IFB_2200_BYS1051REBID_ATT_2_v1.pdf

This is a Notice of Chemical Delivery form used by Austin Water (AW), a division of the City of Austin, Texas, for tracking and verifying the delivery of chemicals to its waste treatment facilities. The form serves as an administrative document to be completed and retained upon each chemical delivery, with particular emphasis on documenting the delivery of 38% sodium bisulfite solution in 330-gallon intermediate bulk containers (totes) to Austin Water Waste Treatment Plants on an as-needed basis. The form requires completion of chemical vendor information, trucking company details, delivery logistics including time and location, truck specifications, and driver information. Critical documentation elements include the bill of lading/delivery order number, tank security seal number, and estimated arrival time and date.

The form contains strict requirements for driver qualifications, specifically mandating verification of appropriate Commercial Driver's License (CDL) endorsements based on the type of chemical being transported. Drivers must hold either an "N" endorsement for tanker vehicles, an "H" endorsement for hazardous materials requiring placards, or an "X" endorsement combining both requirements. The form includes a certification section for Austin Water staff to verify that submitted information matches actual delivery conditions and confirms appropriate CDL endorsement codes. As noted in the document revision date of December 18, 2025, the completed form must be emailed to the delivery location site supervisor when the driver is dispatched and subsequently retained and submitted with payment materials to Austin Water Accounts Payable.