INSTRUCTIONS Procedure for Verification of Actual Operating Experience Form Instructions 1. In order to document the one (1) year of actual operating experience required for each level of promotion, the DHEC appointed Operator of Record for the referenced facility must complete, sign and submit this form to the Board. Operators are encouraged to submit the forms electronically to Meredith.Buttler llr.sc.gov. Incomplete forms will be returned unprocessed. 2. The required experience verification.
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How to fill out the SC Environmental Experience Verification Form online
The SC Environmental Experience Verification Form is essential for documenting the required operating experience for environmental certification in South Carolina. This guide will provide you with clear, step-by-step instructions on how to complete this form online efficiently and accurately.
Follow the steps to fill out the SC Environmental Experience Verification Form online
- Click the ‘Get Form’ button to access the SC Environmental Experience Verification Form and open it in your preferred document editor.
- Enter your name in the designated field as the operator of record.
- Select your license area by checking the appropriate box for water treatment, biological or physical/chemical wastewater, or water distribution.
- Provide your current license number and level in the specified section.
- Fill in the name and address of the facility where you gained your operating experience, including the SC DHEC system or permit number.
- List the name and title of your immediate supervisor in the corresponding fields.
- Describe the type of work you performed at the facility in detail. You may attach additional sheets if needed.
- Indicate the requested license level for the referenced facility.
- Specify your average hours worked per week at the facility.
- Detail the total time worked at the facility, distinguishing between full-time and part-time hours.
- Provide the employment dates at the facility that you are claiming for the one year of experience required.
- If you are the operator of record, confirm this on the form and provide your supervisor's name and license number.
- Review your entries for accuracy, then save the changes, and you can choose to download, print, or share the completed form.
Complete your documents online to facilitate your certification process.
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