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Santa Cruz County Personnel Department
#19-MS5-01


Supplemental Questionnaire

Last Name First Name
 

 

These supplemental questions are designed specifically for this recruitment. Applications received without the required supplemental information will be screened out of the selection process.

Describe in detail the scope and level of your experience in the following questions. Employment experiences referred to in your responses must also be included in the Employment History section of your application.


1.

Please check off below the electrical and electronic equipment you have inspected, tested, calibrated, maintained, and/or repaired. Indicate how much experience you have with each piece of equipment and the manufacturer of the equipment. If you do not have experience on the particular item listed, please check the first box as ‘No’ and leave the remaining spaces blank.

EQUIPMENT A:  H2S and O2 DETECTORS: Do you have experience with this equipment?

Yes No
 

If you answered yes, please fill out below by listing the equipment manufacturers:

 

H2S and 02 DETECTORS:

Inspected:

Yes No
 

Tested:

Yes No
 

Calibrated:

Yes No
 

Maintained:

Yes No
 

Repaired:

Yes No
 

Years/Months of Experience using H2S and 02 DETECTORS:

 

EQUIPMENT B:  TURBIDITY METERS Do you have experience using this equipment?

Yes No
 

If you answered yes, please fill out below by listing the equipment manufacturers:

 

TURBIDITY METERS:

Inspected:

Yes No
 

Tested:

Yes No
 

Calibrated:

Yes No
 

Maintained:

Yes No
 

Repaired:

Yes No
 

Years/Months of Experience using TURBIDITY METERS:

 

EQUIPMENT C: DISSOLVED OXYGEN METERS. Do you have experience using this equipment?

Yes No
 

If you answered yes, please fill out below by listing the equipment manufacturers:

 

DISSOLVED OXYGEN METERS:

Inspected:

Yes No
 

Tested:

Yes No
 

Calibrated:

Yes No
 

Maintained:

Yes No
 

Repaired:

Yes No
 

Years/Months of experience using DISSOLVED OXYGEN METERS:

 

EQUIPMENT D: VARIABLE FREQUENCY DRIVES: Do you have experience using this equipment?

Yes No
 

If you answered yes, please fill out below by listing the equipment manufacturers:

 

VARIABLE FREQUENCY DRIVES:

Inspected:

Yes No
 

Tested:

Yes No
 

Calibrated:

Yes No
 

Maintained:

Yes No
 

Repaired:

Yes No
 

Years/Months of experience using VARIABLE FREQUENCY DRIVES:

 

EQUIPMENT E: FLOW METERS: Do you have experience using this equipment?

Yes No
 

If you answered yes, please fill out below by listing the equipment manufacturers:

 

FLOW METERS:

Inspected:

Yes No
 

Tested:

Yes No
 

Calibrated:

Yes No
 

Maintained:

Yes No
 

Repaired:

Yes No
 

Years/Months of experience using FLOW METERS:

 

EQUIPMENT F: PROGRAMMABLE LOGIC CONTROLLERS: Do you have experience using this equipment?

Yes No
 

If you answered yes, please fill out below by listing the equipment manufacturers:

 

PROGRAMMABLE LOGIC CONTROLLERS:

Inspected:

Yes No
 

Tested:

Yes No
 

Calibrated:

Yes No
 

Maintained:

Yes No
 

Repaired:

Yes No
 

Years/Months of experience using PROGRAMMABLE LOGIC CONTROLLERS:

 

EQUIPMENT G: ANALOG SONIC SENSORS: Do you have experience using this equipment?

Yes No
 

If you answered yes, please fill out below by listing equipment manufacturers:

 

ANALOG SONIC SENSORS:

Inspected:

Yes No
 

Tested:

Yes No
 

Calibrated:

Yes No
 

Maintained:

Yes No
 

Repaired:

Yes No
 

Years/Months of experience using ANALOG SONIC SENSORS:

2.

List below any other electric, electronic, pneumatic, computer, electro-mechanical, digital, and telemetry equipment you have worked with, as well as the amount of experience you have with each piece. Please list the manufacturer, and whether you inspected, tested, calibrated, maintained, and/or repaired the equipment.

3.

Please describe the computer programming languages and applications you are familiar with, if any.

4.

For applicants who do not possess a bachelor’s degree or associate’s degree in instrumentation, computers, or electronics, list all college-level coursework you have completed in instrumentation, computers, or electronics, including the course title and the number and type (semester or quarter) of course credits received.