NYC-WTC_000166105

NYC 9/11 Public Portal Document

FIRE SA 'Y DIRECTOR ON SITE EXAMINATION 'FFICE Section 0: 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. it so, state why system was Inoperative. applicable

VIII. Determination of Passing: A. If the candidate failed to answer satisfactorily the essential questions marlmd (7. advise the candidate that a new appointment should be requested by contacting the High Also Unit. The examiner should also give the applicant a bill for the Inspectionslexamination. 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 Information): C. of F Z 01 (Dl No. of On Site Tests _r

Candidate Name ©~ta.C~. : SA~15 ~J Premise Address- ' WQ(L JTI C T1 tL

Social Security No. _.-._._._._._._._.-_._.- P ~n { i i D 0 41

Date of Examination Total Number of Items Answered

Number of correct answers are on this test. Number of incorrect answers are Number of N/A answers are

Summary of Results: A. PASSED of or B. FAILED—(reason) - ry (CHECK)

CANDIDATE BUILDING Those candidates tailing should contact the High Rise Unit for another appointment when building correction andbr additional knowledge is obtained. C. Violation numbers issued as result of examination and inspection: D. I herey'certify all Information contained In this report is accurate.

NJOt.7C. Cl ~ {~ - ©3-1t1 -5 _ INSPEcmn - 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 Cashisr's office. SECTION D. FSD-1 H/M (8/88) a iww-nm

NYC-WTC 000166162