Gray_Water_check_sheet_Jan_19_2018.pdf
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Gray Water Check Sheet
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January 19, 2018 REGION 5 VIPR PRE-AWARD
GRAY WATER TRUCK CHECK SHEET
Submission of this check sheet does not constitute submission of a quote. Quotes must be submitted in VIPR.
VENDOR NAME: _________________________________________________________________________ (as shown in VIPR profile)
CONTACT NAME: ________________________________________________________________________
ADDRESS: _______________________________________________________________________________
(as shown in VIPR profile)
PHONE NUMBER: ______________________________ EMAIL: __________________________________
EQUIPMENT MAKE:__________________________________ MODEL: ___________________________
LICENSE PLATE: ___________________________________ STATE: ______________
VIN #: _________________________________________ EQUIPMENT/UNIT I.D. ____________________
A check sheet should be included for EACH UNIT.
Type 1: 4000+ gallons Type 2: 2500-3999 gallons Type 3: 1000-2499 gallons Type 4: 400-999 gallons
1. A picture of the back of each truck, which must include a unique identifier such as a license plate.
2. A picture of each pump and state which of the following pumps your resource has:
(A) Vacuum pump system (Type GWV) Vacuum system that meets commercial vacuum truck specifications and requirements.
(B) Pump system (Type GWP) Standard commercial pumping system.
3. Current State or Local Septic Tank, Cesspool, and Privy Cleaner License with counties listed where wastewater will be collected or equivalent for each state operating in.
4. A picture of the GVWR plate typically located on the driver’s side door post.
5. Provide a copy of the GVWR certificate from a certified scale or weigh station with front, rear, and total
GVWR weights.
6. Annual USDOT certified vehicle inspection; or current Commercial Vehicle Safety Alliance Inspection.
(49 CFR 396.23).
Required documentation listed above must be sent NO LATER THAN THE SOLICITATION CLOSING DATE to--
USFS Contract Operations
3237 Peacekeeper Way, Suite 101
McClellan, CA 95652
Attn: Maria Sage
IF VENDOR WOULD LIKE TO VERIFY DELIVERY OF PACKAGE, PLEASE SEND WITH TRACKING.
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