Transcription of EQUIPMENT OPERATOR'S QUALIFICATION RECORD (EXCEPT …
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EQUIPMENT OPERATOR'S QUALIFICATION RECORD (EXCEPT …
LAST, FIRST January 1975 BlackBrown6'2"185 Duty PositionSedan & S/WTrk UtilTrk CarryallTrk PU, PA5-8 Pax1/2 Ton12 Pax1/2-1 TonA1A1A1A1 USAGY, TMPUSAGY, TMPUSAGY, TMPUSAGY, TMPS edan5PC&RInterviewTrainingTrainingTraini ngTest/LicensingCommanderQualificationsW inter DrivingAAACS tandardCompleted 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 600-55 USAGY, TMP Driver Testing Verified 8th Army Suppl 1 to AR I - OFFICIAL QUALIFICATIONSS pecial 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 2011 PREVIOUS EDITIONS ARE PE QUALIFICATION 1 EQUIPMENT 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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