EQUIPMENT OPERATOR'S QUALIFICATION RECORD (EXCEPT …

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LAST, FIRST January 1975BlackBrown6'2"185Duty PositionSedan & S/WTrk UtilTrk CarryallTrk PU, PA5-8 Pax1/2 Ton12 Pax1/2-1 TonA1A1A1A1USAGY, TMPUSAGY, TMPUSAGY, TMPUSAGY, TMPSedan5PC&RInterviewTrainingTrainingTr ainingTest/LicensingCommanderQualificati onsWinter DrivingAAACStandardCompleted Commander Interview IAWAR 600-55. Cert. by:Completed Driver Trianing AR 600-55,8th Army Suppl 1 to AR 600-55 &USFK Pam. 385-2 Cert by:IAW 8th Army Suppl 1 to AR 600-55USAGY, TMP Driver Testing Verified 8th Army Suppl 1 to AR I - OFFICIAL QUALIFICATIONSSpecial EQUIPMENT , special operations or conditionsCity, rural, long haul, OF EQUIPMENTSIZEQUALIFIED ATNAME OF EXAMINERDATE QUALIFIEDDATECREDITSDEBITSTYPE OR NATUREACTION TAKENSECTION III - PERFORMANCE RECORDSECTION II - BACKGROUND AND EXPERIENCETYPE OF EQUIPMENTSIZETYPE OF DRIVINGOR OPERATIONADDITIONALDRIVER'S LICENSESNUMBER OF OTHERDRIVER'S LICENSESSATISFACTORY EXPERIENCEVERIFIED BYNUMBERDATE ISSUEDTYPESEXDATE OF BIRTHCOLOR HAIRCOLOR EYESHEIGHTWEIGHT212DA FORM 348, AUG 2011PREVIOUS EDITIONS ARE PE QUALIFICATION 1EQUIPMENT OPERATOR'S QUALIFICATION RECORD (EXCEPT AIRCRAFT)(List chronologically as "credits" - awards, training, retraining, testing, retesting, roadeos, permit renewal, relicensing, etc; and as "debits" - accidents, arrests, violations, warnings, revocations, suspensions, etc.)

total standard score - if qualif'd i physical evaluation measures x - if substand. signature of examiner 1. instruments 2. before operation check 4. controls - "dry run" ammeter ii 1. visual acuity 2. field of vision 3. hearing 4. reaction time 5. depth perception 6. color perception o o raw score standard score comments and recommendations on ...

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