CCDEH IT Summit - Continuing Education (CE) Credits Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The following form should be completed for each class attended. Certificates will be completed and e-mailed as PDFs within 30 days following each event.

THIS SURVEY IS FOR THE 8/15/13 VIDEO PRESENTATION ON SACRAMENTO COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT'S INNOVATIVE ELECTRONIC CROSS-CONNECTION CONTROL PROGRAM WEB PORTAL - IMPROVING PUBLIC HEALTH AND CUSTOMER SERVICE WHILE REDUCING COSTS

About You

Attendee Name *

Attendee Agency

Attendee E-mail Address *

This is the e-mail address to which the certificate will be e-mailed. Please verify it is correct.

Attendee REHS Number *

About the Session

Session Title *

Session Date *

The content relevant to environmental health and/or will help my job performance. *

Disagree

Agree

The instructor was knowledgeable about the topic *

Disagree

Agree

The objectives of the course were met *

Disagree

Agree

The session met my expectations *

Disagree

Agree

I would recommend this session to others *

Disagree

Agree

I stayed online for the entire 50 minutes (or more) *

Yes

Quiz Content

What is the EMD Cross-Connection Control Program Web Portal (Portal)? *

A resource link on EMD’s homepage that lists all of EMD’s backflow tester names and the current list of approved backflow assemblies

A public access web-page for reporting stolen backflow assemblies to EMD and local law enforcement agencies

An innovative web-based technology that streamlines operations and improves cross-connection control program service delivery

An information exchange clearinghouse for plumbing officials

What were the primary drivers for developing the Portal? *

To bring program services into the 21st century

To simplify existing processes and procedures for all program stakeholders and conserve scarce resources

To help facilitate easier data transfer to the California Department of Public Health’s (CDPH) DRINC portal

Everyone else has one

Who is/are the primary user(s) of the Portal? *

CDPH Division of Drinking Water and Environmental Management District Engineers

Cal/EPA, State Water Resource Control Board and Regional Water Quality Control Board Staff

Only EMD regulated businesses

Registered backflow testers, local public water supplier representatives, and EMD program staff

The Portal allows backflow testers to *

Electronically enter and submit backflow assembly test reports

View and manage their certification records

Pay for program related fees online

All of the above

What percentage of test reports is submitted through the Portal? *

57%

25%

97%

79%

How was the Portal developed? *

Through a national environmental planning process

Through a Consent Decree

Through an extensive program review process that incorporated feedback from the local regulated community and program partners

None of the above

The Portal currently sends backflow assembly test result information to *

The University of Southern California’s Foundation for Cross-Connection Control and Hydraulic Research (USC FCCCHR)

The CDPH DRINC Portal

EMD Cross Connection Control Program Staff

No one

The Portal can *

Let you chat with other backflow testers who are online

Search through web pages for national backflow incidents

Let users access data 24 hours a day

All of the above

Since transitioning to the Portal, EMD has *

Improved data collection

Saved approximately 3,000 staff hours and 70,000 pieces of paper

Saved over $4,000.00 in mailing costs

All of the above

What should you consider when developing your Portal? *

Involve stakeholders at the beginning of the process

Surprise everyone and announce the new Portal at a safety tailgate meeting

Perform a comprehensive review of your existing program requirements and processes

Both (a) and (c)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms