Trainee Name____________________________

Trainee Social Security Number: ____________

Trainee Status:  _______

Course Name: ___________________

Course Code: ___________________                                 

National Center Course Number: ___________

Date Course Completed: ____________________

Performance Criteria Completed:  _____________

Performance Objectives:

                                                                                                                    Pass     Fail                  

Topic 1: Primary Water Treatment

1.1  Describe primary and secondary water treatment at your
site and the uses of water after each treatment.

1.2  Describe problems with plant equipment at your site that
can be caused by dissolved solids, dissolved gases, and
suspended solids.

1.3  Describe organic and inorganic suspended solids.

1.4  Locate a screen in your facility and describe its function
and operation.

1.5  Locate a clarifier in your facility and describe its function
and operation.

1.6  Describe the coagulation, flocculation, and settling stages
of clarification.

1.7  Locate some of the filters used in your facility and describe
their function and operation.

Topic 2: Chlorination

2.1 Describe some of the effects that micro-organisms can have
      on plant equipment at your site.

2.2 Locate a chlorine evaporator and a chlorinator in your facility
      and describe the function and operation of each.

2.3 Describe safety precautions associated with operations
      involving chlorine at your site.

Performance Evaluator’s Signature _______________________________

Performance Evaluator’s Name (Print) ____________________________

Date Completed: _____________________________________________