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#22-004592-0007
Supplemental Questionnaire

Last Name
First Name

1

***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***  

 


2

Do you have a Bachelor’s Degree in Environmental, Chemical or Civil Engineering?  Please list the field of study of your degree below.

3

Briefly explain your experience or knowledge in wastewater engineering and treatment technologies.  If you do not have the experience/knowledge, please indicate N/A below.

4

Do you have experience and/or knowledge performing audit inspections of Publicly Owned Treatment Works (POTW) facilities and sampling inspection in accordance with approved methods and guidelines under CFR 40 Part 136? Y/N Include name of employer(s) and dates of employment below. If you do not have the experience/knowledge, please indicate N/A below.

5

Do you have experience and/or knowledge implementing and evaluating environmental programs such as environmental engineering, industrial wastewater treatment, municipal wastewater, stormwater management, and laboratory testing of wastewater.  Y/N  If yes, briefly explain your knowledge and/or relevant job duties below.  If you do not have the experience/knowledge, please indicate N/A below.

6

Briefly explain your knowledge of industry standards and practices as it relates to construction and operational projects and processes in pollution control, waste remediation, resource conservation, environmental protection, or public health and safety.  If you do not have the experience/knowledge, please indicate N/A below.

7

Are you familiar with the State and federal laws, regulations, and codes applicable to facilities subject to NPDES regulations, municipal WWTP, industrial facilities, and construction and operational projects?  Y/N  If you do not have the experience/knowledge, please indicate N/A below.

8

Do you have experience preparing technical reports and making recommendations based on engineering or architectural procedures, standards, and practice?  Y/N  If you do not have the experience/knowledge, please indicate N/A below.


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