City and County of San Francisco

Last Name
First Name

6220 INSPECTOR OF WEIGHTS AND MEASURES (PBT-6220-081233)

SUPPLEMENTAL QUESTIONNAIRE EXAMINATION

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY

YOUR SCORES FROM THIS SUPPLEMENTAL QUESTIONNAIRE EXAMINATION WILL BE DERIVED FROM YOUR RESPONSES

The purpose of the Supplemental Questionnaire/Training and Experience Evaluation is to assist with determining if you possess the Minimum Qualifications for class 6220 Inspector of Weights and Measures as well as to determine your knowledge, skills, and abilities in job-related areas that have been identified as critical for satisfactory performance. Please refer to the examination announcement for a more detailed description of these knowledge, skills, and abilities.

Questions #1 and #2 will assist with assessing possession of desired education and required licensure. Questions #3 through #9 will be assessed, scored, and will account for 100% of the total weight of your final score on the resulting 6220 Inspector of Weights and Measures eligible list. Successful applicants will be placed on eligible list, in rank order, according to their final score on the Supplemental Questionnaire/Training and Experience Evaluation.

Your application or additional attached documents (e.g. resumes, cover letters, letters of reference/recommendation, etc.) will NOT be considered during the scoring process. Once submitted, applicant responses on the Supplemental Questionnaire/Training and Experience Evaluation cannot be changed. Insufficient or non-responsive answers to the Supplemental Questionnaire may result in ineligibility, disqualification, or lower scores.

If you experience technical difficulties, make note of any error messages and contact the analyst before the filing deadline. Responses should be consistent with the information on your employment application and are subject to verification.

Please select the highest level of education that you have completed.

High School Diploma or equivalent

Associate's degree

Bachelor's degree

Master's degree

Doctoral degree

None of the above

Please list the school(s) where you obtained your degree(s), the discipline/field of study, and type of degree earned (e.g. Bachelor of Arts degree in Psychology from the San Jose State University). If you do not possess any of the degrees identified above, type N/A.

2a.

Do you have at least two (2) valid County Weights and Measures Inspector licenses issued by the California Department of Food and Agriculture?

Yes No

2b.

Please identify the valid California County Weights and Measures Inspector licenses that you possess. Select all that apply.

Weight Verification License

Measurement Verification License

Transaction and Product Verification License

None of the above

If you answered that you possess a valid license in #2a and #2b above, please identify your license number(s), your name as it appears on your licensure, and the expiration date of your licensure. If you do not possess valid licensure as identified above, type N/A.

Please identify your experience performing the following weight verification inspection duties. Select all that apply.

computing scales at grocery stores

platform scales weighing more than 100 lbs.

heavy capacity scales weighing more than 10,000 lbs.

repairing, installing, or operating computer, platform, or heavy capacity scales

None of the above

In accordance with your responses to #3 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

Additionally, please list the name of supervisors or managers who can verify the information provided as well as their contact information. If you do not have experience in these areas, please type N/A.

Please identify your experience performing the following measurement verification inspection duties. Select all that apply.

retail fuel dispensers (gas pumps)

taxi meters

liquefied petroleum gas dispensers

water sub-meters

repairing, installing, or operating retail fuel dispensers (gas pumps), taxi meters, liquefied petroleum gas dispensers, or water sub-meters

None of the above

In accordance with your responses to #4 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

Please identify your experience performing transaction and product verification inspection duties. Select all that apply.

point of sale systems

weighmaster

package quantity control

None of the above

In accordance with your responses to #5 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

Please identify your experience preparing and issuing compliance actions. Select all that apply.

preparing and issuing Notice of Violation Reports

preparing and issuing Out of Order Notice Reports

preparing and issuing Notice of Proposed Action Reports

None of the above

In accordance with your responses to #6 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

Do you have a valid Class A or Class B Driver License (e.g. heavy capacity)?

Yes No

If you answered that you possess valid licensure in #7 above, please provide your license number, your name as it appears on your license, the expiration date of your license, and identify the state that issued the license. If you do not possess valid licensure as identified in #7 above, type N/A.

How much experience do you have explaining regulations, policies, or procedures to members of the public?

One (1) year of full-time experience is equivalent to 2,000 hours.

I have some, but less than 6 months of experience

I have at least 6 months, but less than 12 months of experience

I have at least 12 months, but less than 18 months of experience

I have at least 18 months, but less than 24 months of experience

I have 24 months of experience or more

I don't have any experience

In accordance with your responses to #8 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

How much experience do you have with investigating and responding to customer complaints?

One (1) year of full-time experience is equivalent to 2,000 hours.

I have some, but less than 6 months of experience

I have at least 6 months, but less than 12 months of experience

I have at least 12 months, but less than 18 months of experience

I have at least 18 months, but less than 24 months of experience

I have 24 months of experience or more

I do not have any experience

In accordance with your responses to #9 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

I understand that checking this box will serve as my electronic signature. I certify that I am the author of this questionnaire and all information presented is true and based upon my education, training, skills, and experience. I understand and agree that any information provided is subject to verification. I also understand that any false, incomplete, or incorrect statement may result in disqualification, termination, or dismissal from employment with the City and County of San Francisco.

Department of Human Resources

#PBT-6220-081233
Supplemental Questionnaire

Department of Human Resources

#PBT-6220-081233 Supplemental Questionnaire

#PBT-6220-081233
Supplemental Questionnaire