The examiner should also give the applicant a bill for the inspectionstexamination. B. If the candidate satisfactorily answered the mandatory parts, but by totalling all answers, the number of NO answers were below 90%, the candidate fails the practical test. See Chart.

IX. On Site Office Building Test—(Print ALL Information): C. of F. Z 01 _ ( _ _ — No. of On Site Tests 1. / t Candidate Name _ PK,' "t 0 v Premise Address

Social Security No.~,_._._._._.__._._. r Date of Examination Total Number of Items Answered

Number of correct answers are 1 L.on this test. Number of Inc answers are Number of N/A answers are

Summary of Results: A. PASSED or B. FAILRD--(reason) (CHECK)

CANDIDATE BUILDING Those candidates failing should contact the High Rise Unit for another appointment when building correction andlor additional knowledge is obtained. C. Violation numbers issued as result of examination and Inspection: D. Ijrereby certify all information contained in this report Is accurate.

IN6t'ECrR DATE

White copy must be given to the Candidate. Canary copy must be submitted to the High Rise Unit. INSPECTORS ARE ONLY PERMITTED TO PROVIDE CANDIDATES WITH Pink copy must be submitted to Cashier's office. SECTION D. FSD-1 H/M (8/88) z.owm2s

NYC-WTC 000166216