NYC 9/11 Public Portal Document
Y DIRECTOR ON SITE EXAM FFICE
lection D:
/II. 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 operative. If so, state why system was inoperative.
applicable _____________________________________________________________________________________________ ______ _
ZHI. Determination of Passing:
\. If the candidate failed to answer satisfactorily the essential questions marked (*), advise the candidate that a new appointment should bo requested by
contacting the High Rise Unit. The examiner should also give the applicant a bill for the inspections/examination.
3. 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.
X. On Site Office Building Test—(Print ALL Information):
C. of R Z 01 I of On Site Tests
Candidate Name t— -g _f Premise Address. 7 n/ <4
Social Security No
Cate of Examination f)
PH rozj
Total Number of Items Answered
'lumber of correct answers are y on this test. Number of incorrect answers are . Number of N/A answers are 2
Summary of Results:
A. PASSED :J
(CHECK)
or B. FAILED—(reason)
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 numbers Issued as resu^of^xa^n^nation and Inspection: D. certlf^l Info^matlon^co^^^ In this repoi^murato.
4
White copy must be given to the Candidate.
Canary copy must be submitted to the High Rise Unit. INSPECTORS ARE ONLY PERMITTED, IDE CANDIDATES WITH
Pink copy must be submitted to Cashier’s office. SECTION D.
)-1 H/M (8/88) 2.870682-R2S
NYC-WTC_000168853
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