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Placer County Human Resources Department
#2018-14520-01


Supplemental Questionnaire

Last Name First Name
 

 

ENVIRONMENTAL HEALTH SPECIALIST - REGISTERED - ASSOCIATE



 

The following supplemental questionnaire is the examination for this recruitment and will be used to determine your examination score. 

Note: The supplemental questionnaire and the application are administered as two separate documents.  The supplemental questionnaire is the only item used to determine your examination score which will, in turn, determine your ranking and placement on the eligible list. 

By continuing in this examination process, you are certifying that all information provided in the supplemental questionnaire is true to the best of your knowledge.


 

I have read and I understand the above information.


 

SECTION I: MINIMUM QUALIFICATIONS SCREENING (NOT SCORED)

This section will not be scored but may assist with determining how the applicant reports meeting the minimum qualifications for this classification.


1.

Do you possess the equivalent to a Bachelor's degree from an accredited college or university with major course work in any of the biological or physical sciences, environmental health science, engineering or a related field?

Yes No
2.

This position requires possession of registration as an Environmental Health Specialist by the State of California. Do you possess a valid registration certificate?  

Yes No

 

Individuals who do not possess the required registration, but are interested in pursuing a future career as a Registered Environmental Health Specialist, are encouraged to click HERE for more information.


3.

Do you possess two years of responsible environmental health administration and enforcement experience performing duties similar to an Assistant Registered Environmental Health Specialist with Placer County?

Yes No
3a.

If you answered yes, please describe your experience below.

4.

Within six months of assignment to hazardous materials enforcement, this position requires Certificate of Completion of Training of 40 Hour OSHA Hazardous Waste and Hazardous Materials Categorization, Advanced Class. Do you possess either of these certificates?

Yes No
 

If you answered yes, please specify the certificate(s) you possess.


 

SECTION II: SPECIALIZED SKILLS (NOT SCORED)

Please note that indicating "No" to any questions in this section does not exclude you from participation in this recruitment. Note: Applicants indicating "Yes" to possessing bilingual skills may be required to demonstrate their proficiency by participating in a Placer County administered Language Skills Examination as part of the selection process.


1.

Are you English/Spanish Bilingual?

Yes No
2.

Are you English/Russian Bilingual?

Yes No

 

SECTION III: TRAINING AND EXPERIENCE (SCORED)

This section of the supplemental questionnaire will serve as the examination for this recruitment and will be scored using a pre-determined formula, based on applicants’ checked responses.  Scores from this evaluation will determine applicant ranking and placement on the eligible list.

Instructions: For each item, please select the option that best corresponds with your relevant training and/or experience.


1.

Inspecting and evaluating restaurants and other retail food establishments, public bathing, spa, and other recreational and institutional facilities for environmental and/or public health compliance.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
2.

Identifying, eliminating and reducing hazards using principles and processes such as the seven Hazard Analysis and Critical Control Points (HACCP).

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
3.

Inspecting and evaluating facilities that handle hazardous materials, chemical storage use, or disposal.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
4.

Interpreting statutes and regulations governing hazardous materials and hazardous waste, and ensuring compliance with Certified Unified Program Agency (CUPA) and its role in ensuring compliance for hazardous material sites. 

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
5.

Inspecting housing and vector complaints and/or investigating foodborne illness complaints.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
6.

Performing general and substandard housing inspections and institution inspections (jails, hospitals, skilled nursing facilities, schools, etc)(State Housing Law, Cal Code of Regulations in Title 17, 15 and 25, Uniform Housing Code).

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
7.

Inspecting and evaluating facilities, and responding to complaints or incidents, to ensure compliance with medical waste monitoring and enforcement programs.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
8.

Conducting inspections and evaluations to ensure compliance related to the multiple modes of transmission/exposure to public health diseases: droplet contamination, fecal, bloodborne, vectorborne, dermal exposure, contaminated food or water, contaminated fomites, and intermediate hosts/vectors.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
9.

Inspecting and evaluating public drinking water systems and potential contamination of source water from underground storage tanks, naturally occurring metals or radioactivity, agricultural activities, sewage disposal systems, mining activities, solid waste disposal sites, and industrial activities.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
10.

Evaluating well sites and well construction for code compliance and acceptance as domestic water supply.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
11.

Evaluating parcel site conditions, soil mantles and septic designs for proposed on-site sewage disposal systems.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
12.

Performing general environmental sampling/testing including knowledge of: chain of custody, representative sampling, aseptic technique, sample labeling, documentation, reading and interpreting results in the field, pool chemistry tests, combustible gas meters, pH test strips or meter, sanitizer test strips, etc.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
13.

Inspecting and evaluating recreational pool chemistry, such as disinfection by-products, trihalomethanes, free and combined chlorine, cyanuric acid, bromine, ozone and how pH, total alkalinity and calcium hardness affect disinfection performance.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
14.

Investigating and managing endemic, sporadic, epidemic or pandemic public health outbreaks.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
15.

Utilizing legal methods to obtain information during investigations and inspections, such as: observation, interviews, report writing, evidence collection, and methods of lawful inspections. 

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
16.

Performing conflict resolution techniques, such as de-escalation, active listening skills, paraphrase and repeating, and body language adjustment during difficult client situations.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
17.

Preparing environmental investigation, inspection, and regulatory reports and correspondence.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
18.

Developing and presenting environmental health findings to a County Planning Department representing the opinion of an Environmental Health agency.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
19.

Conducting public health outreach training, such as providing food handling or pool education, or other relevant public health training or instruction.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
20.

Leading and training subordinate staff in various aspects of environmental of environmental health programs and regulatory requirements.

I have no or very limited experience performing this task.
I have some training in this area, but no or very little experience performing this task.
I have some experience with this task, but would need additional training.
I have performed this task independently under normal supervision.
I have extensive experience performing this task.
I have experience performing this task and have trained and/or supervised others in the performance of this task.
 

SECTION IV: ADDITIONAL TRAINING AND EXPERIENCE (NOT SCORED)

Based on your selections in Section III, please describe any additional training and experience related to questions 1-20.  Your response to this section will not be scored, but may be used by the hiring department for the purposes of screening and identifying which applicants to invite to the hiring interview. If you indicated no experience, please state "None."


 

Thank you for completing the examination portion of the application process. We encourage applicants to review their answers for accuracy prior to submitting.

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