NYC-WTC_000166105

NYC 9/11 Public Portal Document —, ~- ~. r~tt ': s #`t` !sr r +> €.i7 ~~'F x n ;3R" '~It" ,~r:3 ;a I '~" as •- 'y .';' ~R"lh.

FIRES3 ETY DIRECTOR ON SITE EXAMINATION- ?FILE Section D: .= Vil. 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 operat€ve. If so, state why system was inoperative. applicable

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Viii. Determination of Passing: A. If the candidate failed to answer satisfactorily the essential questions marked (1, 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 inspect€ons/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 fails the practical test. See Chart. ----- - - --- -----

IX. On Site High Rise That—(Print ALL Information): — C. of F Z 01 5 No. ot On Site Tests Candidate Name_O fA 1I U1J Office Address - 3 4 Social Security No. P11 Date of Examination 3_1 Total Number of Items Answered_-` Number of correct answers are on this test. Number of incorrect answers are ? . Number of NIA answers are Summary of Results: A. PASSED or S. FAILED—(reason) (CHECK)

CANDIDATE BUILDING Those candidates failing should contact the High Rise Unit for another appointment when building correction and/or additional knowledge is obtained. C. Violation nu jnbers Issued as result of examination and inspection: D. I he by certify all ffornjaHan contained In this report is accurate.

White copy must be given to the Candidate. (TI Canary copy must be submitted to the High Rise Unit. INSPECTORS ARE ONLY PtMITTED TO PROVIDE CANDIDATES WITH Pink copy must be submitted to Cashier's office. SECTION D. FSD-1 H/R (4/89) 51-89028&114

NYC-WTC 000166252