engineering geologiststate water resources control board (swrcb) and the nine regional water quality...

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ENGINEERING GEOLOGIST TRAINING AND EXPERIENCE EXAMINATION Thank you for your interest in employment with the State Water Resources Control Board. All competitors who are successful in the examination will be eligible to be considered for a job opening with the State Water Resources Control Board (SWRCB) and the nine Regional Water Quality Control Boards (RWQCB) (collectively the Water Boards). The Water Boards’ Engineering Geologist examination consists entirely of a Training and Experience questionnaire which will be used to evaluate your education, training, experience and familiarity with or understanding of a particular subject or task to effectively perform the duties relative to the classification. Candidates who meet the minimum qualifications as listed in the examination bulletin may take this examination. The information you provide in this questionnaire will determine your score and rank on the eligibility list. Candidates misrepresenting their education, training, experience, knowledge, and abilities will be subject to adverse consequences, which could include the following: Removal from the exam process; Removal from the certification list; Loss of state employment; and/or Loss of the right to compete in any future examinations. If you have any questions regarding the Engineering Geologist examination, please contact the Human Resources Office Exam Unit at (916) 341-5127 or at [email protected]. Your complete package must be mailed to: State Water Resources Control Board Human Resources – Exam Unit P.O BOX 100 Sacramento, CA 95812-0100 If successful in the examination, your name will be placed on the eligibility list for a period of 12 months. During this period, you may apply for openings and be considered for employment opportunities with the Water Boards. Your examination may be made available to hiring supervisors for review when you submit your application. Your examination results will be mailed to your home address. Contact information – You are responsible for keeping your contact information up to date. Updates to your name, address, phone number or location preference can be done by visiting the California Department of Human Resources website and logging into your CalCareer account at http://www.jobs.ca.gov// or contacting the Water Boards Exam Unit. RETAIN THIS PAGE FOR YOUR RECORDS

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Page 1: ENGINEERING GEOLOGISTState Water Resources Control Board (SWRCB) and the nine Regional Water Quality Control Boards (RWQCB) (collectively the Water Boards). The Water Boards’ Engineering

ENGINEERING GEOLOGIST TRAINING AND EXPERIENCE EXAMINATION

Thank you for your interest in employment with the State Water Resources Control Board. All competitors who are successful in the examination will be eligible to be considered for a job opening with the State Water Resources Control Board (SWRCB) and the nine Regional Water Quality Control Boards (RWQCB) (collectively the Water Boards). The Water Boards’ Engineering Geologist examination consists entirely of a Training and Experience questionnaire which will be used to evaluate your education, training, experience and familiarity with or understanding of a particular subject or task to effectively perform the duties relative to the classification. Candidates who meet the minimum qualifications as listed in the examination bulletin may take this examination. The information you provide in this questionnaire will determine your score and rank on the eligibility list. Candidates misrepresenting their education, training, experience, knowledge, and abilities will be subject to adverse consequences, which could include the following:

• Removal from the exam process; • Removal from the certification list; • Loss of state employment; and/or • Loss of the right to compete in any future examinations.

If you have any questions regarding the Engineering Geologist examination, please contact the Human Resources Office Exam Unit at (916) 341-5127 or at [email protected]. Your complete package must be mailed to:

State Water Resources Control Board Human Resources – Exam Unit P.O BOX 100 Sacramento, CA 95812-0100

If successful in the examination, your name will be placed on the eligibility list for a period of 12 months. During this period, you may apply for openings and be considered for employment opportunities with the Water Boards. Your examination may be made available to hiring supervisors for review when you submit your application.

Your examination results will be mailed to your home address. Contact information – You are responsible for keeping your contact information up to date. Updates to your name, address, phone number or location preference can be done by visiting the California Department of Human Resources website and logging into your CalCareer account at http://www.jobs.ca.gov// or contacting the Water Boards Exam Unit.

RETAIN THIS PAGE FOR YOUR RECORDS

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ENGINEERING GEOLOGIST

INSTRUCTIONS COMPLETING EXAMINATION MATERIALS: This Training and Experience questionnaire is the examination for the Engineering Geologist. In the following pages, you will rate yourself on series of statements comprised of essential tasks, knowledge, and skills required to successfully perform in the Engineering Geologist position. Respond to each statement by indicating how it applies to you. You are required to respond to every statement. • In responding to each statement, you may refer to your work experience (public or private)

whether paid or volunteer formal education or formal training courses. • Fill out the questionnaire neatly and legibly.

• Your sentences should be clear and understandable. • Provide brief responses on the questionnaire only using the space provided. Do not write on the

back of pages.

• Do not alter the form in any way to give yourself additional space. Altered forms or response will not be evaluated.

• You are required to respond to every statement in Sections 1 & 2 by marking one option. • Include brief descriptions of your knowledge and/or experience for each statement in Section 2. If

your description is not included, you will not receive a score for that item. • Upon completion, make a photocopy for your records. • Mail the completed questionnaire, standard state application (STD. 678), and photocopies of

official transcripts and degree to the address listed on the previous page. Additional attachments will not be evaluated.

• Be sure your envelope has adequate postage. FACSIMILES (FAX) WILL NOT BE ACCEPTED UNDER ANY CIRCUMSTANCES

RETAIN THIS PAGE FOR YOUR RECORDS

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ENGINEERING GEOLOGIST

Have you ever been fired, dismissed, terminated, or had an employment contract terminated from any position for performance or for disciplinary reasons? (Applicants who have been rejected during a probationary period, or whose dismissals or terminations have been overturned, withdrawn (unilaterally or as part of a settlement agreement) or revoked need not answer “Yes”.) ☐ Yes ☐ No Rule 211 provides that a DISMISSED State employee (an employee who previously worked for the State of California and was dismissed) may only participate in State Civil Service examinations if he or she has obtained prior consent from the State Personnel Board. If this pertains to you, do you have written permission from the State Personnel Board Executive Officer to take this examination? ☐ Yes (Letter of permission must be attached) ☐ No IF YOU WERE DISMISSED AND DO NOT HAVE PERMISSION FROM THE EXECUTIVE OFFICER OF THE STATE PERSONNEL BOARD TO TAKE THIS EXAMINATION, STOP HERE! DO NOT TAKE THIS EXAMINATION!

STATEMENT OF UNDERSTANDING FOR CANDIDATES

Government code Sections 19680 through 19682 require that all State civil service examinations be confidential and impartial. As a participant, I hereby certify that I will maintain the confidentiality of this examination and that all the statements I make in this examination are true. I understand that my responses are subject to verification at any time, and if I misrepresent myself (education, experience, knowledge and abilities) this is cause for applicable adverse consequences (e.g., removal from the exam process, removal from the certification list, loss of state employment, and/or loss of the right to compete in any future examinations). I understand that I am fully responsible for reading and comprehending all information and instructions provided in this Training and Experience Questionnaire. Further, I understand that if this questionnaire is not completed correctly, it will not be processed and therefore will result in an automatic disqualification from this exam process. Please complete the following items after you have read the above standards stated above:

CANDIDATE PRINTED NAME

DAYTIME PHONE NUMBER

CONTACT EMAIL ADDRESS

SOCIAL SECURITY NUMBER

(Providing your Social Security Account Number is voluntary in accordance with the Federal privacy act of 1974 (PL-93-579). In this exam, your Social Security Number is required to process applications for Veteran’s Preference Points, check for eligibility to retake the examination, and verify statements regarding prior employment. Your Social Security Number is used as your identification number for all exams. Failure to provide your SSN could result in substantial delays in establishing your eligibility for employment.)

CANDIDATE SIGNATURE

DATE

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ENGINEERING GEOLOGIST

YOUR NAME (PLEASE PRINT):_____________________________________________________

LOCATION PREFERENCE Please indicate ANY and ALL locations where you would like to work by marking the box(s).

☐ – All locations (If checked, no further selections will be necessary) (5)

☐ – Bakersfield (1502)

☐ – Carpinteria (4207)

☐ – Fresno (1005)

☐ – Glendale (1930)

☐ – Los Angeles (1941)

☐ – Monterey (2704)

☐ – Oakland (0110)

☐ – Palm Desert (3307)

☐ – Redding (4504)

☐ – Richmond (0708)

☐ – Riverside (3311)

☐ – Sacramento (3400)

☐ – San Bernardino (3622)

☐ – San Diego (3708)

☐ – San Luis Obispo (4007)

☐ – San Ana (3010)

☐ – Santa Rosa (4905)

☐ – South Lake Tahoe (0903)

☐ – Stockton (3910)

☐ – Victorville (3627)

INDICATE THE TYPE OF APPOINTMENT YOU WILL ACCEPT (Please indicate ANY and ALL that apply by marking the box.)

☐ Permanent Full Time (D)

☐ Other Than Permanent Full Time (R) Part Time (Regular hours less than 40)

Limited Term (Up to 24 months)

Intermittent (On-call and hourly - not more than 1500 hours per year) ☐ Will Consider All Types of Employment (A)

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ENGINEERING GEOLOGIST

INDICATE ALL THAT APPLY

☐ Registered Senior

☐ Bachelor’s degree in one of the majors listed below

☐ Master’s Degree in one of the majors listed below

☐ PhD in one of the majors listed below

☐ Additional qualifying experience (substitutes for the required education on a year for year basis)

☐ None of the above

If you checked “none of the above”, do not continue with this examination. You do not meet the minimum qualifications to take this exam.

APPROVED COLLEGE DEGREES (Please mark your degree(s) below)

☐ Geology ☐ Engineering Geology ☐ Earth Science ☐ Geophysics ☐ Hydrogeology ☐ Geological Engineering ☐ Other closely related field:

Professional Geologist License

State:

License Number:

License Expiration Date: Additional License/Certifications

(i.e., engineering geology, hydrogeology, etc.)

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ENGINEERING GEOLOGIST

EDUCATION HISTORY

Please list your university(s) relevant to the Examination. The EDUCATION CODE will be used in identifying where the experience was obtained for each question.

EDUCATION CODE A

University Name:

University Location: City State

Dates of Attendance: From To:

EDUCATION CODE B

University Name:

University Location: City State

Dates of Attendance: From To:

EDUCATION CODE C

University Name:

University Location: City State

Dates of Attendance: From To:

EDUCATION CODE D

University Name:

University Location: City State

Dates of Attendance: From To:

EDUCATION CODE E

University Name: University Location: City State Dates of Attendance: From To:

EDUCATION CODE F

University Name: University Location: City State Dates of Attendance: From To:

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ENGINEERING GEOLOGIST

EMPLOYMENT HISTORY

Please describe your experience relevant to the Examination. Begin with your most recent experience. The EXPERIENCE CODE will be used in identifying where the experience was obtained for each statement. If you have no experience, please continue to the next page.

EXPERIENCE CODE G

Employer Name:

Employer: City State

Dates of Employment: From To:

Supervisor Telephone Number

EXPERIENCE CODE H

Employer Name:

Employer: City State

Dates of Employment: From To:

Supervisor Telephone Number

EXPERIENCE CODE I

Employer Name:

Employer: City State

Dates of Employment: From To:

Supervisor Telephone Number

EXPERIENCE CODE J

Employer Name:

Employer: City State

Dates of Employment: From To:

Supervisor Telephone Number

EXPERIENCE CODE K

Employer Name:

Employer: City State

Dates of Employment: From To:

Supervisor Telephone Number

EXPERIENCE CODE L

Employer Name:

Employer: City State

Dates of Employment: From To:

Supervisor Telephone Number

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ENGINEERING GEOLOGIST

SECTION 1 TECHNICAL SKILLS

Use these ratings to respond to following statements: A. I possess an advanced knowledge level to the extent that I could effectively use this software under the

majority of circumstances or situations encountered. B. I possess a sufficient knowledge level that would allow me to use this software successfully in routine

situations. C. I have some knowledge of how to use this software, but may require additional instructions to apply my

knowledge effectively. D. I have no knowledge of how to use this software or what it may entail. Not answering statements will be scored as “I have no knowledge of how to use this software or what it may entail”. COMPUTER SKILLS 1. Spreadsheet software ☐ A. I possess an advanced knowledge level to the extent that I could effectively use this software under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to use this software successfully in routine

situations. ☐ C. I have some knowledge of how to use this software, but may require additional instructions to apply my

knowledge effectively. ☐ D. I have no knowledge of how to use this software or what it may entail. 2. Database software ☐ A. I possess an advanced knowledge level to the extent that I could effectively use this software under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to use this software successfully in routine

situations. ☐ C. I have some knowledge of how to use this software, but may require additional instructions to apply my

knowledge effectively. ☐ D. I have no knowledge of how to use this software or what it may entail. 3. Word Processing software ☐ A. I possess an advanced knowledge level to the extent that I could effectively use this software under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to use this software successfully in routine

situations. ☐ C. I have some knowledge of how to use this software, but may require additional instructions to apply my

knowledge effectively. ☐ D. I have no knowledge of how to use this software or what it may entail. 4. Slope Stability software ☐ A. I possess an advanced knowledge level to the extent that I could effectively use this software under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to use this software successfully in routine

situations. ☐ C. I have some knowledge of how to use this software, but may require additional instructions to apply my

knowledge effectively. ☐ D. I have no knowledge of how to use this software or what it may entail.

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ENGINEERING GEOLOGIST 5. Statistical software ☐ A. I possess an advanced knowledge level to the extent that I could effectively use this software under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to use this software successfully in routine

situations. ☐ C. I have some knowledge of how to use this software, but may require additional instructions to apply my

knowledge effectively. ☐ D. I have no knowledge of how to use this software or what it may entail. 6. Power Point software ☐ A. I possess an advanced knowledge level to the extent that I could effectively use this software under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to use this software successfully in routine

situations. ☐ C. I have some knowledge of how to use this software, but may require additional instructions to apply my

knowledge effectively. ☐ D. I have no knowledge of how to use this software or what it may entail. 7. Adobe Acrobat software ☐ A. I possess an advanced knowledge level to the extent that I could effectively use this software under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to use this software successfully in routine

situations. ☐ C. I have some knowledge of how to use this software, but may require additional instructions to apply my

knowledge effectively. ☐ D. I have no knowledge of how to use this software or what it may entail. 8. Geographic Information Systems (GIS) software ☐ A. I possess an advanced knowledge level to the extent that I could effectively use this software under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to use this software successfully in routine

situations. ☐ C. I have some knowledge of how to use this software, but may require additional instructions to apply my

knowledge effectively. ☐ D. I have no knowledge of how to use this software or what it may entail. 9. Groundwater/Vandose zone modeling ☐ A. I possess an advanced knowledge level to the extent that I could effectively use this software under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to use this software successfully in routine

situations. ☐ C. I have some knowledge of how to use this software, but may require additional instructions to apply my

knowledge effectively. ☐ D. I have no knowledge of how to use this software or what it may entail. 10. Graphic/Drawing/Contouring software ☐ A. I possess an advanced knowledge level to the extent that I could effectively use this software under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to use this software successfully in routine

situations. ☐ C. I have some knowledge of how to use this software, but may require additional instructions to apply my

knowledge effectively. ☐ D. I have no knowledge of how to use this software or what it may entail.

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ENGINEERING GEOLOGIST

SECTION 2

Use these ratings to respond to the following statements: A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. D. I have no knowledge of how to perform this task or what it may entail. Not answering statements will be scored as “I have no knowledge of how to perform this task or what it may entail”. GENERAL KNOWLEDGE 1. Analyze and interpret engineering geological literature. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST

2. Assessing quality of geological data. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 3. Principles of geological risk management. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 4. Application of statistical methods of analysis. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 5. Principles of land use practices with reference to their general effect on human health and the environment. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 6. Principles of scientific research as applied to geological topics. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 7. Principles of slope stability. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 8. Knowledge of seismic hazards in California. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 9. Knowledge of cross-media environmental impacts. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST SURFACE WATER 10. Develop a surface water sampling plan. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 11. Collect surface water samples. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 12. Identify sources of pollutants in surface water. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 13. Determine interaction between surface water and groundwater. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

ENGINEERING GEOLOGIST

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ENGINEERING GEOLOGIST GROUNDWATER AND VADOSE ZONE 14. Develop a groundwater monitoring plan. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 15. Collect groundwater samples. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 16. Measure groundwater elevation. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 17. Draw groundwater elevation contours. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

ENGINEERING GEOLOGIST

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ENGINEERING GEOLOGIST 18. Determine hydraulic conductivity. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 19. Evaluate results of slug tests in the field for hydraulic conductivity. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 20. Evaluate results of pump tests in the field for hydraulic conductivity. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 21. Review groundwater sample analytical data. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 22. Evaluate results of percolation or infiltration testing. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 23. Determine groundwater flow direction. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 24. Determine groundwater flow gradient. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 25. Well construction. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 26. Well Abandonment. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 27. Identify pathways for migration of contaminants. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 28. Determine contaminant fate and transport. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 29. Determine aquifer storativity. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 30. Determine aquifer transmissivity. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 31. Evaluate potential sources of groundwater contamination. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 32. Understand factors affecting natural attenuation of contaminants. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 33. Evaluate behavior of organic chemicals in groundwater. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 34. Evaluate behavior of inorganic chemicals in groundwater. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 35. Evaluate options for groundwater remediation. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST WATERSHED MANAGMENT 36. Develop a study design for identifying sources of pollutants within a watershed. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description: 37. Develop recommendations or planning tools for pollutant reduction in a watershed. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

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ENGINEERING GEOLOGIST 38. Calculate water balance within a watershed. ☐ A. I possess an advanced knowledge level to the extent that I could efficiently perform this task under the

majority of circumstances or situations encountered. ☐ B. I possess a sufficient knowledge level that would allow me to perform this task successfully in routine

situations. ☐ C. I have some knowledge of how to perform this task, but may require additional instructions to apply my

knowledge efficiently. ☐ D. I have no knowledge of how to perform this task or what it may entail. Please provide the education and/or experience code from pages 4 and 5 with a brief description:

THIS CONCLUDES THE EXAMINATION

RESULTS WILL BE MAILED IN APPROXIMATELY 4-6 WEEKS