Attachment_D_-_Fats,_Oils_and_grease_Waste_Disposal_Manifast.pdf
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- Attached to
- Grease Traps and Lift Station Maintenance with Septic Tank Pump-outs for Facilities Management Division
- Solicitation number
- Y24-1051
- Issued by
- Orange County, Orlando City, Florida
About this file
The document is a Fats, Oils, and Grease Waste Disposal Manifest form developed by the Florida Industrial Pretreatment Association (FIPA), which is a unified manifest form for tracking waste disposal from grease interceptors, traps, and oil-water separators. The form is designed to document the collection, transportation, and disposal of grease waste, with sections for hauler information, generator details, device condition assessment, waste volume measurements, and discharge approvals. The accompanying technical drawing (Figure A307-1) provides a detailed standard design for a reinforced concrete grease interceptor, specifying construction requirements such as minimum concrete thickness, baffle placement, pipe specifications, and inspection points.
The technical drawing includes specific design notes indicating that the grease interceptor must meet Florida Plumbing and Administrative Code standards, with a maximum size of 760 gallons and requirements for water and gas-tight construction. The design accommodates H-20 truck wheel loads and specifies that all fixtures located in food and beverage preparation areas must be routed through the interceptor. The manifest form requires certification by both the customer and driver, with a requirement that all parties retain a copy of the document for at least three years. This documentation is part of Orange County, Florida's solicitation for Grease Traps and Lift Station Maintenance with Septic Tank Pump-outs, which will be electronically submitted through the ProcureNow OpenGov e-Procurement Platform by April 8, 2025.
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Text version
�I Authority: Control Number:
Fats, Oils and Grease Waste Disposal Manifest
Hauler Information:
Name:
Address:
Vehicle Tag#:
Decal Number:
Generator Information:
Customer Name:
Physical Address:
'f.elephone #:
Phone#: _______ _
Capacity: ______ Gallons
Type of Device: ------i�iiiiiiiii ____________ _ Interceptor/Trap/OWS Condition: I,,, Baffle intact and unobstructed ] Needs Repair: _______ _ Cover secure, accessible & in good condition ] Needs Repair: _______ _ Inlet/ Outlet pipes intact . eeds Repair: _______ _ Walls & bottom in good condition ®;?>il�f.f:1lli!Needs Repair: _______ _
ESTIMATED Waste Thickness and Volume Removed from Interce tor/Tra /OWS Device:
Grease/Oil Cap: __ Inches Bottom S Total Device Depth __ Inches Volume Pumped: _____ Gallons
Certification: I certify that the above information is - rate. I further certify that said device was completely pumped and cleaned, and no materials wer into the device unless prior approval w�s received from the control authority of the Publicly t Works wastewater collection system. I understand that falsification of this information may b a violation of · e local code and ordinances and I may be subject to enforcement action in accordance with the ' therein.
Customer Signature: ---------� Print Customer Name: n
------------�""'--""·£/J:-5-��-- Driver Signature: _____________ _
Print Driver Name:
r1
· Date: _______ _
Date:
Discharge Approval: On the dates and times provi w, ,��l:'astes listed in this manifest were approved for discharge, and were disposed by the hauler at the folbwmg pemiittecf treatment fu.cilities:
Facility #1:
Facility Name:------------------------------ Waste Received Date: _______ Time: ___ _ Invoice/Ticket#:· _______ _
Operator Signature:
Facility #2:
Facility Name: _____________________________ _ Waste Received Date: _______ Time: ___ _ Invoice/Ticket#: _______ _
Operator Signature: ____________ _
Comments:
Florida Industrial Pretreatment Association (FIPA) Unified Manifest Form-Revision Date 4-19-201 I
GENERATOR, WASTE HAULER, WASTE DISPOSAL FACILITY, AND CONTROL AUTHORITY
RETAIN A COPY OF THIS UNIFIED MANIFEST FORM AT LEAST 3 YEARS 1N YOUR FILES.
File details come from the government source that posted it. Updated .