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University of Washington SCHOOL OF PUBLIC HEALTH Department of Environmental and Occupational Health Sciences STUDENT INVOLVEMENT IN EH PROGRAMS Student: Date: Supervisor: Organization: Please check the appropriate boxes indicating the degree of involvement which this intern has had with the various activities listed for each of the following program areas. Observe Participate Independ. Air Quality/Air Pollution Control Program Only w/ Staff Work 1. Ambient Air pollution monitoring 2. Indoor air quality 3. Other: Observe Participate Independ. Community Environmental Health Only w/ Staff Work 1. School inspection, plan review 2. Mobile home park, camping club, group camp, recreational camp sites 3. Migrant housing 4. Swimming pools, sampling, field tests 5. Community Noise survey 6. Vector investigations, breeding sites, control 7. Other: Observe Participate Independ. Food Protection Program Only w/ Staff Work 1. Survey restaurants, bakeries, grocery stores, meat markets, tavern, etc. 2. Temporary food service facilities, e.g., fairs, carnivals, etc.; food handling 3. Investigate suspected outbreak of food-borne illness 4. Plan review of proposed facility (new) 5. Field trip with state Dept. of Agriculture or FDA. 6. Other: ENVH 482: EH INTERNSHIP STUDENT INVOLVEMENT 2011 - 2012 Page 2 Observe Participate Independ. Occupational Health & Safety Programs Only w/ Staff Work 1. Air Quality, ambient or personnel sampling & analysis 2. Noise / Hearing Conservation 3. Industrial hazards (accident/spill) 4. Ergonomics 5. Other: Observe Participate Independ. Sewage Disposal Program Only w/ Staff Work 1. Site evaluation, perc. tests, soil sampling, etc. 2. Septic tank and drainfield installation, final inspections 3. Review of subdivision plans 4. Investigate system failure, use of dye test 5. Local sewage collection and treatment systems, visit sewage treatment plant 6. Other: Observe Participate Independ. Solid/Hazardous Waste Only w/ Staff Work 1. Investigate open dump, landfill, sanitary 2. Become familiar with collection systems, i.e., transfer stations, use of compactors, etc. 3. Investigate proposed site for new or relocated dump or landfill 4. Investigate suspected hazardous waste site 5. Hazard Materials/Waste (accident/spill) Investigation 6. Other: Observe Participate Independ. Water Supply Program Only w/ Staff Work 1. Survey private supply system, sample water 2. Investigate contaminated water system 3. Survey a community or public water supply 4. Water quality tests routinely done by local health depts. 5. Surface water evaluation 6. Visit water treatment plant 7. Other: ENVH 482: EH INTERNSHIP STUDENT INVOLVEMENT 2011 - 2012 Page 3 Observe Participate Independ. Compliance Proceedings Only w/ Staff Work 1. Enforcement action 2. Attend legal hearings, deposition, trial, .etc. 3. Other: Observe Participate Independ. Community Relations Only w/ Staff Work 1. Nuisance Complaints 2. Environmental Justice activities 3. Attend public hearings, council meetings, etc. 4. Participate in information/education meetings, e.g., PTA, service clubs, etc. 5. Other: Observe Participate Independ. Other Env. or Occ. Health Activities (not listed above) Only w/ Staff Work (Feel free to add anything you think is important, e.g., lab. techniques – be specific and add as many lines as needed.) 1. 2. . 3.
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