NYC-WTC_000166105

NYC 9/11 Public Portal Document

FIRE S, .TV 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 l Is operative. If so. state why system was inoperative. Check if applicable

VIII. 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 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.

D(. On She Office Building Tbst—(Print ALL Information): , C. of F. Z 01 2 ) ~~ ~ No, of On Site Tests Candidate Name r ~~~ Premise Address -2 ~~~'~~~ ✓4i'C~`

Social Security No. P 11 ® ,, .5_ r, _i ____f

Date of Examination 6' - Total Number of Items Answered_ Number of correct answers are ~' on this test. Number of Incorrect answers are 7 . Number of NIA answers are_________ - Summaryof Results: A. PASSED V or B. FAILED--(reason) (CHECK)

CANDIDATE BUILDING Those candidates failing should contact the High Rise Unit for another appointment building correction armor additional knowledge is obtained. C. Violation numbers Issued as result of examination and Inspection: D. I he certify all Information contained in this report is accurate.

{ / INSPECTOR E DAT r ~

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. rau-i n!m (WSO) 2-W0umm

NYC-WTC 000166142