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Professional Reference Form SSPC Protective Coatings Specialist General Information The applicant is renewing or applying to SSPC for he designation of SSPC Protective Coatings Spacilist. Applicans mist mest requirement fr coatings related trning and general education ad "experience, and mst provide professional references. An SSPC Protective Coatings Specialist ie consiered to have the eapebiity 0: assess the service perfomance of coatings systems; Conduct coating fare analysis, develop coating specifications for new constrvetion andor maintenance costing: develop painting specifications that adress elevant safety and environmental egulations, as well a faclty constraints; ‘+ evahate field and shop coating work procedures select appropriate coating systems; and ule suits of eoatng faire analy Please complete this form as thoroughly as poss ble nd mailto SSPC. Although evry effort is made to kep references confidential, SSPC cannot gurantee confidential Snails navi tices — ‘lke ey a Phone | [, ] Fax | [ 1 wa 1. have personal knowledge upon which oevahate applicants competenoe asa coatings professional covering the ptid orn (Morvs)0 (Mol). 2. Lambe applican’s 1D current supervisor elien 2D oiter. 1 past supervisor 1 professional poor 3. LamQam not seated tothe aplicans.( elated to eplicans, please explain how you ae related) Professional Practice 1. Pets ingiote your opinion ofthe applicant's copabilitias in each ofthe listed octivis on a scale of 195. $= Excellent, 4= Good, 3» Satisfactory, 2 Poor, and Activity Coating system performance eva ution CConting system Selection Development of coatings epecifcatons Coming file analysis Knowledge of field and shop aplication procedures Development of painting contraccors [I 2, What perentage oftie does the apolcantspendinproective coatings activites? _ % 3. What work atvies oer than dose concerned with protective coatings er assigned othe applicant in hisher poston? 4. Phase desribe any significant echnical dickens ofthe aplian, 5. Do you consider the applicant vo bea compatent professional inthe fled of industrial coatings? DYe Ne 6. Please provide any additonal information you believe would be helpful to SSPC in evaluating the pplicen’s wortines for eetifition, Seam Dae you donot fos! qualified to ovshate he

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