ATTACHMENT 6_Task 1 Basic Inspections Form.pdf
PDF 173 KB Posted
- Attached to
- Southwest Regional Wastewater Services Federal contract opportunity
- Solicitation number
- 127EAV23R0001
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF 30 Amendment 0002.pdf | ||
| Attachment 9_List of USFS Region 3 Toilets.xlsx | XLSX spreadsheet | |
| SF30_AMENDMENT 0001.pdf | ||
| ATTACHMENT 1_SOW_Amendment_02.pdf | ||
| AMENDMENT 0001.pdf | ||
| ATTACHMENT 2_Schedule of Items_Amendment 02_20230111_PUMPING SERVICES.pdf | ||
| ATTACHMENT 2_Schedule of Items_Amendment 02_20230111_CLEANING SERVICES.pdf | ||
| Responses to Questions 12.13.2022 127EAV23R0001 .pdf | ||
| ATTACHMENT 2_Schedule of Items_Modified 20221209_PUMPING SERVICES.docx | DOCX document | |
| ATTACHMENT 2_Schedule of Items_Modified 20221209_CLEANING SERVICES.docx | DOCX document | |
| ATTACHMENT 2_Schedule of Items.pdf | ||
| ATTACHMENT 8_QASP.pdf | ||
| ATTACHMENT 3_TABLES.pdf | ||
| ATTACHMENT 4_Toilet Summary.pdf | ||
| ATTACHMENT 5_ZONE MAPS.pdf | ||
| ATTACHMENT 7_All Services Call Order Form.pdf | ||
| 127EAV23R0001-SOLICITATION.pdf | ||
| ATTACHMENT 1_SOW.pdf |
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Text version
USDA DEPARTMENT OF AGRICULTURE
US FOREST SERVICE SOUTHWESTERN REGION
Toilet Pumping and Wastewater Services BPA Contract
TASK 1 – PUMPING SERVICES
BASIC INSPECTIONS FORM
Use space below to document observed needs for repairs and maintenance Note any cracks, missing or broken components, graffiti, and other vandalism.
TOILET BUILDING EXTERIOR
Roof
Ventilation Stack
Walls, including vent cover
Foundation/Slab/Apron
Door and door handle
Signage (present or missing)
TOILET BUILDING INTERIOR
Floor
Walls, including vent cover
Foundation/Slab/Apron
Door and door handle
Toilet Seat and riser condition
Toilet Paper Dispenser (if present)
Signage (present or missing)
Or description of location
SUBSURFACE COMPONENT (Vault or septic system etc.)
Perform a basic inspection of the vault or subsurface structure. Enter N/A if not applicable.
1st Compartment
2nd Compartment
Inlet baffle condition OR access port to vault
Outlet Baffle condition
Effluent baffle screen condition
Total Tank Capacity
Total Gallons pumped
Depth of Scum
Depth of Sludge
Vault tank material type
Access to tank port
General Comments:
PHOTOS: Document inspection with photos
Inspection Certification
I verify that the information listed herein is true and accurate to the best of my knowledge, belief, and observation.
Attached is a copy of the disposal receipt.
Inspection Performed by:
Contractor Name:______________________________ Date:_____________________________
Address:______________________________________ Phone:____________________________
Email:____________________________________________________________________________
File details come from the government source that posted it. Updated .