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Home My WebLink About209141 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 092500 Page 1 of 1 ONE CIVIC SQUARE JOSEPH FAUCETT CARMEL, INDIANA 46032 771 E 256TH ST CHECK AMOUNT: $163.00 SHERIDAN IN 46069 CHECK NUMBER: 209141 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 163.00 REIMBURSEMENT %t of CA9 4 CtR've@r F CITY OF CARMEL Expense Report (required for all travel expenses) \�NDIAN� 2010 mileage reimbursement rate is 50 cents /mile EMPLOYEE NAME: Joseph Faucett DEPARTED na TIME: DEPARTMENT: Utilities /Sewer RETURN na TIME: REASON FOR TRAVEL: na DESTINATION CITY: na EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _X_ TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air -fare Car Rental Other g Breakfast Lunch I Dinner I Snacks I Per Diem 9/19/11 Operation of Wastewater Treatment Plants, Vol 1 Ed 7 $99.00 $99A0 9/19/11 shi in $12.00 $12.00 4/26/12 $22.00 1 $22.00 4/26/12 Operator Certification Exam $30.00 $30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total $0.00 $0.00 $0.00 $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $141.00 i t 16 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form ER06 Revision Date 5/15/2012 Page 1 ..a. ..s..��4 a- •�JS-_....e �r�. se' u •r •�7i •.�e -.y.. JO SE PH FAU 1740 MELISSA FAUCET r SPANC t2 7 PH. 317-571-06M Ors" 'nego 2� 835 EMERSON! ROAD Cmmr;i- IN 4w= w r COLLARS T FACHERS CRF_DTT UNIO Www o 1 80-552 -4745 FOR c. r-.-r_ Ls C3 1_0 top t 4 i+.�.lFJ► �..:}L..... s. -'�..'4 -r �.�•s w�... •.Slt- ?1 l...lt�:s s. Ai Ski IL s 19132811 PCj E Q mr L N 'd tiE 'ON '1d34 SUO3d Nil WdWti z�H N ,Adw Office of Water Programs Payment Receipt California State University, Sacramento http: /www.owp.csus.edu/ Sep 19, 2011 wateroffice @owp.csus.edu This is not a bill (916) 278 -6142 Payment Payment ID: 331370 From: Joseph W. Faucett Date: Sep 19, 2011 For: Best Electrical Maintenan 835 EMERSON RD Amount i 00 USD CARMEL IN 46032 (317) 402 -5630 (317) 571 -2636 Joseph W. Faucett XXXXXXXX uth B22966 This transaction will appear on your credit card statement as: WATER PROGRAM Items: Description Invoice Number Quantity Amount Best Electrical Maintenan Charge Shipping and Handling 601121 1 $12.00_ Faucett, Joseph W OWTP1 Operation of Wastewater Treatment Plants, Vol I, Ed 7 f. Charge Course Package (Enrollment plus Manual) 601121 1 $99.00. RETURN POLICY Products Returns are accepted within three months of purchase. Prior authorization must be obtained and shrink -wrap must be intact. A return fee of 10% of the value of the return will be deducted from the refund. Enrollments Returns of enrollments for any CEU course are accepted within one month of purchase, provided no coursework has been submitted and course materials are returned to us. A $10 processing fee will be deducted from the refund. QSD and QSP Exams No refunds will be given. Page 1 of 1 Office of Water Programs Enrollment Confirmation California State University, Sacramento Sep 19, 2011 http: /www.owp.csus.edu/ wateroffice @owp.csus.edu (916) 278 -6142 Dear Joseph Faucett, To help us maintain accurate records, please review the information below. This is the information we have in our database and is what we will use to 1) send printouts to you explaining missed questions and grades for each chapter, and 2) prepare and mail your Certificate of Completion. Please review this information carefully and contact us if you need to make any corrections. Enrollment For: For Changes: Faucett, Joseph W. Call (916) 278 -6142 9609 HAZEL DELL PARKWAY Fax (916) 278 -5959 INDIANANPOLIS IN 46280 Email wateroffice @owp.csus.edu (317) 815 -6676 (317) 571 -2636 j.faucett @sbcglobal.net Student: Faucett, Joseph W. Expiration: Mar 19, 2012 Invoice Number: 601121 Title: Operation of Wastewater Treatment Plants, Vol I, Ed 7 It is important that you allow approximately two to four weeks for processing of answer sheets and for us to mail you the printout explaining missed questions. If you have a deadline for obtaining Certificates of Completion, be sure that you have submitted all answer sheets for grading at least four weeks before you need your certificate. Operator License Number If you have a state issued Operator License Number, OWP can link it to your enrollment account. This will improve long -term coordination of recordkeeping between your state agency and your educational achievements. Go to the "Manage My Account" section of our website at www.owp.csus.edu /self help rig Illy V tw 1 MP ®r, son 77 Instructions for Completing the Indiana Wastewater Certification Exams Application Form Obtaining the Exam Application Form and Submitting Completed Application With Fee to IDEM The exam application is available online at the IDEM website at: hqp://www.in.gov/icpr/webfile/formsdiv/47289.pd At this time, applications are not available to be submitted electronically. Please print the application form, complete all requested information, and sign it. Mail the completed application and the $30 examination fee along with all supporting documents as early as possible, but no later than the postmark deadline, to: Indiana Department of Environmental Management 100 N. Senate Ave— Mail Code 50 -1 OC Indianapolis, Indiana 46204 -2251 Applications postmarked after the deadline will only be considered for the next regularly scheduled exam. Application forms may also be obtained directly from this office at any time. When Taking More Than One Exam Please complete a separate application for each exam you wish to take. T here i s a $30 fee'for each exam:'/ You may sit for one municipal and one industrial examination each scheduled exam day. Completing the Exam Application 1. Please indicate if you are applying to take the exam to become a Wastewater Apprentice or a Certified Operator. A Wastewater Apprentice is defined as "a person who has successfully passed the commissioner's wastewater treatment operator's certification examination but has not fulfilled either the educational or experience requirements, or both, necessary to qualify to be a certified operator. A wastewater treatment apprentice shall not be designated as the certified operator in responsible charge of a wastewater treatment plant." A Certified Operator is defined as "a person who has met the requirements of this rule and holds a current certificate and certification card for wastewater treatment." 2. Please indicate which exam(s) you wish to take and 3. If you would be willing to accept a lower classification if you do not currently meet the education and experience requirements for your first choice. Section I Must be completed for all applicants. Please print all of the information requested in this section. Your home address is preferred. Indicate whether you have previously applied for wastewater certification. If yes, indicate the highest certification held and the certificate number. Section 11 Must be completed for certification applicants, optional for apprentice applicants. Indicate whether you are a high school graduate or hold a GED. If neither, circle the highest grade completed. If you do not hold a high school diploma or GED, you will be required to substitute work experience for the lacking high school education. Section III Must be completed for certification applicants, optional for apprentice applicants. List all wastewater treatment plant experience starting with your current position. Acceptable Experience The definition of "acceptable experience" may be found in 327 IAC 5- 22 -3(1). "Acceptable experience" means employment in the actual hands -on operation, maintenance, management, or supervision of a wastewater treatment plant. Acceptable experience shall be obtained under the supervision of a certified operator or by otherwise demonstrating to the commissioner that the applicant's experience meets the requirements described in the rule. Please refer to 327 IAC 5 -22 to determine the classification of your facility, amount and type of experience and education you need; and substitutions allowed. Indiana Department of Environmental Management 100 N. Senate Avenue IDEM Mail Code 65-42 Indianapolis, IN 46204 -2251 EST 1$86 February 29, 20121 r Joseph W. Faucett 835 Emerson Rd Carmel IN 46032 Re: Admission Slip to Municipal Class IV 04/26/2012 Wastewater Certification Exam Dear Joseph W. Faucett Your application for the municipal wastewater treatment plant operator examination has been approved. This is your J admission slip to the 04/26/2012 wastewater certification exam at: Indiana Government Center South 1st Floor Conference Center, Rooms A, B and C 302 W. Washington Street Indianapolis IN 46204 The exam will begin promptly at 9:00 am local time. Registration begins at 8:30 am local time. Please note, it is your responsibility to ascertain If the exam site location is in a different time zone than that of your home address. If your name, address or certification class is not correct as indicated on this letter, you should contact this office as soon as possible. If you are unable to attend your scheduled exam, please notify this office in writing, no later than 14 days prior to the examination date, to reschedule for the fall 2012 exam. Application fees are not refundable. Please bring this letter and a picture I.D. to the exam site. You will also need #2 pencils and a simple calculator (text capability not permitted). A formula and conversion sheet and scrap paper will be provided. Use of cell phones during the exam, even during a break, is not permitted. If you are late, you may not be allowed to take the exam so allow adequate time to arrive at the test location. You.may leave the room for a short break, no longer than ten minutes, by leaving your complete exam packet and picture I.D. with a monitor. If you do not return to the room within the allotted time, you will not be allowed to resume taking the exam. If your testing location is Sellersburg please arrive early for parking. You should receive a parking pass for your vehicle in a separate mailing. If your testing location is Crown Point they ask that all guests sign in at the reception desk upon entering the bu If your testing location is Indianapolis, please use the following Website for a map showing parking locations in downtown Indianapolis: http: /www.in.gov /idem /files /indvmap.pdf Indianapolis exam site only: New security measures require all visitors to the Indiana Government Center South to use the 302 W. Washington Street entrance located on the southeast side of the building. There will be a metal detector used so please notify the Capitol Police Officer at the entrance if you have a pacemaker, defibrillator or other medical device. If you have any questions, please contact me at (317) 232 -8791. Sincerely, �>c►�� Rebecca McMonigle Compliance Evaluation Section Office of Water Quality May 9, 2012 Your Wastewater Treatment Plant Operator certification, number WW019620, is enclosed. IMPORTANT CERTIFICATION INFORMATION ADDRESS CHANGE: It is your responsibility to notify the Indiana Department of Environmental Management of any change of address. You may e-mail us at tfullerwradem.in.gov or fax to (317) 232 -8637 or call (317) 233 -0479. NAME CHANGE: A name change request must be submitted in writing. Mail to: Department of Environmental Management, Office of Water Quality Mail Code 65-42, 100 N. Senate Ave., Indianapolis IN 46204 -2251 or you can fax to (317) 232 -8637. CONTINUING EDUCATION: Prior to renewing your certification, you are required to obtain at least the following continuing education contact hours from IDEM- approved training courses based on the classification of your certification: Classes I -SP and A -SO: 5 contact hours; at least 3.5 of which must be technical hours Classes I, II, A and B: 10 contact hours at least 7 of which must be technical hours Classes III, IV, C and D: 20 contact hours; at least 14 of which must be technical hours Department of EmimimentafManaremeot `t._ Office: "pfwater'Quality- :NbflCode6_-42 100 N.:Setmte Ave. .Ndiatiapprus IN 4621W-2rJ Wastewater Operator Class IV Certification Etf -fl, Date; ..Expiration Date U �V019620 06/01/2012' 06/30/2014 Your certification will expire on 06/30/2014. If you have any questions, please contact Tonja Fuller -White at (317) 233 -0479 or Joseph W. Fawcett email tfuIlerw(a4dem.in.2ov Please retain this licensure information sheet so that you will have the program address, telephone number, and your certificate ailablv$hould you CCrIit -£iC' ii 'ice -13ry rc'tr'i Department of Environmental Management f Water. Quality Mail Code 6542 100 N. Senate Ave. i Indianapolis, Indiana 462114 -2251 g o W ...astewater Operator Class IV 'r Certification Number C- ffeetiveDate WWQ19620 46/01/2012 ,oseh�l'�ucett Certtficate of This certifies that, the person named above has fulfilled the requirements for ceitificatioit as :a wastewater treatment plant operator in :accordance with IC 13 -11 and is hereby Thomas W..1i:asterly certified as a Wastewater Operator Class IV. Commissioner f VOUCHER 117352 WARRANT ALLOWED T9980 IN SUM OF FAUCETT, JOSEPH Wastewater Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 052112 01- 7042 -06 $163.00 Voucher Total $163.00 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee T9980 FAUCETT, JOSEPH Purchase Order No. Wastewater Terms Due Date 5/17/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/17/2012 052112 $163.00 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 Date fficer