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Home My WebLink AboutPB Template I. Objective Xsssdfsadfsdfsdfdsfsfdsf II. Instructions – Procedures for Achieving the Objective Xasdklfjsdlkfjslkdjflksdjflksdjflksdjf. III. Examiner’s Note Xajdfla;skdjflksdjflksdjflksdjf IV. Preparation & Equipment ZDrasdljsdf Salkdjlkjdf ASsdlkfja V. Reference Sources Akldjfkjsdfkldjfdas Akldjflkajsdfklsjd alkdjflkjsadf 403.07x – Adklfjasdlkfjsldkjfsd Discipline: XXX Name: Officer #: Evaluator: Officer #: Date: Location: If the firefighter: (No partial points given) Item #1 adfasd 1.0 _____ adffs 1.0 _____ asdfsdfsdfs 1.0 _____ sdfsdfasdf 1.0 _____ Item #2 asdfsdf 1.0 _____ jlkjlkjkljslkdfj 1.0 _____ adfsdfsdf 1.0 _____ Item #3 asdfsdfdf 1.0 _____ adfsdfsdf 1.0 _____ asdfsdfas 1.0 _____ Item #4 adsfsdfdsf 1.0 _____ fgsdfgdfg 1.0 _____ dsfasdf fadffadf 1.0 _____ asdfsdfdsf 1.0 _____ Item #5 adfsdfsdfsdf 1.0 _____ asdfsdfsdf 1.0 _____ asdfsdfa 1.0 _____ asdfsdfasd 1.0 _____ sdfsdfsad 1.0 _____ Time Allocation Completes skill in allotted time 1.0 _____ Allotted time for this skill: _____ minutes _____ seconds Actual time: _____ minutes _____ seconds Note: Attach this page to the first. Points Possible Passing Score Attempt Performance Rating (Points) PASS FAIL XX XX First Second Third