Attachment_D_-_Fats,_Oils_and_grease_Waste_Disposal_Manifast.pdf
PDF 305 KB Posted
- Solicitation number
- Y22-177
- 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), specifically Attachment D for a waste disposal tracking process. The manifest is a standardized form designed to document the collection, transportation, and disposal of grease, oil, and interceptor waste, with spaces for detailed information about the waste hauler, generator, device condition, waste volume, and disposal facility. The form includes sections for hauler and generator information, a comprehensive inspection of the interceptor/trap/OWS device condition, estimated waste thickness and volume, and certification statements for both the customer and driver.
The standard drawing accompanying the manifest (Appendix A, Figure A307-1) provides technical specifications for a reinforced concrete grease interceptor, detailing precise construction requirements such as 6" minimum concrete thickness, 4000 PSI concrete strength at 28 days, precast baffle specifications, and cleanout and inspection points. The drawing is dated April 24, 2009, and includes specific notes about design requirements, including compliance with Florida Plumbing and Administrative Code, water and gas tightness, and routing of preparation areas through the grease interceptor. This document appears to be part of Orange County, Florida's solicitation for Grease Traps and Lift Station Maintenance with Septic Tank Pump-Outs (contract Y22-177), with electronic responses required through the OpenGov e-Procurement Platform by June 14, 2022.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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.
ATTACHMENT D
File details come from the government source that posted it. Updated .