mmc

Scanned by CamScanner
This c re de n tia l ha s be e n is s u e d u n d e r the pr o v is io n s o f the I nt ernat i onal
Co n v e n tio n o n Sta n da r ds o f T ra ln ln g Ce rtific a tio n o n W a tc hke e pln g fo r
.
T
-
'
k : :
· " " c t to a n y lim ita tio n s In dic a te d
°
//ì The Go v e r n m e n t o f the Un ite d Sta te s o f A m e r ic a c e rtifie s l i tat
O f th e a bo v e Co n v e n tio n ,
a s a m e n de d ,
a n d ha s be e n fo u n d c o m pe te n t to
p e r fo r m the fo llo w in g fu n c tio n s ,
a t t he le v e ls s pe c ifie d ,
s u bje c t to a n y
lim ita tio n in d ic a te d u n t il 2 1· JUN 2 0 19
ï
Re f N u m 29976 2 8 Se r ia l Nu m 0002 50 69 1
ë
' " h "
-
f i_ 3 :
A PA C IT Y U M IT AT IO N S A P P LY IN G E A NY )
O ffic e r in c ha r ge
o f a n e n g in e e Dn g
w a tc h (O IC ( w )
/_l , n g fo r m in g
En gin e
Fir e fightin g q
Re f Nu m 299 762 8 ;· : ; ° '
Se ria l ijil m 000250 69 1 I

W F I" "
B. " II
: I" "
B. " i i
:.
to s e rv e in the c a pa c ity o r c a pa c itie s s p e c ifie d (N a tio n a l O n ly),
§ê]Ê . "
S u bje c t to a n y lim ita tio n s in d ic a t e d
IIIÄ CA PACIT Y L IM IT A T IO NS A P PLY IN G OF A NY )
Qu a lifie d Me m be r A n y Ra tin g
D e pa rtm e n t (Q M ED) ; : î
J ;
Life bo a tm a n
Or din a ry Se a m a n
"
:
De pa rtm e n t (F H )

丐
ダ
JEFFREY P NOVOTNY,
CA PT,
USCG
- T
B E N J A M IN R IC H A R D S T A L L IN G S
a s e n do r s e d be lo w ,
is e n title d u n de r 丁itle 4 6 (S h ip pin g) U S C o d e
to s e rv e in the c a pa c ity o r c a p a c itie s s pe c ifie d (N a tio n a l O n ly ),
s u Æe c t to a n y lim ita tio n s in d ic a te d
CA PA C ITY L IM IT A T IO N S A P P LY IN G 【ül A NY )
Se c o n d A s s is ta n t Of M o to r a n d Ga s T 나r b in e Pr o pe lle d
En gin e e r V e s s e ls
Y
Re f Nu m 2 997628 Se ria l Nu m 00025069 1
2 n 3 3 0 9
俺

U n it e d S t a t e s C o a s t G u a r d
M e Æi c a l C e r t ifi c a t e
Se a :a r e r N a n
G e n d e r M a l e N a ti o n a lity U S D O B : 2 1 A P R 19 9 2
S T V E 1 P D * OFA P R 20 f a N a t io n a l h p D a t e OFA p R 2 0 2 了 P i lo t E x p D a t e OJ P R 2 0 18
J E F F R EY P NO V O T NY CA PT U SC G
O F F I CER 1N CH A R G E I N E IN SP EC TI ON
S EA FA R E R SI GN A T U R E
0 02 1 31 9 5 R e f N u m 29 9 7 6 2 8
v D O N O T D ET A C H v
=
DO NO T D ETA C H A
M a r in e r 6 f l e e fr o m a n y m e d ic a l c o n d ill o n : k e ly l o be a gg ra v a t e d by s e r v ic e a t s e a o r
t o re n d e r th e s e a fa r e r u n fit fo r s u c H s e rv ic e o r t o e n d a n ge r th e h e a lu r o f D u re r pe r s o n s
o n b o a r d
.
L a s t C o b r V i s b n T e s t D a l e o i A P R · 2 0 i 6
'
üI . WSTCWM Ï Ì / ]aË^ ] [ ]^ ]]^^ // ]/^. // $] `/a^``$]/////ê/$§V
b u a l Ac u l v IAW ST CW A- 19 :Y
'
eQ*Qi rvi i i oi i ¥ 1 WT Wpilfii :] //a_/// a[:
]]]j]]I]]// ]] B_/ ]] ï[i a/ aaì/t [ì/[a$ £i Èê_$F 1 1 0 r L o o k o u t d u k e s :
YU
ù tB1i i #i . Si o/ i / ] / ] a] / ^ ·// · j.^ [[ §] +· `·ZZ· ]·] a^$i]] ·/]·/ ·§' `'`' / //[a'[/]ì$' $ ·'
Id e n l k c a t b n Ch e c k e d a t E- In a tio n : Y
N
o Um 1 a t 1-e s t r 1 ct i on * N
1) N o t V a l id flo r F o o d H a n dle r

mmc

More Related Content

What's hot (16)

mmc