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Form 9-500
Approved
Exception to SF-50
NOTIFICATION OF PERSONNEL ACTION
(Employee-See General Information on Reverse)
4. SOCIAL SECURITY NO.
| 1. NAME (CAPS) LAST-FIRST-MIDDLE | MR.-MISS-MRS. | 2. (FOR AGENCY USE) |
3. BIRTH DATE
(mo., day, year) |
4. SOCIAL SECURITY NO. |
| DARBY, WILLIAM J. | MR. | - | 11-06-13 | 414-50-9489 |
| 5. VETERAN PREFERENCE | 6. TENURE GROUP | 7. SERV. COMP. DATE | ||
|
1 1-NO
2-5 PT. 3-10 PT. DISAB. 4-10 PT. COMP. 5-10 PT. OTHER |
0 | 00-00-00 | ||
| 9. FEGLI | 10. RETIREMENT | 11. (FOR CSC USE) | ||
|
2
1-COVERED (REGULAR ONLY - DECLINED OPTIONAL) 2-INELIGIBLE 3-WAIVED 4-COVERED (REG. AND OPT.) |
2
1-CS 2-FICA 3-FS 4-NONE |
5-OTHER | ||
| 12. CODE | NATURE OF ACTION |
13. EFFEC. DATE
(mo., day, year) |
||
| 651 | CONV TO EXC APPT NTE 05-20-75 INTERMITTENT | 05-21-74 | ||
| 14. CIVIL SERVICE OR OTHER LEGAL AUTHORITY | ||||
| 15. FROM: POSITION TITLE AND NUMBER | ||||
|
CO-CHAIRMAN, HAZARDOUS MATERIALS
ADVISORY COMMITTEE |
||||
|
16. PAY PLAN AND
OCCUPATION CODE |
17. GRADE STEP
(a) OR (b) OR LEVEL RATE |
18. SALARY | ||
| EC 00301 | 00 00 | PD $100.00 | ||
| 19. NAME AND LOCATION OF EMPLOYING OFFICE | ||||
|
64010009
EPA, ASST ADMR FOR RSRCH & MONITNG, DPTY ASST ADMR FOR PRGRM OPS, IMMED OFC, WASHINGTON, D. C. |
||||
| 20. TO: POSITION TITLE AND NUMBER | ||||
|
CO-CHAIRMAN, HAZARDOUS MATERIALS
ADVISORY COMMITTEE |
||||
|
21. PAY PLAN AND
OCCUPATION CODE |
22. GRADE STEP
(a) OR (b) OR LEVEL RATE |
23. SALARY | ||
| EC 00301 | 00 00 | PD $100.00 | ||
| 24. NAME AND LOCATION OF EMPLOYING OFFICE | ||||
|
64010009
EPA, ASST ADMR FOR RSRCH & MONITNG, DPTY ASST ADMR FOR PRGRM OPS, IMMED OFC, WASHINGTON, D. C. |
||||
| 25. DUTY STATION (City - County - State) | 26. LOCATION CODE | |||
| 11-0010-001 | ||||
| 27. APPROPRIATION | ||||
| 28. POS. OCCUPIED | 29. APPORTIONED POSITION | |||
|
2
1-COMPETITIVE SERVICE 2-EXCEPTED SERVICE |
FROM: TO: STATE | |||
| 30. REMARKS: EMPLOYMENT IS SUBJECT TO COMPLIANCE WITH THE INTERIOR DEPARTMENT PATENT REGULATIONS | ||||
| 31. DATE OF APPOINTMENT AFFIDAVIT (Accessions only) | ||||
|
32. OFFICE MAINTAINING PERSONNEL FOLDER
(If different from employing off.) |
||||
|
ENVIRONMENTAL PROTECTION AGENCY
HEADQUARTERS PERSONNEL MGMT. DIV WASHINGTON, D.C. 20460 |
||||
| 33. CODE | EMPLOYING DEPARTMENT OR AGENCY | |||
| EP 00 | Department of the Interior | |||
| 34. SIGNATURE (Or other authentication) AND TITLE | ||||
|
RICHARD A. COCOZZA, ASST. DIRECTOR
FOR OPERATIONS, PERSONNEL MGMT. DIV. |
||||
| 35. DATE | 36. Submitting Office No. | |||
| 07-26-74 | 3216 | |||
1. EMPLOYEE COPY
Source: https://www.industrydocuments.ucsf.edu/docs/xzyp0227