NYC-WTC_000166105

NYC 9/11 Public Portal Document s...r_ ...:.s..q..'.O~~:e*,. :..t~.~-......s..._. .—+ ' —..~.

FIRE SAFETY DIRECTOR ON SITE EXAMINATION.OFFICE Section D: VU. Comments by Examiner. The Class E system was inoperative, candidate was advised to send in an affidavit indicating proper instruction has been provided and sys:an Check if is operative. It so, state why system was inoperative. applicable

Vlll. Determination of Passing: A. It the candidate failed to answer satisfactorily the essential questions marked ('), advise the candidate that a new appointment should be recuesteh ry contacting the High Rise Unit. The examiner should also give 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 cznc:cate faits the practical test. See Chart.

IX. On Site High Rise Test—(Print ALL information): C. of F Z 01 - - s No. of On Site Tests

Candidate Name. :'_ ` (_ ✓` r .c,~.~ Office Address ' - Zti PiF_ PII ~~ s Social Security No._.,._._._._._._._._._._._._. ._._. Date of Examination ~ ~ 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 B. FAILED----(reason) (CHECK)

CANCICATE aUIICING Those candidates failing should contact the High Rise Unit for anct,er appointment when building ccrrecaon andlor additicnal kncwlecge is cctzir.e^_. C. Violation numbers issued as result of examination and inspection: O. I hereby cc all Information contained in this report is accurate_

~INsat c na

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.

NYC-WTC 000166316